CT Case 101
A 46-year-old female presents with left iliac fossa pain and fevers. She has a previous history of stage IV endometriosis
A 46-year-old female presents with left iliac fossa pain and fevers. She has a previous history of stage IV endometriosis
A 30 year old woman who is currently 30 weeks gestation presents to the ED with abrupt, severe right loin pain.
80-year-old female presents with four days of left flank pain and fever. She is febrile 39.5, HR 110, and hypotensive with SBP 90. Blood results reveal an acute kidney injury with creatine 120 and lactate of 5 A Non-contrast CT…
Abdominal CT: Urogram. An older patient presents with haematuria. DDx renal stones and also renal tumours or urothelial tumours in the collecting system, ureters, and bladder.
Nikolaus Mayr explains how to identify a case of hydronephrosis from an ultrasound image of the kidneys.
Exploring the Point of Care Ultrasound Essentials course with a video demonstrating the renal and bladder ultrasound examination to identify hydronephrosis.
A 24 year old man present with right loin pain. He has recently been on a keto diet (high in protein and fat, no carboydrates) and has had dramatic weight loss.
A 68 year old male presents with frank haematuria and urinary retention. A 3 way indwelling urinary catheter (IDC) is inserted to enable a bladder washout. After initially draining some Shiraz coloured urine flow has slowed. You ultrasound the bladder to see what is going on.
For those joining the story for the first time, you can catch up here…. My interpretation of the ECG; Sinus rhythm with 1st degree HB, an ‘odd’ axis. Wide complex QRS (~140-160ms) with symmetrical tall T-waves. ? Hyperkalaemia. Needs urgent…