
Ultrasound Case 054
An echo reveals a dilated and poorly functioning right ventricle with RV wall thickness of 6mm (≤5mm). You wonder whether this is a massive pulmonary embolism or just the changes of chronic pulmonary hypertension.
An echo reveals a dilated and poorly functioning right ventricle with RV wall thickness of 6mm (≤5mm). You wonder whether this is a massive pulmonary embolism or just the changes of chronic pulmonary hypertension.
A 23 year old surfer presents several weeks after sustaining a foot injury with some mild swelling and pain in his mid plantar arch. 2 weeks previously he had been running along the rocks when he stood on something sharp. A small wound was present however his surfing desire proved stronger than his nociceptive instinct and he returned to the waves.
A 64 year old male presents with sudden severe epigastic pain radiating to his back. Urgent CTA aorta is performed to assess for aortic dissection. The CT excludes dissection but does not reveal a clear alternate cause either.
A 61 year old woman is reluctantly brought into your Emergency Department by an anxious relative with weight loss and lethargy. She has noticed a mass in her right upper quadrant that has been there for several months.
I was sent a small ultrasound machine to test. I asked my 8 year old son if I could scan his aorta. This is the scan which sent a ripple through our lives.
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.
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.
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.
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.
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.
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?