- Written by Jakub Bartnik
from the land of POCUS
EMS calls ahead for a 35 year old male found altered and hypoxic in his apartment. Upon arrival, you note he is febrile, hypotensive, hypoxic on 100% oxygen to a spO2 of 70%. You decide to intubate after initiating fluid resuscitation, pressor support, and broad spectrum antibiotics. Your differential is broad and includes pulmonary embolism, pneumothorax, sepsis/pneumonia. …
- Written by Jakub Bartnik
from the land of POCUS
A 30 year old female presents to the emergency department with right lower abdominal pain. No vaginal bleeding. Her vitals are: HR 101 BP 115/70 RR20 O2 100%. Upreg: positive As she seems to be quite uncomfortable, you decide to perform a bedside ultrasound. Having learned that free fluid in the right upper quadrant predicts …
- Written by Jakub Bartnik
from the land of POCUS
A 35yo Male presents to the emergency with 1 day severe right flank pain that has since started becoming worse in the right lower quadrant. It came on suddenly and is much more intense at times. On exam, he is nontoxic in appearance, afebrile, and mildly tender in the right lower quadrant. You contemplate ordering a …
- Written by Jakub Bartnik
from the land of POCUS
A 88 year old female presents to the emergency department with abdominal pain and general malaise. She describes the pain as epigastric and a little in the back. She denies any vomiting. Realizing that pathology sometimes presents atypically in the elderly, you perform a RUQ ultrasound. This is what you see: Other than noticing …
- Written by Jakub Bartnik
- Published: 22 Apr 2018
from the land of POCUS
A 35-year old female presents with throat pain and difficulty speaking. Clinically, a peritonsillar abscess is suspected and the endocavitary probe is used to confirm our suspicion. What do you see? Important to note: Large hypoechoic region. No color doppler signal within. Posterior Enhancement!! See my tweet for the gif.