Images by Genevieve Carbonatto A 10 week pregnant patient presents with Vvaginal bleeding Her scan in the longitudinal plane shows a gestational sac in lower uterine cavity. This is an incomplete miscarriage. The transverse view of the uterus shows an intrauterine gestational sac. There is no clear fetal pole and no yolk sac.
An 8 week old pregnant lady presents with 5 days of PV bleeding. A transabdominal ultrasound shows an anteverted uterus with an intrauterine gestastional sac. The fetal pole, yolk sac are visible. Yolk sac, 0.71 cm. Crown rump length 2.25 cm. There is fetal heart beat present. No sinister cause for her bleeding is seen. Read more about 8 weeks 5 days PV bleeding[…]
Images by Genevieve Carbonatto A 7 week pregnant lady presents to the Emergency department with sudden onset of severe abdominal pain. Her BP is 100/80. She is pale and sweaty. She is directed immediately to the resuscitation room. This is her pelvic scan. A small gestational sac is visible in the right adnexa with a visible Read more about Ruptured right ectopic, 7 weeks[…]
Image by Genevieve Carbonatto A 52 year old lady presented to the Emergency department with acute , severe, epigastric pain and vomiting. A point of care ultrasound was performed which showed a normal gall bladder with no stones. Insonating over the area of maximal tenderness which was just below the xiphisternum showed a rounded hyperechoic Read more about Epiploic fat torsion[…]
Images by Genevieve Carbonatto A 62 year old lady presented with abdominal pain. A point of care ultrasound was performed which showed a hypoechoic rounded structure in head of pancreas which could be a tumour or a cyst. It was confirmed to be a pancreatic pseudocyst on CT. The lesion is not a vessel as Read more about Pancreatic pseudocyst[…]
Images by Genevieve Carbonatto A patient presented with acute shortness of breath. A point of care ultrasound was performed on his lungs to look for pulmonary oedema, consolidation or effusion. While scanning, new liver metastases were visualised. The patient had presented with a new diagnosis of metastatic lung cancer. Liver metastases may present in many different Read more about Liver metastases[…]
Images by Genevieve Carbonatto A 44 year old man returned from Bali with shortness of breath and pleuritic pain. He also complained of right upper quadrant pain worse on breathing. He was febrile and unwell. A chest Xray was normal. A point of care ultrasound was performed to see whether he had pathology below the Read more about Liver abscess[…]
Images and text by Genevieve Carbonatto A 54 year old presents with an umbilical hernia. He says that he has always been able to push it back, but not this time. This is his ultrasound scan Note the umbilical hernial sac. The loop of bowel is not moving within the hernia. The bowel is surrounded Read more about Incarcerated umbilical hernia[…]
Images Lee Juan Chiang Features indicating appendicitis Thickened appendix which measures 1.35cm. Dilated appendix Target sign – hypoechoic walls Non compressible appendix Lack of peristalsis “creeping fat” or hyperechoic mesentery surrounding appendix Colour doppler shows inflammation of walls
Images by Lee Juan Chiang A 45 year old diabetic presents with a right hip abscess. This is his ultrasound With probe compression, pus can be seen moving within the abscess. This is called ‘pus-stalsis” and is diagnostic of an abscess. Discussion Skin and soft tissue abscesses account for 2% of ED visits and the Read more about Right hip abscess – Pus stalsis[…]