17 year old previously healthy male presented to the ED with R knee swelling after he caught and hyperextended his leg while doing motocross the night before. He was unable to bear weight. Physical exam showed large medial R knee effusion with tenderness and limited passive range of motion. Bedside ultrasound demonstrated large effusion with …
Patient was a 72 y/o male with no known history, who was brought in to the ED as a MVC trauma. In the field, paramedics had not heard breath sounds on the right pleural fields, so they performed an emergent thoracocentesis for possible pneumothorax. Upon arrival to the ED, we performed a FAST scan and …
22 year old with no past medical history except for myopia and corrective lenses presents with acute painless monocular vision loss that began 2 days prior. He denies any recent trauma. He’s had a mild intermittent headache since onset, which prompted an outside hospital to order a CT scan, which had no abnormalities and he …
56yo male, with history of systolic and diastolic CHF status post ICD, secondary to amyloidosis, presented to the ED with LLE swelling. Top differential diagnoses consisted of DVT vs. CHF exacerbation. No evidence of DVT on duplex ultrasound. CXR showed moderate right pleural effusion and atelectasis, and pacemaker leads in good position. A bedside echo/pulmonary …
74 y.o. male with a 90 pack year smoking history who presented to the LLUMC ED w/ SOB for 2 days duration associated with a productive cough and palpitations. He initially presented to the Barstow ED with hypoxia (90% on RA) which improved with oxygen administration. Chest X-ray at the outside hospital showed a right …
A 31 y.o. female patient, with a history of Pulmonary Hypertension, Vasovagal Syncope, Dyspnea On Exertion, and Chronic Systolic Right Heart Failure, was admitted for Right Heart Catheterization secondary to Pulmonary Hypertension. The symptoms in this patient included: chronic cough, bilateral lower extremities edema, orthopnea, dyspnea, chest pain, dizziness, tachycardia, hoarseness, and diaphoresis. We performed …
Pulmonary Hypertension and the D-sign on Ultrasound Read More »
71 year old male with PMH ESRD and extensive cardiac history including CAD, CHF, A-fib, aortic valve stenosis and pHTN in the MICU for neurosurgical evaluation of a traumatic spinal fracture. During his stay, he was found to be hypotensive and short of breath. Beside ultrasound was used to evaluate his heart, IVC, and lungs. …
Quick Calculation of Aortic Stenosis with Bedside Ultrasound Read More »
A 45 year old male with known seizure history presented to the ED for evaluation after possible seizure activity in his home. After experiencing a tonic clonic seizure in the ED, the patient began to complain about right shoulder pain. Physical exam at this time revealed anterior fullness and pain with palpation of the right …
79 year old female with a history of bladder cancer in her 3rd week of chemotherapy, atrial fibrillation, and hypertension, presented with altered mental status, diarrhea, generalized weakness. CT abdomen and pelvis from outside hospital revealed diverticulitis and labs revealed severe neutropenia and elevated lactate. Vitals in the ED showed fever, tachycardia, and hypotension with …
89 y.o. male with history of AAA, 9 cm wide and 16 cm in length, presented to the ED with back pain ongoing for one day. The patient’s AAA had been previously stented in December 2016. Prior to transfer to our ED, the patient was evaluated by to his cardiothoracic surgeon, who performed a CT …