
Ultrasound Case 067
A 33 year old gardener presents a few days after receiving a penetrating injury from a palm frond. There is an entry wound and his thenar eminence is red, hot and swollen. You take a look...

A 33 year old gardener presents a few days after receiving a penetrating injury from a palm frond. There is an entry wound and his thenar eminence is red, hot and swollen. You take a look...

This ECG is from a 49 year old. He self-presented to the emergency department with chest pain. Describe and interpret this ECG. LITFL Top 100 ECG

Presentation A 24 year old male presents with 36 hours of right testicular pain. He is a poor historian and can’t provide details for the onset, although he has risk factors for sexually transmitted infection. His right testis is swollen…

A 15 year old boy has had vomiting and diarrhoea for 2 days. He has developed increasing right iliac fossa pain which has suddenly increased and is colicky in nature.

An 18 year old man returns from a back packing trip. He has developed generalized abdominal pain, fever and vomited a couple of times. The junior doctor is concerned he has appendicitis and asks you to perform an ultrasound.

A 69 year old alcoholic patient presents with severe epigastric pain radiating through to his back. You are asked to exclude an abdominal aortic aneurysm and take a look with ultrasound.

A 22 year old man presents with abdominal pain and diarrhoea. He has 3 months of intermittent diarrhoea sometimes with blood, accompanied with weight loss and abdominal discomfort.

An 80 year old woman arrests in your department. She had presented an hour earlier with back pain. You start to prepare for a subcostal view of the heart and this is what you see.

A 76 year old man has renal colic. You look at his aorta.

A thin 17 year old male presents with right iliac fossa pain. He has had a recent viral illness and you wonder whether this is mesenteric adenitis.

A 71 year old man presents with severe back pain and hypotension. You suspect abdominal aortic aneurysm (AAA).

A 68 year old man is brought in by ambulance with severe lower back and lower limb pain and paralysis. Clinically he has lower limb ischaemia and you wonder about aortic dissection as the cause.