Remove Best Practices Remove Radiology Remove Ultrasounds
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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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Case Report: A Male Patient with Iatrogenic Obstruction

ACEP Now

The patient was started on antibiotics covering Klebsiella species (grown from urine culture obtained during the first visit) and the SPC was immediately replaced with confirmation of placement into the bladder with ultrasound. Suprapubic catheter insertion using an ultrasound-guided technique and literature review. Click to enlarge.)

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A Physician's Struggle With Infertility

SheMD

I waited until my 6 week ultrasound. On my ultrasound day, I had started to feel pregnant. A colleague met me at the hospital and performed an ultrasound once more to confirm. My friend did an ultrasound and we saw free fluid- a lot of it. I waited in radiology for my formal ultrasound.

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Paediatric Appendicitis

Don't Forget the Bubbles

Clinical scoring tools for appendicitis The recently published Best Practice Pathway Guidance by NHS England recommends using clinical risk scores to assess all children with suspected appendicitis. Ultrasound has been associated with lower rates of negative appendicectomy. Remember to test for urine b-HCG in female patients.

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Daily Reviews on the ICU

Mind The Bleep

Heart rate / rhythm Best practice to check in all 4 limbs. Secretion burden and weak cough are common reasons for failed extubations, so this is a vital piece of information to guide clinical decisions. Patients receiving vasopressors may feel peripherally shut down as their peripheral vasculature constricts.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Consider performing a RUSH exam (that is rapid ultrasound for shock and hypotension) to identify the cause. Nachi: If possible, obtain a view of the IVC also while doing your ultrasound to assess for volume status. Nachi: If possible, obtain a view of the IVC also while doing your ultrasound to assess for volume status.