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Case 58: Large Volume Paracentesis
Angela Wang, Benjamin LiottaA 66-year old male with a longstanding history of alcoholic cirrhosis presents to the ED early in the morning requesting a paracentesis with 10 days of worsening abdominal distention in the setting of running out of his home furosemide several weeks prior. He denied fever, nausea, vomiting, ...
Case 57: Positional Vertigo in the ED With Incidental Interatrial Shunt on Bubble Study
Carmon Controy, Akash Desai
44 y.o. male, brought by EMS from an outpatient procedure suite after sudden onset vertigo and gait instability following a right TMJ/ CNIII V3 injection. Patient experienced abrupt dizziness described as imbalance with ataxic gait, nausea, and one episode of emesis. The symptoms worsen w...
Case 56: Udderly Blinded: A Case of Chronic Ocular Trauma Unmasked by POCUS
Martin Day, Elaine Yu
A 69-year-old male with no significant past medical history presented to the emergency department after striking his right eye with the handle of a spray hose at work. He reported burning pain but denied bleeding, tearing, or other injuries. Eye movement did not exacerbate the pain. Notably, he...
Case 55: Diagnosing Posterior Ocular Chamber Abnormalities with Point-of-Care Ultrasound
Kevin Vo, MD; Rachna Subramony, MD
Case Presentation:A 31-year-old male with no significant past medical history presented to the Emergency Department with bilateral blurry vision, left greater than right. He had been evaluated earlier that day by an optometrist and referred for concern of retinal detachment. The pa...
Case 54: Point-of-Care Ultrasound in Polycystic Kidney Disease with Hepatic Involvement
EJ Curtis, Colleen Sweeney, Colleen Campbell
A 70-year-old man with a past medical history of hypertension, obstructive hypertrophic cardiomyopathy, atrial fibrillation status-post Watchman procedure, and end-stage renal disease secondary to polycystic kidney disease (status-post renal transplant in 2014, complicate...
Case 53: Forgo the CT Scan: Utilization of Ultrasound In Conjunction With Clinical Tools In Diagnosing Acute Appendicitis
Jeremy Santiago, Anthony Medak
77-year-old female with a past medical history of diabetes mellitus and rheumatoid arthritis presented to the emergency department with 2 days of abdominal pain. Pt reports that she began feeling abdominal pain diffusely that has now moved to RLQ. States pain was worsened with movement...
Case 52: The Role of FAST in Penetrating Thoracoabdominal Injury
Brandon Woo, Elaine Yu
A 28 year old male with unknown past medical history presented to the emergency department with a single gunshot wound sustained to the anterior chest just prior to arrival. He was brought in by family members who reported a witnessed traumatic gunshot wound to the chest by an unreported indiv...
Case 51: Utility of the Spine Sign in Detecting Pleural Effusion on POCUS
John Hermez
A 74 year-old male with a past medical history of metastatic castration-resistant prostate cancer complicated by cauda equina necessitating laminectomy decompression, chronic RLE DVT on apixaban and chronic hypotension presented to the emergency department accompanied by his spouse for altered mental sta...