UOTW #79

This patient is a 64 year old male with a history of a pancreatic mass who presents with worsening jaundice and mild abdominal pain. Physical exam reveals normal vital signs, notable jaundice and scleral icterus and mild epigastric tenderness to palpation and a negative Murphy’s sign. Bedside right upper quadrant ultrasound is shown below.


Answer

ClipDeidentifier

Mac users get an updated ClipDeidentifier today with the same sleek modern interface added to the recently released Windows version.  The recently released Windows version gets a feature upgrade today as well, a preview size selector and responsive design.  Here are a few notable features for this Mac release:

  • supports drag and drop of multiple files/folders
  • all major PC imaging formats supported (no DICOM yet)
  • quick preview every scan before committing the batch deidentification
  • manual crop selector
  • full metadata strip
  • preview size selector
  • responsive design

Grab the new Mac app now [download] 73MB
Updated Win 7, 8, 10+ app [download] 56MB

UOTW #78

52 year old female with ESRD is transferred from an outside hospital for “possible sepsis.” Patient is somnolent in bed, vitals are BP 75/60, HR 62, RR 24, Temp 98.6. Your medical student on his ultrasound rotation does an echo, sees a pericardial effusion and is concerned for tamponade. What findings do you point out to him that are suggestive of tamponade?


Answer

M.mode.ify App for Mac OSX

Need an m-mode, but all you have is a clip?  This tool will generate an m-mode for you along any axis you select, then allow you to measure time and distance.  It supports all major video formats as well as DICOM files. Unlike the previous online version of the tool, this standalone desktop version does not require your clip be de-identified.  If you want to learn more about how this works, check out the M.mode.ify Theory page.  Working on the Windows version now.

  1. Smith BC, Avila J. M.mode.ify: A Free Online Tool to Generate Post Hoc M-Mode Images From Any Ultrasound Clip. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 35(2):435-9. 2016. pubmed

UOTW #77

46 yo f presents with LLE pain. On physical exam you note an area of redness on the lateral aspect of the thigh. Ultrasound demonstrates the following image. What is the appropriate management of the patient?


Answer