Mark your calendar for our next
#POCUS
webinar: August 14th at 12pm ET. Join us for an exciting session with Dr. Randy Moore as he demonstrates median nerve release under ultrasound guidance. Sign up today 👉
Dr. Yale Tung Chen (
@yaletung
) joins us to talk about the value of
#POCUS
during the COVID-19 pandemic and his experience as a
#COVID19
positive patient. Click below to hear more about his journey!
#POCUSforCOVID
(1/2)
A 38-year-old female presented with pain in the right upper abdomen. The following two images were obtained while scanning her gallbladder. What is the most likely diagnosis?
A. Acute cholecystitis
B. Acute Gangrenous cholecystitis
C. Emphysematous cholecystitis
A 28-year-old female presented with nausea, vomiting, and pain in the right lower abdomen. An abdominal POCUS was performed by the clinician. The following images were obtained with compression.
What is the most likely diagnosis?
A 68-year-old asymptomatic male underwent abdominal aorta aneurysm (AAA) ultrasound screening. What is the correct method of measuring the AAA?
A.
B.
C.
Check back on 7/14/2023 for the answer!
A 3-year-old female was brought to the ED with complaint of sudden abdominal pain, vomiting, and passage of blood and mucus in stools. A lump was felt in the right lower quadrant. The physician performed an abdominal POCUS exam.
Over the past 3 years, lung ultrasound has enabled clinicians to quickly scan and triage hundreds of thousands of patients.
Interested in utilizing lung ultrasound in your practice? Start learning the basics with this quick read!
A 38-year-old female presented with pain in the right upper abdomen. The following two images were obtained while scanning her gallbladder.
What is the most likely diagnosis?
A. Acute cholecystitis
B. Acute Gangrenous cholecystitis
C. Emphysematous cholecystitis
A 45-year-old female presented with dyspnea and cough for 5 days. A POCUS lung ultrasound was performed which revealed a small pleural effusion. The image below was acquired in zone R1.
What is the arrow pointing to?
A) A-line
B) B-line
C) Z-line
A 68-year-old asymptomatic male underwent abdominal aorta aneurysm (AAA) ultrasound screening. What is the correct method of measuring the AAA?
A.
B.
C.
Check back on 9/15/2023 for the answer!
Validate your skills with our POCUS AAA Certification:
A 32-year-old male was brought to the emergency department after he fell from the roof while doing some repair work. An eFAST exam was performed. The image below was obtained in the right upper quadrant. What are the findings?
Bedside Lung Ultrasound in Emergency (BLUE) Protocol can be used to diagnose critical health issues such as pulmonary edema, pulmonary embolism, pneumonia, COPD and asthma, pneumothorax, and pleural effusion. Learn more about it below.
#POCUS
#MedEd
A 55-year-old female with a known history of breast carcinoma presented with right upper quadrant pain for 3 months. The following images were taken during a right upper quadrant POCUS scan the physician decided to perform. What is the most likely diagnosis?
(1/2)
The following image was obtained while performing a limited cardiac POCUS examination. This is known as the parasternal long axis (PLAX) view of the heart. What phase of the cardiac cycle is it?
A. Systole
B. Diastole
C. Cannot be determined based on this view
A 62-year-old obese male with elevated liver enzymes underwent a right upper quadrant POCUS exam. The liver showed fatty changes with a hypoechoic caudate lobe (yellow arrow). What is the most likely diagnosis?
🗓 CASE OF THE WEEK 🗓
A 35-year-old male patient presented to the clinic with a history of slight pain and redness in the right thigh after a non-stop flight from Singapore to New York. (1/4)
The image below was obtained while performing a transthoracic echocardiography (TTE).
What is the arrow pointing to?
A. Pleural effusion
B. Pericardial effusion
C. Pericardial/epicardial adipose tissue/fat
A 22-year-old male presented with colicky pain on the left side. He was diagnosed with left renal calculi in the past. The following ultrasound images were obtained during the bladder scan.
A 72-year-old male with a history of lung carcinoma underwent an ultrasound of the liver.
What is the yellow arrow pointing to?
A. Liver metastasis
B. Fatty liver
C. Hemangioma
A 45-year-old male patient was involved in a motor vehicle accident at high speeds. The following subcostal view of the heart was obtained while performing an eFAST exam. What is the most likely diagnosis?
A 58-year-old male presents with complaint of abdominal distension for 1 year. There is no history of abdominal pain, nausea, vomiting, fever, or trauma. The patient reports drinking alcohol every day for the past 25 years.
Can a regular B-mode diagnostic ultrasound move kidney stones?
A 45-year-old male presented to the Emergency Department with a chief complaint to right flank pain and nausea. A POCUS was performed which showed mild hydronephrosis and a couple of small renal calculi.
A 24-year-old male presented to the clinic after sustaining injury to the right forearm. A MSK POCUS was performed. The following image was obtained. What is the diagnosis?
