Ultrasound Case 033
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.
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Ultrasound Case 032
A 67 year old man has been unwell for 10 days. He had some right upper quadrant pain, fevers, and then in that last 3 days has had abdominal distension, vomiting and has stopped passing stool or flatus. You suspect bowel obstruction.
Ultrasound Case 030
A 31 year old women presents with right lower quadrant pain and nausea. The onset of severe pain was 3 hours ago, whilst she had suffered some mild discomfort in the preceding 48 hours. Past medical history includes endometriosis and ovarian cysts. Inflammatory markers and BHCG are negative (CRP is < 1).
Ultrasound Case 029
A 32 year woman presents with severe lower abdominal pain and shock in early pregnancy. She has had vaginal bleeding. You consider the differential diagnosis and whilst resuscitation is commenced and gynaecology called you put the probe on her abdomen.
Ultrasound Case 028
A 55 year old diabetic woman presents with painless loss of monocular vision. You wonder whether ultrasound will show a retinal detachment.
Ultrasound Case 027
A 68 year old male presents with frank haematuria and urinary retention. A 3 way indwelling urinary catheter (IDC) is inserted to enable a bladder washout. After initially draining some Shiraz coloured urine flow has slowed. You ultrasound the bladder to see what is going on.
Ultrasound Case 026
A 34 year old woman presents with intermittent right upper quadrant pain. It is often worse after eating. Describe and interpret these scans
Ultrasound Case 025
A 70 year old man presents with gradually increasing shortness of breath. He has had some weight loss. His CXR shows a very large left side probable pleural effusion. You wonder whether it is consolidation, solid tumour, a simple pleural effusion or a complex pleural effusion.
Ultrasound Case 024
41 year old female with a history of liver cirrhosis and ascites. She is anticoagulated for Budd-Chiari syndrome and presents with hypotension and right lower quadrant pain.
Ultrasound Case 023
An 11 year old boy is hit with a cricket ball mid sternum and is very tender. Your resident does an ultrasound and is concerned they can see a fracture.
Ultrasound Case 022
An elderly man with a history of hypertension is brought into hospital after several days of reduced oral intake. He is hypotensive and your junior doctor wants to start inotropic support for presumed sepsis. An abbreviated bedside echo is performed. What would you suggest as optimal therapy?
Ultrasound Case 021
A 58 year old lycra clad cyclist presents after a fall from his bicycle. He describes localised pain in his left midaxillary line which is worse with movement and inspiration. Is there a rib fracture?