Ultrasound cases top 100 340
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).

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Lung Ultrasound: Pneumonia

Pneumonia is an inflammatory, most commonly infectious process involving the lungs. Typically the alveoli in intensely inflamed areas fill with inflammatory fluid or pus, and this is known as consolidation. The changes may be widespread, patchy or lobar. Ultrasound can…

DKA TCEP

The slides from my update on DKA given at the 2014 Annual Meeting of the Texas College of Emergency Physicians. Yeah, I know it isn’t wilderness, but I don’t have a “regular medicine” blog. EBM Gone Wild Lectures Spider Bites…

Ultrasound cases top 100 340
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.

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Ammon Anyone?

You've just been handed over a patient who has an altered mental status when the phone rings. It's the lab - you're told that your patient has a serum ammonia level of 250 umol/L (reference range, 11-35 umol/L). WTF?