Clip of the Week: February 22nd, 2018

The COTW:  A young male with a collagen-vascular disorder presents with shock. Here is one view from his POCUS, what do you think? Leave a comment below! Answer from Last week:  This young man has a very broken looking heart, and it wasn't because his true love crushed him on Valentine's day - he has a dilated cardiomyopathy.  Vince Lau, our POCUS alumnus and echo-aficionado [...]

By | 2018-02-28T18:05:59+00:00 February 24th, 2018|Cases|Comments Off on Clip of the Week: February 22nd, 2018

Case #6 – ED TEE for Cardiac Arrest

In this case a sudden deterioration in the emergency department prompts a TTE which shows some concerning physiology.  It is not until the TEE is inserted, however, that the culprit disease can be identified. *Images courtesy of Dr. Drew Thompson, Division of EM, Western University Case Highlights: *TEE in the ED is valuable for critically ill patients *TEE has advanced diagnostic potential, including the identification [...]

By | 2018-02-24T23:20:02+00:00 January 27th, 2015|Cases|Comments Off on Case #6 – ED TEE for Cardiac Arrest

Case #5: What a difference a day makes

In this case you will see 2 echos from the same patient only 1 day apart.  The patient had raging septic shock from a skin source and was requiring significant hemodynamic support.  You can appreciate the cardiac dysfunction from a 2D point of view but also from a quantitative point of view.  The next day - you will see significant changes, now off inotropes (epinephrine, milrinone [...]

By | 2018-02-24T23:20:03+00:00 December 17th, 2014|Cases|Comments Off on Case #5: What a difference a day makes

Case # 4: Post-op shortness of breath

By Rob Leeper, MD, FRCSC The Critical Care Outreach Team is called to asses a 64 year old male on the thoracic surgery floor complaining of increasing shortness of breath and hypotension. He is status post left upper lobectomy for non small cell lung cancer 1 year ago.  He has been re-admitted for workup of a possible recurrence in his mediastinal nodes. In the 24 [...]

By | 2018-02-24T23:20:08+00:00 October 30th, 2012|Cases, Featured|Comments Off on Case # 4: Post-op shortness of breath

Case # 3: Leg cramps

A 55 year old male presents to the emergency department with a 5 day history of increasing shortness of breath on exertion and recent leg “cramps”.  In the 24 hours prior to presentation he had noticed increasing back pain and hyperventilation, with one episode of hemoptysis.  The patient was tachycardic, transiently (30 minutes) hypotensive and had an oxygen saturation of 90% on non-rebreather mask with [...]

By | 2018-02-24T23:20:08+00:00 August 28th, 2012|Cases|Comments Off on Case # 3: Leg cramps

Case # 2: A pain in the thigh

A 28 year old male presents with a painful right thigh. On exam you find a indurated, red area overlying the inguinal region of his right leg. He says it has been grumbling for some time with a few courses of antibiotics that have now stopped containing it. It is clearly infected. You are uncertain however, what the yield of an I and D will [...]

By | 2018-02-24T23:20:08+00:00 April 21st, 2012|Cases|Comments Off on Case # 2: A pain in the thigh

Case # 1: A dyspneic man

Case of the month #1 is that of a 66 male previously "healthy" presenting with progressive dyspnea for several days. Findings are consistent with what diagnosis? Leave your answers or questions in the comment area!   Click HERE to compare your interpretation to the answer.

By | 2018-02-24T23:20:09+00:00 April 4th, 2012|Cases|Comments Off on Case # 1: A dyspneic man