A 15 year old male presents with acute onset, 5/10, sub-sternal chest pain that started at rest just prior to presentation. He has a history of pneumothorax treated with oxygen overnight 3-4 months prior. Breath sounds are auscultated bilaterally and vital signs are stable. The ultrasound is immediately wheeled into… Continue Reading
A 13 year old male with no PMH presented with right lower abdominal/inguinal/testicular pain that started that morning. He reported nausea and had 2 episodes of NBNB emesis. You obtain the following images and clips below: Left Testicle:… Continue Reading
A 38 day old term male with history of left sided undescended testicle presented with fussiness and bulging of the left inguinal area x 2 hours. You obtain the following clip and images: ANSWER: Inguinal Hernia. The US… Continue Reading
A healthy 9 month old presented to the ED 2 hours after being discharged with persistent vomiting (now spinach green in color). He was reported to be somewhat fussy at times and at other times sleepy. You obtain the following… Continue Reading
October 2018 – CASE 1 Each month, I will be featuring an ultrasound done by one of our fellows our faculty. This month is brought to you by one of our third year PEM fellows! Healthy 18 year old male presented with chest pain… Continue Reading
Many people spend inordinate amounts of time planning for their retirement. I applaud people who take time to plan for the future, but wondering how much money you need to retire is something that you can know reasonably well. Of… Continue Reading
Location (the city, proximity to family), the Job (your hours, colleagues, opportunities) and the Money ($$). Then pick two because that’s probably the best you’ll get. Continue Reading
CT imaging has been overused to evaluate children with blunt head trauma despite associated risks to patients and costs. PECARN developed prediction rules to determine which children are at very low risk for clinically important traumatic brain injury (ciTBI). But how do these rules compare to clinical suspicion? In cases when the clinician had a low suspicion for ciTBI but ordered a CT anyway, this study determined reasoning for obtaining the CT. Continue Reading