UOTW #22

80 yo f presents from home with complaints of pain around her g-tube. The g-tube has been functioning properly, and the patient denies pain with feeding. Her past medical history is significant for diabetes, peripheral vascular disease and 2 MI’s in the past. She denies fever/chills, diarrhea. Physical exam shows normal vitals signs. Inspection of area around g-tube shows mild redness extending approximately 1-2 cm around the g-tube. Movement of the g-tube exposes 2-3 maggots surrounding the area.

An ultrasound machine was used to identify the extent of the maggot infestation, and the following images were obtained.

Answer

UOTW #21

19 y/o WF presents with c/o months of intermittent episodes of postprandial abdominal distention, pain and severe n/v.  She states that she has been to the ER several times for this before and “always gets an NG tube,” resolving the episodes.  On exam, the pt has moderate firm upper abdominal distension and tenderness.  Your initial abdominal ultrasound reveals a very large, full stomach.  After an NG tube is placed you obtain the following clip.

Answer

UOTW #20

75 yo male presents with diffuse, worsening abdominal pain and distention. He had an aortic aneurysm repair approximately 8 days prior and states that his symptoms have worsened since then. On arrival, the patient’s vitals are HR: 112, BP: 108/59, O2: 99%, RR: 40. Physical exam shows diffuse abdominal swelling and peritoneal signs. Hemoccult was negative.

Answer

Ultrasound Art

This is a series of ultrasound clips created by pointing one probe towards another and varying parameters such as focus/depth/exam type.  Linear, phased array and curvilinear probes were used.

SonoRain

March of the Stick People

Galaga

The Reaper

Wormhole

Rave

Hyperdrive

Turbine

Event Horizon