Echo images Matthew Oliver (Emergency Physician) Text Genevieve Carbonatto There is a BAT call. The ambulance are bringing in a man with severe back pain. 5 minutes later a 70 year old man is wheeled into the rescusitation room. He is in severe distress. He states he was lifting a box when he developed severe Read more about Aortic Dissection – Stanford Type A[…]
Echo images Matthew Oliver (Emergency Physician) Text Genevieve Carbonatto There is a BAT call. The ambulance are bringing in a man with severe back pain. 5 minutes later a 70 year old man is wheeled into the rescusitation room. He is in severe distress. He states he was lifting a box when he developed severe Read more about Aortic Dissection – Stanford Type A[…]
Images and text Genevieve Carbonatto A 66 year old presents to the Emergency Department after a fall onto her right chest wall. She had slipped in her bedroom and landed backwards onto a cabinet in her bedroom . She is in great pain on arrival to ED. This is her ultrasound where there is clinically Read more about Air: subcutaneous emphysema vs pneumothorax[…]
ECHO images and text Genevieve Carbonatto The following patient presented to the Emergency Department after a syncopal event walking up a flight of stairs. He had become more short of breath (SOB) over the past week or so, finding it hard to walk more than 50m without beocoming SOB. On arrival his vital signs are Read more about Cardiac Amyloidosis[…]
Dr Daniel Lichtenstein spent a weekend in Australia to talk about whole body ultrasound with a special emphasis on lung ultrasound. It was a fabulous weekend and 12 of us had the opportunity of scanning with him on the wards. Lung ultrasound seems at times so simple, yet when an expert is there to Read more about Dr Lichtenstein: Whole body ultrasound[…]
Images Sarah Vaughan, text Genevieve Carbonatto A young 26 year old girl presents to the Emergency Department with excruciating pain in her left leg. She developed the pain acutely that morning and she can’t walk on it at all. She helps you with your diagnosis by saying that she has had a previous DVT in Read more about DVT – Why use Doppler?[…]
Images and text Genevieve Carbonatto History: A young 32 year old lady presents to the Emergency Department SOB (short of breath). She is 4 weeks postpartum and was well during her pregnancy. She did not suffer from pre eclampsia during or just after her pregnancy. The baby was born by Caesarian section. She descibes being Read more about Cardiomyopathy – Postpartum Shortness of Breath[…]
Ultrasound images and text Genevieve Carbonatto. Featured image: Oceanographic museum Monaco. A 45 year old man presents to the Emergency Department with a 6-month history of feeling generally unwell with fevers and a chronic cough. He is no longer able to cope at home. On arrival he is saturating 90% on RA (room air), his Read more about Empyema[…]
Images Genevieve Carbonatto. Text Genevieve Carbonatto A young man presents to the Emergency Department with SOB (shortness of breath). He has been sent in by his flatmates because he is so unwell. They leave as soon as he presents to triage. He is an intravenous drug abuser, but says he hasn’t taken anything for 2 Read more about Bacterial Endocarditis – Aortic valve[…]
Text and images Genevieve Carbonatto There is a BAT call. A young 35 year old has fallen from a 3 story building and essentially landed on his feet. He has extensive leg injuries and possible chest and abdominal injuries. BP 95/60 HR 110/min RR 25/min Saturating 96% on RA. The trauma team is called. The Read more about FAST – Focus on the RUQ – False +ve[…]