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Case 30: Ultrasound-Guided Extraction of a Foreign Body

May 15th, 2023

A 53-year-old homeless alcoholic female presented to the emergency department with a chief complaint of localized left lower quadrant abdominal pain secondary to a possible gunshot wound. She was unclear but stated she thinks some boys in a gang fired at her two days prior with a possible BB gun. Pertinent medical...

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Case 29: Perforated Diverticulitis

February 2nd, 2023

A 37-year-old female presented to the emergency room with severe, radiating bilateral flank pain lasting one week. Pain was constant and pressure-like. Patient had a past medical history significant for constipation, ovarian cysts, diverticulitis, and a colonic polypectomy. She denied fever, vomiting, and denied melena...

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Case 28: Nah-bscess

September 1st, 2022

A 35 year old male with a history of IV drug use and HIV on ART presents to the emergency department with pain and redness of his left upper extremity for a few days. He denies systemic symptoms or prior history of abscess. Vitals: Temp 98.5, HR 93,  BP 122/75, RR20 Physical Exam: Notable for a large, well circums...

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Does adding M-mode to B-mode improve accuracy in diagnosing pneumothorax?

January 21st, 2022

Background Ultrasound has been shown to be superior to supine chest x-ray in the diagnosis of pneumothorax, with one recent systematic review demonstrating 91% sensitivity using ultrasound compared to 50% using chest x-ray.1 CT scan remains the gold standard in diagnosis but is often not feasible in unstable trauma pat...

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Case 27: Ectopic Pregnancy

February 3rd, 2021

A 43 year old female with no past medical history presents to the Emergency Department (ED) with lower abdominal pain for the last three hours. She says she knows she is pregnant from a home pregnancy test, but has not had any appointment with obstetrics and has not had an ultrasound yet. She denies any vaginal bleedin...

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Serratus Anterior Plane Block for Thoracic Wall Pain

January 27th, 2021

Background   The serratus anterior plane block (SAPB) is a field block that provides analgesia from T2 to T9 dermatomes of the hemithorax by anesthetizing the lateral cutaneous branches of the intercostal nerves in that area. It was first described in a 2013 study demonstrating long-lasting thoracic-wall...

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