Images and text Genevieve Carbonatto PV bleeding in early pregnancy is common. This is probably one of our most common presentations to the emergency department. Transabdominal ultrasound is less sensitive in the first trimester pregnancy than  transvaginal ultrasound. Seeing a fetal heart beat confirms fetal viability. It is important to record this using M mode. Read more about Early Pregnancy Fetal Heart Beat – Now you see it, now you don’t[…]

Ultrasound images Sanjay Ramrakha. Text Genevieve Carbonatto and Katherine Bennett The Emergency department gets a pre arrival call from a GP. He is sending in a sick looking 10 year old who has been vomiting overnight. He thinks this may be gastro On arrival a pale, mottled, barely responsive child is wheeled into the resuscitation Read more about Internal hernia[…]

ECHO images Tina Cullen. Text Genevieve Carbonatto A 65 year old lady presented to the Emergency department with a 6 month history of  abdominal pain. The pain was vague and mainly located in her pelvis but at times was epigastric. A bedside point of care ultrasound was performed. This was the ultrasound of her  proximal aorta in Read more about Discovering the aorta through ultrasound[…]

Images Genevieve Carbonatto This gentleman presented septic to our department. He had a history of chronic renal failure requiring dyalisis. BP 88/60, HR 90/min. An ECHO was done in the ED to find a possible cardiac cause, other than hypovolaemia from sepsis, for his hypotension Watch the clip below. Watch the mitral valve. Then watch Read more about Systolic anterior motion SAM[…]

Echo images Tina Cullen, text Genevieve Carbonatto The Emergency phone rings directly from the paramedics. They have a  59 year old woman with acute onset chest pain. BP 75/40, diaphoretic. HR 110/min in atrial fibrillation. She has a past history of hypertension. The ECG is faxed through   Widespead ST depression and T wave inversion Read more about Shock – Left Ventricular Outflow Obstruction[…]

Images Genevieve Carbonatto A 13 week pregnant woman presents to the Emergency department having had 7  hours of PV bleeding with clots and  lower abdominal  back pain. A point of care ultrasound shows an  empty uterus and an open os filled with mixed echogenicity which is clot. This is a missed miscarriage  

  Images Genevieve Carbonatto  10 week pregnant patient presenting to the Emergency department with intermittent vaginal  bleeding for 2 days. Hypoechoic areas are subchorionic haemorrhages. Arrows outlining subchorionic bleed An active heart beat is visible    

Images Genevieve Carbonatto   A “wall, echo, shadow” occurs when the GB wall contracts over GB stones so that the normal echo free space surrounding the stones is no longer visible. There is no, or little anechoic bile visible surrounding the stones. This can be chronic, acute or may occur when the GB is contracted Read more about Wall Echo Shadow[…]