
Ultrasound Case 045
A 55 year old woman with hepatitis C and known cirrhosis presents with right upper quadrant pain. You ultrasound her gallbladder.

A 55 year old woman with hepatitis C and known cirrhosis presents with right upper quadrant pain. You ultrasound her gallbladder.

A 51 year old man with known gallstones presents feeling unwell with some dull epigastric ache, dark urine and pale stool. Could it be choledocholithiaisis?

An 58 year old intravenous drug user presents several days after attempting to inject in to the back of his hand. There is a fluctuant red hot swelling over the dorsum of the hand and wrist and you are asked whether this is a tendon sheath collection.

A 70 year old man presented with acute urinary retention. Insertion is difficult and ultrasound is used to ensure the catheter reaches the bladder before it is inflated.

An 83 year old woman with sepsis and acute kidney injury is being managed in your resuscitation area. A urinary catheter has been placed to monitor urine output. After an hour there is no urinary output at all.

A 62 year old male attended the Emergency Department after tripping on the bottom step whilst ascending a flight of stairs. He has bilateral knee pain and has been unable to walk since the incident.

A 46 year old woman presents with relatively sudden painless visual field loss. She describes preceding flashers and floaters, and then a shadow falling over the medial and central part of her visual field.

60 y/o man with 3 days suprapubic pain; 'pelvic ache' on urination; suprapubic tenderness and guarding on examination; and leukocytes in the urine. You are considering just treating as a urinary tract infection but the degree of tenderness makes you take a look with ultrasound.

A 45 year old man falls off his son's skateboard. He describes a sudden pain in the back of his calf and now has some swelling and clinically you suspect Achilles tendon rupture.

Potentially difficult intubation of man with a receding chin and unusual jaw anatomy. You decide to watch the intubation with ultrasound.

A 22 year old man is brought in by ambulance after a rugby injury - he was sandwiched between two players. He is complaining of left lower anterolateral chest pain worse with inspiration.

A 49 year old woman falls off her bike, she is stable and has an abrasion along her right flank. You can feel a mass in the RUQ and perform an EFAST scan.