UOTW #42

52 y/o male presents stating that he has had an area of redness on his right thigh that has “fever” in it. No systemic fever/SOB/CP. On physical exam, vitals are normal and there is a 5 cm patch of erythema and induration on the patient’s right anterior thigh. No lower extremity edema, no fluctuance of the area. You recall an article that showed 40% of patients with clinically suspected cellulitis were diagnosed with abscess via ultrasound and required incision and drainage, so you obtain the following scan.  What’s the diagnosis?

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UOTW #40

46 yo healthy male presents with slowly worsening left groin pain. The patient works in manual labor. On exam he is in mild distress and points to an area just lateral to his pubic symphysis, stating that he has an aching pain in that region that is worse as the day progresses. On physical exam, the vitals are normal except for mild tachycardia. No obvious bulge, swelling or skin changes seen over the area, and palpation does not elicit any obvious findings of a hernia, however suspicion still remains high. An ultrasound is brought into the room revealing the following images:

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UOTW #39

78 y/o female with a history of CAD, cirrhosis, DM, and HTN presents with left arm pain, chest pain, and post-prandial dyspnea on exertion. Physical exam is unremarkable, except for an elevated blood pressure of 195/78.  Troponin is negative and the EKG is unremarkable. Prior to obtaining a CT scan, bedside ultrasound is performed, revealing the following images.

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UOTW #38

54 y/o female was the unrestrained driver in a car vs tree at a high rate of speed. She is altered, but is moaning in pain, gets louder when you palpate her abdomen and chest. There is an abdominal and chest seatbelt sign noted.  Vitals: 75/42 134 24 90% RA. What is the name of this finding and sign?

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