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Case 78: Seizure-Associated Takotsubo Syndrome Complicated by Suspected Left Ventricular Thrombus and Multifocal Ischemic Stroke
Matthew Van Ligten, Bryan Merte
A 52-year-old woman with epilepsy treated with levetiracetam and lamotrigine, hypertension, and non-Hodgkin lymphoma previously treated with chemotherapy and in remission presented after being found confused and incontinent of urine. Her daughter found her staring blankly after being ...
Case 77: Pleural Line Irregularities: Ultrasound in the Diagnosis of Possible Malignancy
Olivia Yale, Colleen Campbell
A 40-year-old male with no pertinent past medical history apart from significant cigarette use presented to the emergency department, referred from urgent care, for SOB and outside CXR concerning for a large right pleural effusion. The patient stated that over the past two months, he ha...
Case 76: Point-of-Care Ultrasound Diagnosis of Prepatellar Bursitis in the Emergency Department
A. Elashmawy, B. Merte, and A. J. Medak
Chief Complaint: Left knee pain and swellingHistory of Present IllnessA 63-year-old male with a past medical history of hypertension and diabetes presented with five days of progressive left knee swelling, redness, and discomfort. Symptoms were localized to the midline area in...
Case 75: Detection of Choledocholithiasis Using Point-of-Care Ultrasound with Limited Visualization of the Common Bile Duct
Maya Ibelaidene, Rachna Subramony
A 45 year old male with a past medical history of gastric sleeve presented to the Emergency Department with two days of progressively worsening right upper quadrant (RUQ) abdominal pain. The pain was constant, dull in character, and radiated intermittently to the back. It was associ...
Case 74: Retinal detachment revealed through POCUS
Sabrina Straus, Rachna Subramony
A 68-year-old female with no past medical history on file presented to the emergency department for evaluation of a painless red left eye and visual disturbance. She reported noticing a horizontal line across her vision in the left eye for approximately one month. She described the v...
Review of the Use and Diagnostic Accuracy of the RUSH Exam for Internal Medicine
Sargis Manukyan, Akash Desai
Point-of-care ultrasound (POCUS) is an important tool for today’s practitioners. Studies have supported the use of POCUS in many clinical decision-making scenarios compared solely to standard examinations and other imaging modalities1. Its integration in the emergency medicine (EM) setti...
Case 73: Point-of-Care Ultrasound Detection of Uroperitoneum After Orthotopic Neobladder Creation
Hannah Oelschlager MD, Aarish Shahab MD, Rachna Subramony MD, Bryan Merte MD
A 63-year-old man with bladder cancer and type 2 diabetes mellitus presented on postoperative day 8 after robotic-assisted laparoscopic radical cystoprostatectomy with orthotopic neobladder creation. He had been discharged th...
Case 72: A Ureteral Jet in the Setting of Nonobstructing Nephrolithiasis
Liam DiZio, Elaine Yu
A 43-year-old female with a history of hepatic adenoma status post embolization and microwave ablation presented to the emergency department with one week of constant right flank and right lower chest wall pain. She denied fever, nausea, vomiting, dysuria, hematuria, chest pain, dyspnea, or rec...