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.
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.
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.
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.
60 y/o man with 3 days suprapubic pain; 'pelvic ache' on urination; suprapubic tenderness and guarding on examination; and leukocytes in the urine. You are considering just treating as a urinary tract infection but the degree of tenderness makes you take a look with ultrasound.
A 45 year old man falls off his son's skateboard. He describes a sudden pain in the back of his calf and now has some swelling and clinically you suspect Achilles tendon rupture.
A 22 year old man is brought in by ambulance after a rugby injury - he was sandwiched between two players. He is complaining of left lower anterolateral chest pain worse with inspiration.
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.
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.
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).
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.
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