Images Genevieve Carbonatto A 34 year old woman presents to the Emergency Department with a 3 day history of right iliac fossa pain. An outpatient pelvic ultrasound showed a right ovarian cyst with some fluid in the pouch of Douglas. The ruptured ovarian cyst was thought to be the cause of her pain. A Read more about Appendicitis , right ovarian cyst[…]
Images Genevieve Carbonatto An 11 week pregnant patient presented to the Emergency department complaining of right iliac fossa pain. Ultrasound examination shows appendicitis. Features consistent with this include Thickened appendix which measures 1.36cm. Target sign – hypoechoic walls Non compressible appendix Lack of peristalsis “creeping fat” or hyperechoic mesentery surrounding appendix
Images Genevieve Carbonatto A patient with Chrohn’s disease presents with severe abdominal pain and vomiting. He has had pain for 2 weeks and only now presents to the Emergency Department. An ultrasound is performed on arrival. His ultrasound shows all the features of small bowel obstruction Dilatation of the small bowel Reduced peristalsis of the Read more about Chrohn’s disease, bowel obstruction[…]
Images by Genevieve Carbonatto Grossly dilated loops of bowel Dilated loops of bowel. To and fro of contents of bowel. Extraluminal fluid (ascites)
Images and text by Genevieve Carbonatto A 72 year old man arrived in the Emergency Department directly from a private radiology imaging service saying he had been told to present immediately to the Emergency Department for treatment of his pneumothorax. He had had a previous pneumothorax and knew all about chest tubes. He was eager to Read more about Giant Bulla[…]
Images Eleanor Cook and Tina Cullen A 33 year old presents to the Emergency Department with RUQ pain. A point of care ultrasound is performed to exclude a biliary cause for her pain. This is the transverse view of the GB. The GB could be easily missed in this view because it is Read more about Choledocholithiasis[…]
Images by Genevieve Carbonatto A patient presents with 4 days of abdominal pain and diarrhea. He has suprapubic tenderness. A point of care ultrasound confirms a colitis from his descending colon including his sigmoid colon. Ultrasound features consistent with this Thickened bowel wall Hypoechoic submucosa.
Images by Genevieve Carbonatto 72 year old woman with a 4 day history of RIF pain. Ultrasound shows what was directly under the point of tenderness. A point of care ultrasound shows a complex structure tender structure in the RIF. This is a possible inflamed appendix, possible inflamed ileum. The AP diameter of the appendix Read more about RIF pain[…]
Images by Genevieve Carbonatto This 11 year old presented with severe abdominal pain. On examination she had a distended tender abdomen. She was initially thought to be in urinary retention. She was catheterised but had very little urine in her bladder. Her ultrasound shows a distended uterus from haematometrocolpus due to an imperforate hymen. The Read more about Imperforate hymen : Haematometrocolpus[…]
Images by James Dent