A. Normal ultrasound
B. Fracture of shaft of ulna
C. Foreign body
A 19-year-old female patient presented to the emergency room with a history of abdominal pain, nausea and vomiting for the past 2 days. The physician suspected the possibility of appendicitis and performed a POCUS examination. The following view was obtained.
A 76-year-old male presented to the emergency department with a chief complaint of abdominal distension for five days. A plain X-ray abdomen was obtained. The physician also performed a POCUS examination of the abdomen. What is the most likely diagnosis?
🗓 Knowledge Check 🗓
The image above shows a transverse view through the body of the gallbladder. What are the two yellow arrows pointing to?
A. Gallbladder sludge
B. Gallbladder calculi
C. Gallbladder polyp
A 16yo female underwent a routine pelvic ultrasound. The urine pregnancy test and serum beta-human chorionic gonadotropin (hCG) were negative.
What is the most likely diagnosis?
A. Molar pregnancy
B. Uterine fibroid
C. Endometrioma
Check your answer 👉
A 71-year-old male presented with nausea, vomiting, and right lower quadrant pain lasting for 2 days. An abdominal
#POCUS
exam was performed. The following images were obtained during the scan.
An 18-year-old female was hit by a speeding car while crossing the road. She was quickly transported to the emergency department. On examination the patient was conscious and had multiple bruises all over her chest, abdomen, and extremities.
A 35-year-old male presented with slight pain and swelling in the left and right popliteal region for 3 months. There was no history of trauma or long-distance travel. A small mass was palpable in both the popliteal fossae. Below is one of the images obtained.
A 71-year-old female presented with upper abdominal pain. Serum amylase was markedly elevated. The following image of the pancreas was obtained by the physician in the emergency department. There was no history of trauma or fall.
What is the diagnosis?
⚡️
#POCUS
Case⚡️A 65-year-old female patient was diagnosed to have gallstones. The resident performed a follow up scan, activated color Doppler& positioned the color Doppler box in the region of the gallstones. The gallstones showed some color Doppler signal. What's the diagnosis?
(1/3)
A 45-year-old female presented to the clinic with pain on the left side and back (below the ribs). She had complained of similar pain in the past. A kidney, ureter, bladder Point-of-Care ultrasound was performed.
(1/3)
A 23-yr-old female presents to the emergency department with complaint of abdominal swelling, nausea, and loss of appetite 24hrs after a procedure of oocyte retrieval, having undergone controlled ovarian stimulation. There is no history of trauma and vitals were stable.
Point-of-care ultrasound presents an opportunity to improve the diagnosis of pneumonia.
This infographic illustrates which signs to look for when examining patients with suspected pneumonia.
View the full infographic:
A 29-year-old male patient presented with right upper quadrant pain for 1 week. A right upper quadrant POCUS examination was performed. The following is on of the images obtained. What structure is the arrow pointing to?
A. IVC
B. Gallbladder
C. Portal vein
A 25yo female underwent thyroid ultrasound scan. The isthmus and the right lobe of thyroid appeared normal. The patient had had no surgical procedure performed in the neck region.
🗓 CASE OF THE WEEK 🗓
A 38-year-old male patient presented to the physician’s office in Haiti with a complaint of palpitations for the past 6 months. There was no history of fever, chest pain, dyspnea, orthopnea or edema. There was no significant past medical history.
A 72-year-old male with a history of lung carcinoma underwent an ultrasound of the liver. The following
image was obtained. What is the yellow arrow pointing to?
A. Distended urinary bladder with debris and large stone
B. Dermoid cyst
C. Endometrioma
#POCUS
Cardiac Challenge:
70yr male w/ PMH of HTN, DM Type II & ongoing tobacco use. Complained of worsening DOE, orthopnea, weight gain & LE edema. He has been compliant w/ all meds. Has difficulty w/ routine tasks and is sleeping in a recliner. Denies chest pain.
#IHeartPOCUS
(1/4)
A 25-year-old female was involved in a motor vehicle accident at high-speed involving several vehicles. She was rushed to the emergency department. While being transported the EMT staff performed an eFAST examination and transmitted the images to the emergency department.
An 18-year-old female presented to the clinic complaining of epigastric pain for 2 weeks. The following image was obtained while scanning the right upper quadrant. What is the arrow pointing to?
A. Gallbladder
B. Hepatic artery
C. Portal vein
(1/2)
A 35-year-old male presented with dyspnea and chest pain for 3 months. After performing a physical examination, the physician decided to perform a POCUS lung ultrasound. The following image was obtained in the region of the right lower chest.
(1/3)
A 65-year-old male diabetic patient was admitted to the hospital with sepsis and a lesion on the left foot. There was no history of injury to the left foot. A soft tissue POCUS examination was performed.
