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?


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UOTW #76

A 45 year old male presents with shortness of breath following a right rotator cuff repair surgery. These scans were obtained at the mid axillary line at the level of T4.


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UOTW #75

This patient is a 31 year old female with a history of AIDS who presents with shortness of breath, cough and fever. Vitals: 120/80 95 19 102.5 91%RA.


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