Letter

Trans-hepatic Lung Ultrasound – A Window for Supine Patients

Miguel Lourenço Varela, MD; Sofia Branco Ribeiro, MD; Andriy Krystopchuk, MD; Daniel Nunez, MD - Lung ultrasound has gained increasing use in the last few years, especially in the critically ill patients. By applying the probe on the thorax, much of the lung can be inspected and multiple conditions can be diagnosed and monitored, through [...]

Case File

Pseudoaneurysm of the Dorsalis Pedis Artery Diagnosed on Point-of-Care Ultrasound

Nathan A. Friedman, MD; Caleb P. Canders, MD; Alan T. Chiem, MD, MPH - A 46-year-old man presented with a painless mass on his dorsal right foot one week after striking it on a door. A traumatic hematoma was suspected, and needle aspiration of the mass is considered. However, point-of-care ultrasound performed by the emergency [...]

Case File

Hematocrit Sign Elucidates Cause of Abdominal Pain

Jeffrey Lam, MD; Steven Montague, MSc, MD - A 78-year-old male with chronic kidney disease on peritoneal dialysis developed unprovoked bilateral pulmonary embolisms. He was started on IV unfractionated heparin, but shortly thereafter developed severe pain and a small firm abdominal nodule near his dialysis catheter site.

Case File

Seven Year Old Male with Tricuspid Endocarditis

Omar Damji, BHSc, MSc, MD; Russ A. Lam, BSc, MD; Mark Bromley BSc, MD; Melanie Willimann BSc, MD - Pediatric endocarditis, a rare entity in developed countries, remains a challenging diagnosis to make in children. We present an uncommon etiology of shortness of breath on exertion (SOBOE) in a 7-year-old male presenting with two weeks [...]

Case File

Diagnosing Early Cardiac Tamponade in Patient with JAK2+ Myeloproliferative Syndrome with Point of Care Ultrasound

Evan Cameron, MD; Lawrence Istrail, MD - Herein is a case of POCUS diagnosing life threatening cardiac tamponade in a patient with a new diagnosis of JAK2+ myeloproliferative syndrome prompting urgent intervention with pericardiocentesis. This case illustrates the utility of POCUS through its ability to serve as a quick diagnostic tool that can hasten intervention [...]

Case Report

Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

Stephen Lammers, MD; Christopher Hong, MD; Jared Tepper, MD; Christy Moore, BS, RDMS, RVT; Cameron Baston, MD, MSCE; Cara D. Dolin, MD, MPH - Complications of fibroids in pregnancy are well known, including postpartum hemorrhage, labor dystocia, and cesarean delivery. Outside of pregnancy and labor, the rare occurrence of spontaneous fibroid rupture has been documented.

Research

The PEGASUS Games: Physical Exam, Gross Anatomy, phySiology and UltraSound Games for Preclinical Medical Education

Mary Hennekes, BS; Sarah Rahman, BA; Andrea Schlosser, BBA; Anne Drake, BA; Tessa Nelson, BS; Emily Hoffberg, BS; Robert A. Jones, DO, FACEP - Gamification engages learners and has successfully taught point-of-care ultrasound (POCUS) to residents and fellows. Yet ultrasound (US) curricula in undergraduate medical education remains limited. This study assessed a gamification model integrating [...]

Research

Focused Cardiac Ultrasound Curriculum for Internal Medicine Residents

Dipika Gopal, MD; Cameron Baston, MD; Srinath Adusumalli, MD, MSHP; Dinesh Jagasia, MD; Stuart Prenner, MD - : Focused cardiac ultrasound (FCU) is a safe and efficient diagnostic intervention for internal medicine physicians. FCU is a highly teachable skill, but is used in routine cardiac assessment in only 20% of surveyed training programs. We developed [...]

Research

Surgeon Performed Ultrasound for Diagnosis of Intussusception – A Pilot Study

Soundappan S.V. Soundappan, MBBS, M.Ch (Paed Surg), FRACS (Paed); Albert Lam, MBBS, FRACR, DDU, PhD; Lawrence Lam, MPH, PhD; Danny Cass, MBBS, FRACS (Paed), PhD; Andrew J.A. Holland, MBBS, FRACS(Paed), PhD; Jonathan Karpelowsky, MBBCH, FRACS (Paed), PhD - Intussusception is an abdominal emergency that affects all ages but infants most commonly and can cause significant [...]

Research

Measurement of the Applicability of Abdominal Point-of-Care Ultrasound to the Practice of Medicine in Saudi Arabia and the Current Skill Gaps

Rajkumar Rajendram, FRCP Lond; and Mamdouh Souleymane, MD; Naveed Mahmood, FRCP Edin; Rakan Sambas, MD; Yousuf M.S. Kharal, MD - Renal, gastrointestinal, and hepatic pathology, and the resources available for their management vary internationally. Whilst abdominal point-of-care ultrasound (APOCUS) should enhance management, uptake by physicians, worldwide, has been poor. So, the aim of this study [...]

Research

Point of Care Ultrasound First: An Opportunity to Improve Efficiency for Uncomplicated Pregnancy in the Emergency Department

Sara Urquhart, MA; Kendall Stevens, BS; Mariah Barnes, MD; Matthew Flannigan, DO - Research suggests emergency providers using point-of-care ultrasound (POCUS) to confirm an uncomplicated intrauterine pregnancy (IUP) can decrease emergency department (ED) length of stay (LOS) compared to a radiology department ultrasound (RADUS). The objective of this study was to compare the time to [...]

Research

Evaluation of Diagnostic Imaging Capacity and the Role for Point-of-Care Ultrasound (POCUS) within the Zanzibar Health System

Abiola A. Fasina MD, MSHP, DTM&H; Anthony J. Dean MD; Nova L. Panebianco MD, PMH; Frances S. Shofer PhD; Omar Ali MSEE, MSED; Mwajuma Yahya BSc; Salim Ismail MMED; Patricia C. Henwood MD - The Zanzibar Ministry of Health identified access to ultrasound (US) as a system priority due to limited diagnostic imaging capacity and [...]

POCUS Arts and Humanities

Cover Image: “The POCUS Lesson of Professor Tulp”

James S. Newman, MD, MHA, MACP - An homage to Rembrandt’s “The Anatomy Lesson of Dr. Nicolaes Tulp” for the modern physician (Acrylic on canvas).