
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?

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?

Presentation A 27 year old male presents after a motor vehicle accident, He has focal tenderness over his sternum which is worse with movement and deep inspiration. Ultrasound excludes large pneumothorax but you wonder whether you can see a sternal…

An 18 year old rugby player presents after after an accidental kick to the face. He has a severe periorbital haematoma and you are worried about globe injury but cannot pry his eyelids apart enough to assess the anterior chamber or pupillary function. Can ultrasound help?

A previously well young male sustained an isolated severe brain injury. Shortly after arrival in the ED he becomes intermittently hypoxic and hypotensive. Confused, you look at his heart.

A 50 year old male has an out of hospital cardiac arrest. ROSC is achieved rapidly on scene and he is brought in by ambulance hypotensive, agitated and confused. You perform an abbreviated echo in ED to direct further investigations and management.

Elderly patient with a history of heart failure presents with sepsis and hypotension following 2 days of diarrhoea. You look at their IVC. If it is flat you will give some more fluid. If not you will need to think harder!

This 36 year old presented with an isolated blunt head injury sustained whilst on a "big night out". He required intubation and a FAST was performed to assess for any clinically undetected injury prior to RSI. This is the LUQ view. What does it show?

23 year old female presents with lower and then diffuse abdominal pain with transient hypotension and bradycardia. Urine pregnancy test is positive.

54 year old male presenting with collapse while moving couch. The patient is on antibiotics for recent pneumonia diagnosis. Altered mental status in the emergency department.

A thin and tall young man presents with back pain. Describe and interpret these ultrasound scans

A young man with a history of right sided pneumothorax, apical bullectomy and VATS pleurodesis presents with right sided pleuritic chest pain. You are asked to exclude recurrent pneumothorax.

A 70 year old male who had been "legally blind" for several years presented after blunt occular trauma. He had never had his eyes formally assessed. He said he had improved light perception post injury and could actually see moving shapes.