A 23-year-old male patient was admitted in the hospital and was receiving IV fluids and IV antibiotics. He complained of pain in the forearm where the IV was being administered. A POCUS soft tissue ultrasound was performed.
#POCUS
Case
A 67-year-old male patient came to the Emergency Department with a history of loss of vision in one eye. The patient did not complain of any pain in the affected eye. There is no history of trauma or injury to the eye. He does have a history of Myopia since childhood.
1/2 A 52-year-old female presented to the ER with pain in the epigastric region for 3 days. There was no history of trauma. Vitals were stable. A Point-of-Care ultrasound examination of the upper abdomen was performed. The following views of the pancreas were obtained.
The image below shows a fusiform aneurysm. What is the arrow pointing to?
A. Residual vessel lumen
B. Artifact
C. Intraluminal thrombus
Be sure to check back on 10/20 for the answer.
An 82-year-old lady presented to the Emergency Department with a complaint of a pulsatile abdominal mass. She mentioned that the pulsatile mass had been there for several years. She never went to a clinician to be examined prior to this visit.
The RUSH Protocol exam was introduced by Scott D. Weingart, MD RDMS, in 2006.
It has become the gold standard for evaluating patients in shock because it allows for direct visualization of pathology and differentiation of shock states.
Learn more 👇
📢 Case Study: A 65y/o m patient presented to the clinic for a routine exam. He had PMH of HTN, DM Type II, and ongoing tobacco use. No complaints of chest pain or dyspnea.
See the full case study ➡️
👀 Explore knobology essentials including modes, types of Doppler ultrasound, and gain and depth settings.
Click through to view the full infographic. 👇
@yaletung
@TomasVillen
@ButterflyNetInc
Nice lung sliding video with A-lines. No B-lines seen. Can you also share videos from bilateral anterior upper chest? Get well soon!
Learn how to use POCUS to differentiate local inflammation into 1 of 4 categories: cellulitis, abscess, lymph node, or necrotizing fasciitis.
Download our infographic:
#POCUS
#MSKPOCUS
Download this infographic that walks through how to perform a MSK shoulder assessment using
#POCUS
👉
Interested in pursuing MSK POCUS Certification? Learn more 👉
A 45-year-old male presented to the clinic with complaint of pain, swelling, redness on the dorsum of the right foot for 5 days. The following ultrasound image was obtained while performing a soft tissue MSK ultrasound examination using a high frequency linear transducer
(1/2)
The image below shows a typical case of molar pregnancy. A molar pregnancy could either be a
complete or a partial molar pregnancy. Which type of molar pregnancy has a lower risk of complications
occurring during and after the molar pregnancy?
It's time for a ⚡
#POCUS
Case⚡
A 45-year-old male patient presented to the Family Medicine clinic with a history of back pain for the past 3 years. No history of trauma or any surgery.
Here you see an ultrasound of his right kidney,
#Diagnosis
?
#POCUSEducation
#Ultrasound
A 68-year-old asymptomatic male underwent abdominal aorta aneurysm (AAA) ultrasound screening. A dilated segment of the abdominal aorta was identified in the lower abdominal aorta. The maximum outer wall to outer wall diameter of the dilated segment was 7.3 cm.
How to identify lung A-lines with point-of-care ultrasound. From the POCUS Bytes Webinar: 'The BLUE Protocol: Bedside Lung Ultrasound in an Emergency' with Robert Kollpainter, Senior Physician Assistant of Cardiovascular Surgery.
Access the full webinar:
The following images were obtained in the right mid and lower abdomen. What is the most likely diagnosis?
A. Appendicitis
B. Renal mass
C. Ileocecal intussusception
Check back on 12/30/22 for the answer!
🗓 CASE OF THE WEEK 🗓
A 55-year-old male presented with a history of pain in the epigastric region and weight loss. The following image was obtained while scanning the pancreas. The patient also provided a past medical history of acute pancreatitis 10 years ago.
Supplement and validate your
#POCUS
training with the POCUS Fundamentals Certificate. It offers education modules and a summative assessment to refresh and test your POCUS knowledge.
Get started👇
(1/3)
A 67-year-old male underwent an abdominal aorta aneurysm (AAA) screening ultrasound exam at the outpatient clinic. He had a history of smoking one pack of cigarettes daily for the past 40 years. He was also a known hypertensive. There was no known family history of AAA.
A 65-year-old male with a strong family history of AAA underwent AAA screening. A fusiform abdominal aortic aneurysm (AAA) was seen in the mid-abdominal aorta. The following image was obtained in the mid-longitudinal plane of the aneurysm.
The following image was obtained during a transvaginal ultrasound scan of a 28-year-old woman experiencing lower abdominal pain. She had a positive urine pregnancy test two days prior.
(1/2)
The following views were obtained in the suprapatellar region in the mid longitudinal and transverse planes. There was no history of trauma or fever. The patient complained of swelling around the knee for the past 7 months.