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.
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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.
Ultrasound Case 046
A 22 year old woman presents with very mild pelvic discomfort and vomiting in early pregnancy. She has had a previous ectopic pregnancy and is worried this may be an ectopic pregnancy.
Ultrasound Case 045
A 55 year old woman with hepatitis C and known cirrhosis presents with right upper quadrant pain. You ultrasound her gallbladder.
Ultrasound Case 044
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?
Ultrasound Case 043
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.
Ultrasound Case 042
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.
Ultrasound Case 041
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.
Ultrasound Case 039
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.
Ultrasound Case 038
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.