A 55 year old man presents with upper calf tenderness and slight swelling. He has just returned from trekking in Nepal. He has a minor knee effusion clinically with tender subtle swelling of his upper calf. You consider the probable differential as DVT, calf muscle injury and Baker's cyst with or without rupture.
A 47 year old previously healthy man presents with sore throat / neck, dry cough and shortness of breath for 2 weeks. This had not improved despite inhalers and a course of antibiotics. He also describes widespread aches and pains including in both calves. There is some swelling in his right lower neck and you wonder whether it is lymphadenopathy, an abscess or something else.
A 40 year old man presents describing sudden calf pain that occurred when he was playing tennis. Describe and interpret his ultrasound
A 44 year old woman presents with calf pain after a long hike followed by a long flight. Her upper medial calf is particularly tender. You consider Baker's cyst, calf muscle tear and DVT the most likely differentials.
A 68 year old male presents 2 weeks post coronary artery bypass grafting. He describes continuing chest wall pain, increasing shortness of breath and poor exercise tolerance. You wonder whether this is a pericardial effusion have a look.
A 9 year old boy presented with fever and right flank pain. The concern was pyelonephritis. Look at the first image and see what you think.
A 38 year old patient with diabetes and end-stage renal failure presents with arm pain and sepsis. You are asked whether there is a drainable collection.
A 56 year old woman presents with chest pain and shortness of breath. Her ECG demonstrates widespread precordial ischaemic change.
A 30 year old woman presents with right iliac fossa pain. Quantitative BHCG is positive at 2500 IU. Her bladder is empty so you proceed to transvaginal ultrasound.
A woman of 40 presents with intermittent RUQ pain and nausea. You try to find her gallbladder. Wall-echo-shadow (WES) sign
I stepped off my back decking into a hole the dog had carefully manicured in the lawn. A combination of plantar flexion and inversion resulted in a rather swollen ankle you see in the first image. I managed it conservatively but at 6 weeks it still felt a bit boggy and unstable. A case of physician scan thyself
A 28 year old with reduced GCS after several seizures requires intubation. Their neck extension seems limited and you wonder whether this may be a difficult intubation. You decide to monitor it with ultrasound.