Hey everyone!

Here is a new case. For the purposes of HIPAA and patient/provider anonymity, I will not post any details. (Plus, I think the clips speak for themselves.) Cardiac POCUS shown in clips.

Discussion questions:
• What probe(s) is/are being used?
• What views were obtained?
• How do you interpret these images/findings?

Let me know your thoughts and I’ll post my own next week (9/29/20).

-Christopher

 

 

 

Hey everyone!

Here is a new case: 70’s female with history of COPD presented for severe dyspnea. Admitted to ICU on 2 pressors. EKG with q waves in V2-V3 (new) as well as elevated troponin and BNP. Lung Ultrasound demonstrated diffuse A lines (A profile) with pleural sliding throughout and no pleural effusions. Cardiac POCUS shown in clips.

 

 

 

Hey everyone,

Here is a case from the last week.

Case: 60’s male presenting for weakness and shortness of breath. Had outpatient echo done with the following findings(see attached clip; technically limited views obtained on subsequent POCUS exam).

Discussion questions:

• What probe(s) is/are being used?
• What views were obtained?
• How do you interpret these images/findings? What diagnosis/diagnosises do these clips suggest for this patient’s etiology of dyspnea?

Let me know your thoughts and I’ll post my own next week (9/5/20).

 

 

 

Hey everyone,

Here is another case from a former fellow. It is a more “classic” application of POCUS.

Case: 50’s male presenting for weakness and shortness of breath. Found to have cool extremities and in shock (clinically).

Discussion questions:

• What probe is being used?
• What views were obtained?
• How do you interpret these images/findings? What diagnosis do these clips suggest for this patient’s etiology of shock?

Let me know your thoughts and I’ll post my own next week (6/20/20).

-Christopher

 

 

 

Hey everybody!

Here is a quick, “classic” POCUS finding to share with you all.

Case: 80’s Female with h/o dementia presented for AMS. In ED, found to be septic from UTI and admitted to ICU. In ICU, patient appeared to have right sided abd pain.

Questions for discussion:
What views are being shown in the videos/ pics?
What probe is being used?
How do you interpret the normal/ abnormal findings from them?
Do these findings change your diagnosis/ management/ treatment for this patient? If so, how?

 

 

 

Hey everyone!

Here is another case from a former fellow. Here is the background:

60’s patient presented with chills and fatigue, diagnosed with septic shock. Patient found to have MRSA bacteremia, thought to be from diabetic foot ulcer. Patient was intubated and had complications of AKI, hypoxic respiratory failure, lactic acidosis, metabolic encephalopathy. Patient was started on CRRT. Patient developed SVTs and then a tachy-brady syndrome. Bedside POCUS echo was performed (clips).

 

 

 

This case comes from Drs. David Huang and Gabe Hoffman.

Patient is a 50’s female, h/o liver transplant, who was admitted for bowel ischemia in the setting of venous thrombosis, s/p right percutaneous transhepatic thrombolysis and stent placement on a heparin gtt. She did well and left ICU. Subsequently returned to the ICU for hypoxemic respiratory failure, and right lung white out. Lung US showed consolidated lung posteriorly without effusion, and she was treated for pneumonia. Later, complete lung US was performed and these images were found.

 

 

 

Hey everyone!

Happy New Year and welcome to the first CCM POCUS Blog of 2020! This one comes to us from Dr. Tim Kaselitz on one of his Presby RI nights.

Stem: elderly F s/p PEA arrest 15 minutes of ACLS. POCUS done immediately after ROSC.

I’m going to leave the discussion open on this one! What are you seeing? What views are there? What is he trying to measure? Thoughts/ concerns from the findings? How would you proceed?

Post your comments up until Friday, 1/10/20. I will then post the “answers” and results from the case!

-Christopher

 

 

 

All,

This case comes from a recent graduate from our fellowship, Karthik Vadamalai, MD. He is building his own POCUS program at his new institute. He continues to follow our blog- as I hope our current fellows will continue to do after graduation as well- and wanted to share the following case for discussion:

He had a teenage patient with cirrhosis secondary to iron overload. He performed a POCUS exam of the abdomen to look for ascites as the patient had portal hypertension and liver cirrhosis.

 

 

 

Hey everyone,

Here is another post for our CCM POCUS Blog. This one comes from Zachary Rhinehart, MD.

 

 

 

Pages