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 anterior, lateral and posterior thoracic views.

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 physician identified a pseudoaneurysm of the dorsalis pedis artery, a rare condition that can occur after minor trauma or iatrogenic intervention.

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.

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 of nocturnal fever, malaise and fatigue following a viral prodrome.

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 for potentially life-threatening conditions.

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.

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 US, anatomy, physiology, physical examination, and radiology created for preclinical medical students as compared with traditional didactic education.

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 an FCU curriculum for internal medicine residents and an assessment tool to evaluate the impact of the curriculum on trainee knowledge and confidence.

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 morbidity and mortality if missed. Clinical presentation of intussusception can be varied and non-specific and imaging (primarily ultrasound) is usually performed to confirm diagnosis. Abdominal radiographs may be non-specific and contrast studies involve ionising radiation. Ultrasound (US) has evolved as the gold standard imaging for diagnosis because of its high accuracy.

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 was to explore the applicability of APOCUS to medical practice in Saudi Arabia, residents’ current ability to perform APOCUS, and the skill gaps.