A middle aged man presented to the Emergency Department 5 days after a ERCP and stent insertion for obstructive jaundice feeling unwell, feverish, and lightheaded. He rapidly deteriorated with hypotension and was admitted to the ICU with sepsis NYD. What (if anything) is concerning on this patient's RUQ/biliary POCUS? What management steps would you recommend based on these images?
A 62 year-old female was admitted to the ICU after a presumed hypoxic cardiac arrest. She had a history of "heart failure" and renal failure on dialysis.
Hi POCUS enthusiasts,A holiday miracle has happened (albeit a couple days late)! Kudos to Katie Wiskar for her awesome educational cases and those captivating "Eye Scandy" clips that kept us mesmerized! We can't wait to have her back. To quickly introduce myself, I'm Marko Balan and sixth-year critical care resident at Dalhousie who will be spending some time with the Western POCUS team this year. I [...]
"This reflective writing piece was completed by Dr. Aashish Kalani upon completion of his recent CCUS block. For those of you unable to rotate with us, who have rotated but may have forgotten some things or for those who will someday rotate with us, read on - I think you'll find value here!" The differential for hyperdynamic LV function is broad, [...]
Happy Monday fellow UltraGeeks, I'm very sad to say that this is my last COTW e-mail for a while. I'll be back later in 2019 for round two as the ultrasound fellow here at Western, but for now let me say that it's been a real pleasure to share my love of ultrasound learning with you all each week. In addition, COTW will be [...]
Hi POCUS people, I hope you all enjoyed a lovely Remembrance Day weekend. Here in London we got our first sprinkling of snow, which was highly exciting for this Vancouverite. Bring on the holiday season! The Case This case comes to us from Dr Heather Hames from our fantastic ED POCUS contingent. This was an elderly gentleman who presented with weakness, falls, and [...]
Morning POCUS pals, Hope you're all gearing up to enjoy some serious hocus-pocus this Hallowe'en! The Case This was a 70-something gentleman who was received in the ICU after an intra-operative arrest during an orthopedic surgery for a hip fracture with an intramedullary hip screw. Given that clinical context, and the clips below, what might have occurred to cause his arrest? [...]
It's the end of the block here at Western, so big thanks to our rotators - John Landau, Nick Packer, and Matt White - for a fantastic month of ultrasound learning. The Case I give you "A Tale of Two Kidneys." This week we have renal scans from two separate, unrelated patients; but both have interesting findings. What do you see? [...]
Hi fellow Ultra-geeks, The POCUS team at here Western had another great week full of interesting clinical cases and long, in-depth discussions about pleural morphology, diastology, and the meaning of life. The usual. The Case This case comes from our ED POCUS friends, and adds some very welcome variety to the abundance of heart and lung scans we've seen in the past [...]
Good morning ultrasound keeners, I hope everyone had a great Thanksgiving weekend and filled up on delicious brussel sprouts, quinoa, and Tofurkey (...just me?). This past week has seen some seriously awesome POCUS cases, so competition for COTW/COTG was fierce! The Case This is a sixty-something year-old gentleman admitted for symptomatic bradycardia. He subsequently developed respiratory failure - enter team POCUS. What [...]