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 fatigue. During our routine scanning of patients in the MICU we noted that patient exhibited a A and B lines intermixed throughout the various lung fields. Notably in the right […]

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 in dilated cardiomyopathy requiring a heart transplant – at age 19. Since then, she has been dealing with rejection and chest pain. She stated that she had recently been diagnosed

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 was initially umbilical but moved to RLQ. When we went to ultrasound this patient, she had already received pain medication and the diagnosis of appendicitis was known through CT. Usually

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 for septic patients: Cardiac, IVC, and Lung. His cardiovascular exam was as we expected: he was known to have a decreased EF and due to his sepsis his IVC was

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 size and pain, associated with chills last week but no fever with some pus expressed previously by his wife. He never had these symptoms before. His wife was able to

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, shortness of breath, and fatigue. Elevated cardiac enzymes and her hemodynamic instability were concerning for cardiogenic etiology of shock. She was transferred to the MICU for further stabilization and work

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 was admitted to the MICU. Her pulmonary HTN had been present for many years, which caused R heart strain and eventually R heart failure. Given this significant medical history, one

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 ascites one day following paracentesis and multiple days of diuresis. While performing the ultrasound, I was unable to visualize the IVC from the Subxiphoid view despite having good acoustics due

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 surgery went well and patient was doing well at home until yesterday afternoon when she began having projectile vomiting. Patient has vomited about 12 times since then, non-bilious and not

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, nausea, vomiting, fevers or chills. She denied any prior episodes of vaginal bleeding during this pregnancy. Her OB history is non-contributory; delivered NSVD at 39 weeks. Crown rump length was