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Ultrasound is being used increasingly to diagnose pathological free fluid accumulation at the bedside. In addition to the detection of peritoneal and pericardial fluid, point-of-care ultrasound allows rapid be...
Ultrasound measurement of dynamic changes in inferior vena cava (IVC) diameter can be used to assess intravascular volume status in critically ill patients, but published studies vary in accuracy as well as re...
This is a case report of a superficial penile hematoma that was difficult to distinguish clinically from a penile fracture. Such cases occur with relative frequency, and because definitive treatment is an urge...
Emergency department visits quadrupled with the initial onset and surge during the 2009 H1N1 influenza pandemic in New York City from April to June 2009. This time period was unique in that >90% of the circula...
Ultrasonography (US) at the medical student level is developing. As clinical skills and simulation centers expand, US equipment miniaturizes, and more students are exposed to ultrasound; a digital portfolio co...
Ultrasound (US) vascular guidance is traditionally performed in transverse (T) and longitudinal (L) axes, each with drawbacks. We hypothesized that the introduction of a novel oblique (O) approach would improv...
Worldwide ultrasound equipment accessibility is at an all-time high, as technology improves and costs decrease. Ensuring that patients benefit from more accurate resuscitation and diagnoses from a user-depende...
A validated tool has long been sought to provide clinicians with a uniform and accurate method to assess hydration status in the pediatric emergency medicine population. Outpatient clinicians use CDC height- a...
The purpose of this study is to examine current beliefs about the use, the clinical importance, the theoretical fundamentals and the utilization criteria of therapeutic ultrasound (TUS) among physical therapis...
Despite advances in imaging techniques, the detection of vegetative foreign bodies in soft tissues remains a difficult and sometimes even a challenging task. Clinical evaluation of such patient may present sev...
Most commonly, patients who present to the emergency department with a history and physical examination suggestive of urinary bladder rupture report a preceding traumatic event. Spontaneous atraumatic bladder ...
Patients with severe sepsis or septic shock often exhibit significant cardiovascular dysfunction. We sought to determine whether severity of diastolic dysfunction assessed by transthoracic echocardiography (TT...
This case reports a very unusual mechanism of cardiac rupture following an episode of multiple blunt chest trauma. The patient, a professional jockey, was trampled by horses, and although shocked on hospital a...
Conventional transabdominal ultrasound usually fails to visualize parts of the ureter or extrahepatic bile duct covered by bowel gas. In this study, we propose a new method for gaining acoustic access to the u...
The diagnosis of a superficial abscess is usually obtained through history and physical exam but bedside ultrasound (US) and computerized tomography (CT) are sometimes used to assist in the diagnosis. It is un...
A 27-year-old man presents to the emergency department with a 1-day history of severe right upper extremity pain and swelling. The patient's status is post open reduction internal fixation for a left tibial pl...
An 85-year-old woman with a past medical history of severe peripheral vascular disease and right below knee amputation presented to the emergency department with a 1-day history of non-positional dizziness and...
Recent studies support high success rates after a short learning period of ultrasound IV technique, and increased patient and provider satisfaction when using ultrasound as an adjunct to peripheral IV placemen...
The differential diagnosis and treatment of opacifications on the chest X-ray in critically ill patients may be challenging. This holds in particular the patient that suffers from respiratory failure with hemo...
The increasing use of focused ultrasonography by non-specialists emphasizes the need for standardized trainings. We analyze physicians’ skill acquisition after the implementation of an ultrasound introductory ...
Ultrasound technology and clinical applications are advancing across many medical specialties and there exists an increasing need for ultrasound education in medical school. Few institutions, however, have inc...
The primary challenge in the initial assessment of a patient with undifferentiated shock is to quickly identify and treat any reversible causes of shock. Bedside ultrasound provides real-time information that ...
Abdominal distension among the pediatric population is a frequently encountered diagnostic dilemma. In rural areas, the lack of resources limits the physician’s ability to make a definitive diagnosis and initi...
Iatrogenic, postcatheterization pseudoaneurysms (PSA) of the femoral artery are a common complication after diagnostic and interventional procedures, with up to 7.7% incidence. Treatment includes surgical repa...
A 62-year-old woman presented to the emergency department (ED) with a chief complaint of 3 weeks of progressively worsening shortness of breath. Her physical examination was normal, except for tachypnea. Her l...
To evaluate, throughout model analysis and evaluation of existing literature and personal experience, which can be the benefits of routine performance of prehospital ultrasound in the different models of preho...
Sialolithiasis is a relatively common diagnosis, with an uncertain etiology, that must be considered in patients presenting with a neck mass. Traditionally, invasive sialography was used to detect salivary sto...
Interscalene brachial plexus block is a common regional anesthesia method for upper extremity surgery. A rare complication of this procedure is dyspnea secondary to phrenic nerve palsy and hemidiaphragm paraly...
A few authors have published articles on unusual cases of internal hernias; however, there are no reports in the literature of a hernia arising from a right-sided retroperitoneal defect resulting in the incarc...
This case report from a field hospital in post-earthquake Haiti underscores the utility of portable ultrasound in austere environments. An 8-year-old boy was evaluated for several weeks of fevers and chills, g...
A 71-year-old female with a history of atrial fibrillation presented to the emergency department (ED) for abdominal pain. A computed tomography (CT) scan in ED showed an abdominal aortic thrombus and diffuse e...
Radiography is the standard observation tool for examining orthopaedic injuries. Point-of-care ultrasonography may thus be a faster, non-invasive alternative to effectively identify bone fractures in the emerg...
Non-invasiveness and instantaneous diagnostic capability are prominent features of the use of echocardiography in critical care. Sepsis and septic shock represent complex situations where early hemodynamic ass...
The aim of this study was to evaluate the clinical and echocardiographic findings in patients with acute rheumatic fever (ARF) and rheumatic heart diseases (RHD) and to compare echocardiographic findings with ...
Physical examination and laboratory testing lack sufficient accuracy to distinguish cholecystitis from cholelithiasis. As a result, imaging studies are often required to safely disposition patients presenting ...
Focused Assessment with Sonography for Trauma (FAST) is commonly used to detect intra-peritoneal blood as part of the evaluation of trauma patients. In our level 1 trauma center, mid-level providers (MLPs) per...
A 22-year-old female presented with the complaint of vaginal bleeding 1 week after a positive pregnancy test. An emergency department bedside transvaginal ultrasound revealed an early intrauterine pregnancy (I...
Branchial cleft cysts are typically benign congenital cysts lined by epithelial cells that arise on the lateral part of the neck. Ultrasound is useful in situations, where CT scanning and MRI are unavailable. ...
This is a case of a 35-year-old G4P3 female with history of one prior cesarean section who presented to the emergency department with vaginal bleeding. She was found to be pregnant, and an ultrasound identifie...
The purpose of this study was to compare if non-physician, inexperienced ultrasound subjects can take quality diagnostic images after watching a brief educational video and using reference cue cards (autonomou...
A case of a 43-year-old male with severe pancreatitis complicated with neurological deterioration is presented.
A 41-year-old Cuban man with Down syndrome and mental retardation was brought to the Emergency Department for episodes of worsening shortness of breath over one day. Bedside color Doppler ultrasound subcostal ...
This case report describes a woman presenting after out-of-hospital cardiac arrest with several cardiac anomalies, including a form fruste of Ebstein's anomaly complicated by a large tricuspid valve vegetation...
In developing countries, access to diagnostic technology is limited by economic, social and geographical barriers. Diagnostic tools must be sustainable, effective and low cost.
