Video/Image of the Week – Trauma?
Video/Image of the Week
31yo, previously healthy woman, 2 months Post partum, seen at the ED for dyspnea and anasarca, What is your diagnosis?
Perfomed by Dr Dumerjuste
Image of the week: Liver abscess
This ultrasound, performed by Dr. Dumerjuste, PGY-1 EM resident at HUM, on a 19 yr old female who presented with fever, right flank pain and right lumbar pain for 5 days. While initially concerned for pyelonephritis, the ultrasound demonstrates a large, well-defined, hypoechoic complex fluid filled structure cleared located within the liver.
Large Volume Pericardiocentesis
Dr. Menager, PGY-1 EM resident performed this ultrasound on a 47 yr old man complaining of shortness of breath over the last month, worsening in the last day, associated with increasing lower extremity edema.
PERIOCARDIOCENTESIS PERFORMED – 1500cc removed from pericardium
How to Perform an US-Guided Pericardiocentesis
With high rates of tuberculosis, we really do see many pericardial effusions that require drainage. In fact, Dr. Plantin performed his second pericardiocentesis on his very next shift! Learn how to perform this procedure now so when the time comes for you to perform it, you will be ready
Comfort Care in the Emergency Department
An 80 yr old male presented to the HUM ED complaining of acute onset epigastric and abdominal pain that started approximately 12 hours prior to arrival and was followed by multiple episodes of coffee ground emesis. Patient arrived to the ED holding his abdomen and screaming in pain.
Blood pressure: 100/60 Heart rate: 150 RR: 28 Saturation: 88% on non-rebreather
Abdominal exam revealed a rigid abdomen with significant rebound and involuntary guarding.