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Ultrasound of the Month: Gallbladder Perforation

Taming the SRU

A bedside right upper quadrant ultrasound was performed, and the images are below. General surgery was consulted, and given the patient's significant comorbidities, he was transferred to a tertiary care academic center for further evaluation and management. The remainder of his exam was unremarkable. coli and rare budding yeasts.

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

A bedside ultrasound is completed to assess the location of the pregnancy. A radiology performed ultrasound is ordered and has similar findings– Impression: no definitive IUP with a small amount of free fluid within physiologic limits. Laboratory evaluation reveals a hemoglobin and hematocrit of 12.6/37.1

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The SPEED Protocol: Using Ultrasound To Detect Acute Aortic Dissection

ACEP Now

While waiting for laboratory investigations, including troponin and d-dimer, you wonder if a quick point-of-care ultrasound (POCUS) examination looking for three sonographic findings could help determine the likelihood of this being an AoD. They received a four-hour introductory course taught by emergency ultrasound faculty.

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Residency Spotlight: Cleveland Clinic Akron General

ACEP Now

Residents train at an academic Level I trauma center and several freestanding emergency departments (EDs). We offer innovative ultrasound training, which includes nerve blocks in the ED, and annually participate in SAEM Sonograms. We even offer an ultrasound rotation for medical students.

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Butterfly iQ3 Unboxing!

Core Ultrasound

I’ve had the pleasure of working with many ultrasound companies over the past 10 years, both as a consumer and as an ultrasound director of a large academic hospital. I’ve enjoyed all of the iterations of the Butterfly ultra-portable ultrasound transducer, but I love their third version (the iQ3), the best!

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SAEM Clinical Images Series: Pediatric Neck Mass

ALiEM

NG/DL) Ultrasound of the neck revealed an enlarged thyroid gland with lobular contours and diffuse hypoechoic echogenicity, without noticeable nodules, fluid collection, or lymphadenopathy. An ultrasound and thyroid antibodies may also be helpful to confirm diagnosis. No distention or tenderness. Free T4 : 0.5 (ref Pediatr Rev.

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SAEM Clinical Images Series: An Ultrasonographic Rabbit Hole

ALiEM

Case Discussion Take-Home Points Look out for “hole signs” with adjacent fluid collection on your gallbladder ultrasounds which would suggest perforation. Gangrenous cholecystitis: diagnosis by ultrasound. Ultrasound, 30: 270-274. Intraluminal membranes or wall irregularities suggest gangrenous cholecystitis. 148.1.6856839.