Ultrasound Case 057
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.
Category Top 100
Ultrasound Case 056
84 year old chap with ?renal colic deteriorates. On review you find his pain has worsened and he is pale, sweaty and hypotensive. Is this a vagal response to pain, a reaction to his analgesia or something else? You scan his aorta.
Ultrasound Case 055
A 78 year old woman has a pulsatile mass in her mid abdomen. You wonder whether it is an abdominal aortic aneurysm.
Ultrasound Case 054
An echo reveals a dilated and poorly functioning right ventricle with RV wall thickness of 6mm (≤5mm). You wonder whether this is a massive pulmonary embolism or just the changes of chronic pulmonary hypertension.
Ultrasound Case 053
A 23 year old surfer presents several weeks after sustaining a foot injury with some mild swelling and pain in his mid plantar arch. 2 weeks previously he had been running along the rocks when he stood on something sharp. A small wound was present however his surfing desire proved stronger than his nociceptive instinct and he returned to the waves.
Ultrasound Case 052
A 64 year old male presents with sudden severe epigastic pain radiating to his back. Urgent CTA aorta is performed to assess for aortic dissection. The CT excludes dissection but does not reveal a clear alternate cause either.
Ultrasound Case 051
A 61 year old woman is reluctantly brought into your Emergency Department by an anxious relative with weight loss and lethargy. She has noticed a mass in her right upper quadrant that has been there for several months.
Ultrasound Case 050
I was sent a small ultrasound machine to test. I asked my 8 year old son if I could scan his aorta. This is the scan which sent a ripple through our lives.
Ultrasound Case 017
A 23 year old woman presents with right sided pelvic pain and vaginal spotting. Her last period was 6 or 7 weeks ago and her urinary BHCG is positive. You perform a transvaginal ultrasound.
Ultrasound Case 049
A 44 year old woman presents with right upper quadrant (RUQ) pain radiating through to her back. She has a fever and is tender on abdominal palpation. She has had several episodes of postprandial RUQ discomfort previously. You wonder if she has gallstones.
Ultrasound Case 048
A 69 year old man presents with altered bowel habit and some mild left loin pain. He has been feeling weak and tired recently. He has a microcytic anaemia.
Ultrasound Case 047
An 83 year old diet controlled diabetic if brought in by his family with fevers and confusion. He had complained of some mild abdominal discomfort 48 hours before.