Recognizing Hypoplastic Left Heart Syndrome in the Apical Four-Chamber View

This is an echocardiogram performed on a newborn male with prenatally-diagnosed hypoplastic left heart syndrome (HLHS). After being born at Loma Linda, the patient was …

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Layered effusion of knee joint

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 …

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Hemopericardium s/p thoracocentesis

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 …

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Acute Vision Loss

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 …

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A Sparkling Heart

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 …

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The IVC Clot

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 …

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Pulmonary Hypertension and the D-sign

[vc_row][vc_column][vc_column_text]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 …

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Quick Calculation of Aortic Stenosis with Bedside Ultrasound

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 …

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Shoulder Pain after Seizure

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 …

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Longitudinal in plane line placement

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, …

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The Case of the Leaking Endograft

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 …

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Phrygian cap

A 70 year old male with a PMH of gallstone pancreatitis was brought to the ED after a 3 day history of fever, disorientation and …

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Vitr

42 year old American American male with a long standing history of uncontrolled diabetes presented ED with c/o unilateral vision loss. He has had vision …

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The Case of the Floating Lung

54 M with pmhx of HTN and previous right-sided empyema in 2014 presenting from Big Bear with left sided chest pain for possible NSTEMI. EKG …

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Endocarditis

A 24yr old IV drug user with no past medical history presents with dyspnea and pleuritic chest pain. Patient reports being ill for the past …

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Retinal Detachment

A 56 year old female with a past medical history of atrial fibrillation on Coumadin, ESRD on hemodialysis, diabetes mellitus, hypertension and dyslipidemia presented to …

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Tramponade: trampoline + tamponade

A 47-year-old male presented to the ED with a chief complaint of progressive shortness of breath x 3 weeks. Records from an outside hospital had …

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The Octopus Trap

A 78 y/o woman was admitted to the MICU for hypoxemic respiratory failure and sepsis thought to be secondary to pneumonia. She was intubated and …

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The Overproducing Ovaries

A 23 year old female presented to the ED with chest pain and shortness of breath. Having no significant past cardiopulmonary medical history in a …

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Patient Positioning Makes a Difference

73 yo male was evaluated by our team in the MICU and noted to have new onset hypotension. Good cardiac images were extremely difficult to …

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Lung ABC’s

This 84 year old male patient was managed in the MICU for septic shock after presenting to the ED with abdominal pain, decreased appetite, and …

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The Rejected Heart

A 28 year old female presented to the LLUMC ED with chest pain. She had a history of viral myocarditis at age 18 which culminated …

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Diagnosing Appendicitis in the Pediatric Population

This is a 6 year old female presenting to the ED with 1 day of severe abdominal pain and nausea/vomiting. The patient reported her pain …

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The Bizarro Pneumothorax

Our patient was a 63 year old AA male who was present in the ICU with sepsis requiring pressors. We looked at the standard sites …

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Abscess with Vascularity – Concerned?

55 y/o male with PMH of DM, HTN, hypothyroid, arthritis, and smoking noticed a pimple sized swelling on his right upper back, progressively increasing in …

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Maximizing Your Real Estate to Maximize Your Scans

This is a 76 year old female with an extensive medical history including atrial fibrillation who presented to the emergency room with significant epigastric pain, …

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The Woman with a Big Heart

51 y/o female with a PMH of pulmonary HTN, R heart failure, tricuspid insufficiency, hepatitis C, and DM II presented with worsening pulmonary HTN and …

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Finding the IVC on a cirrhotic Patient

A 54 year old female with history of severe liver cirrhosis presented with extensive ascites. Ultrasound was requested to assess fluid status and degree of …

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Pyloric Stenosis in the Pediatric Patient

6 week old female presenting with recurrence of projectile vomiting. 8 days before current presentation patient had pyloromyotomy after similar clinical presentation. Mother says the …

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Evaluating FHR in early pregnancy

29 year old G2P1001 presented to ED with vaginal bleeding. Patient reported that she is currently 7 weeks pregnant. She denied any cramping, abdominal pain, …

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Gallbladder Gems

55 year old obese female with history of IBS, GERD, and asthma brought in by her daughter for intermittent right upper quadrant pain x 4 …

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Abdominal Cellulitis?

55 year-old morbidly obese female with history of Diabetes, DVT, and Elephantiasis sent to the ED by her primary care physician for evaluation of cellulitis. …

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Bedside Ocular Ultrasound

33 y.o. male presented with partial loss of vision in left eye which began 9 months ago 3 min after removing his contact lense. Patient …

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Pleural or Pericardial Effusion?

This is a 35 y.o. male I saw while on the MICU service. He originally presented to the Emergency Department with a chief complaint of …

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