Archives

Grayscale POCUS images of a 25-year-old female standardized patient showing (A) sagittal view with a linear, hyperechoic structure within the lumen of the abdominal aorta and (B) transverse view with a normal, anechoic lumen of the abdominal aorta.

A Point of Care Ultrasound (POCUS) Artifact Mimicking an Aortic Dissection: A Case Series

Olivia Klee; Julia Buechler; Molly Fears; Caroline Gosser; Kahra Nix – In this case series, we describe an artifact that mimics a dissection involving the abdominal aorta that was found on a young, healthy, thin female medical student who was acting as a standardized patient. A radiology-performed ultrasound of her abdomen confirmed the abdominal aorta as normal. This same artifact was subsequently seen on three additional young, healthy, thin, female medical students.

Parotid Sialolithiasis Diagnosed on Point of Care Ultrasound (POCUS)

Heather Lystad; Elaine Yu; Rachna Subramony – A 58-year-old woman with a past medical history of irritable bowel syndrome presented to the emergency department due to gradual swelling and pain on the left side of her face for three weeks. She also reported feeling a lump on her inner cheek. The patient experienced worsened swelling, pain with opening her mouth, and shooting pains on the left side of her face. She denied any fevers or chills.

You’ve Gotten Under my Skin: How to Make a Simple, Non-Perishable, Low-Cost Soft Tissue Infection Ultrasound Simulator

John Barrett; Christy Moore; Jeffrey A. Kramer; Nova Panebianco – We describe how to make an ultrasound compatible, low-cost, non-perishable, durable skin and soft tissue infection (SSTI) phantom model that simulates multiple pathologies including abscess and necrotizing fasciitis. The SSTI simulator has an extended shelf-life, can be recreated, and can serve as a needle aspiration simulator.

Man with Abdominal Bloating, Weight Loss

Sara Greenwald; Mario Ramos; Brian Kohen – In this case file, we describe a 69-year-old man presenting with nausea, vomiting, left upper quadrant abdominal pain and recent weight loss who had findings concerning for intussusception on POCUS. This led the emergency provider to order computed tomography (CT) which confirmed the diagnosis.

Point of Care Contrast Enhanced Ultrasound Utility in the Diagnosis of a Gallbladder Perforation: A Case Report

Lauren Lu; Rebecca Leff; Tobias Kummer – A 61-year-old woman with metastatic ovarian cancer presented to the ED with evidence of localized gallbladder perforation with abscess development on an outpatient CT scan obtained as part of a routine consultation for her ovarian cancer. CT abdomen/pelvis with intravenous contrast revealed thickened nodular enhancement on the wall of the gallbladder with evidence of perforation and a large abscess extending into the right paracolic gutter and anterior pelvis.