About Scott Kobner

Medical Student
New York University School of Medicine
2014-15 ALiEM-EMRA Social Media and Digital Scholarship Fellow

PV Card: Focused Lung Ultrasound

Bedside pulmonary ultrasonography is becoming increasingly popular in the Emergency Department. You can you use it to assess for pneumothoraces, pleural effusion, pneumonia, pulmonary edema, and other etiologies. There are subtle nuances to help you differentiate these diagnoses. What are A-lines and B-lines? This PV card on the focused lung ultrasound by Drs. Anne Aspler, Clare Heslop, and Mike Stone outline some great bedside tips.

PV Card: Focused Lung Ultrasound

Adapted from [1–3]

References

Blaivas M, Lyon M, Duggal S. A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Acad Emerg Med. 2005;12(9):844-849. [PubMed]
Liteplo A, Marill K, Villen T, et al. Emergency thoracic ultrasound in the differentiation of the etiology of shortness of breath (ETUDES): sonographic B-lines and N-terminal pro-brain-type natriuretic peptide in diagnosing congestive heart failure. Acad Emerg Med. 2009;16(3):201-210. [PubMed]
Volpicelli G. Lung sonography. J Ultrasound Med. 2013;32(1):165-171. [PubMed]

By Scott Kobner|2021-10-06T09:48:34-07:00Feb 4, 2015|ALiEM Cards, Pulmonary, Ultrasound|

PV Card: Focused Ocular Ultrasound

Ocular injuries and pathology are a common cause for Emergency Department visits. With bedside ultrasonography, many of these conditions can be assessed. Did you know that you can check for a retinal detachment, vitreous hemorrhage, and even a lens dislocation? What do these look like? Check out this great PV card on the focused ultrasound assessment of the eye.

PV Card: Ocular Ultrasound

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Adapted from [1, 2]
Go to ALiEM (PV) Cards for more resources.

References

Blaivas M, Theodoro D, Sierzenski P. A study of bedside ocular ultrasonography in the emergency department. Acad Emerg Med. 2002;9(8):791-799. [PubMed]
Kimberly H, Shah S, Marill K, Noble V. Correlation of optic nerve sheath diameter with direct measurement of intracranial pressure. Acad Emerg Med. 2008;15(2):201-204. [PubMed]

By Scott Kobner|2021-10-06T09:57:27-07:00Jan 28, 2015|ALiEM Cards, Ophthalmology, Ultrasound|

PV Card: Testicular Ultrasound for Torsion and Epididymitis

“Time is testicle.” Every minute drags by while you are awaiting your ultrasonographer to arrive to scan your patient to rule out testicular torsion. Why not take a quick look yourself? What are you looking for? This is an excellent PV card by Drs. Matthew Dawson and Mike Stone on the topic of testicular ultrasound, giving the basics about testicular torsion and acute epididymitis.

PV Card: Testicular Ultrasound

Adapted from [1, 2]
Go to ALiEM (PV) Cards for more resources.

References

Blaivas M, Sierzenski P. Emergency ultrasonography in the evaluation of the acute scrotum. Acad Emerg Med. 2001;8(1):85-89. [PubMed]
Blaivas M, Sierzenski P, Lambert M. Emergency evaluation of patients presenting with acute scrotum using bedside ultrasonography. Acad Emerg Med. 2001;8(1):90-93. [PubMed]

By Scott Kobner|2021-10-06T09:59:45-07:00Jan 22, 2015|ALiEM Cards, Genitourinary|

PV Card: Skin and Soft Tissue Ultrasound

We know that ultrasonography can be used to identify soft tissue infections. But what exactly are the distinguishing features between cellulitis and abscess? Is that a foreign body? Should I put a scalpel to this soft tissue infection? This PV card, written by Drs. Alissa Genthon, Patricia Henwood, and Mike Stone, serves as a great reference card for you at the bedside.

PV Card: Skin and Soft Tissue Ultrasound

Go to ALiEM (PV) Cards for more resources.

By Scott Kobner|2021-10-06T10:01:10-07:00Jan 7, 2015|ALiEM Cards, Dermatology, Infectious Disease, Ultrasound|

PV Card: Focused Biliary Assessment Ultrasound

Have trouble finding the common bile duct? What’s the normal thickness of the gallbladder wall? What are common pitfalls in imaging the gallbladder? This is a great Paucis Verbis (PV)/ALiEM card on focused biliary assessment using ultrasound, courtesy of Drs. John Eicken and Mike Stone.

PV Card: Focused Biliary Assessment Ultrasound

References

Blaivas M, Harwood R, Lambert M. Decreasing length of stay with emergency ultrasound examination of the gallbladder. Acad Emerg Med. 1999;6(10):1020-1023. [PubMed
Summers S, Scruggs W, Menchine M, et al. A prospective evaluation of emergency department bedside ultrasonography for the detection of acute cholecystitis. Ann Emerg Med. 2010;56(2):114-122. [PubMed]

By Scott Kobner|2021-10-06T10:04:43-07:00Jan 1, 2015|ALiEM Cards, Gastrointestinal|

ALiEM Bookclub: When Doctors Don’t Listen

“So what does this ideal medical care look like? The great Tip O’Neill, himself a Boston man, used to say, ‘All politics is local.’ We believe in its corollary, that all medicine is personal. The world of better medicine starts with the individual patient interacting with the individual doctor.”

-The October ALiEM Bookclub Selection:
When Doctors Don’t Listen¹,
by Leana Wen and Joshua Kosowsky

(more…)

By Scott Kobner|2017-07-31T14:49:05-07:00Oct 10, 2014|Book Club|

The Opioid Prescription Epidemic: Annals of EM Resident Perspectives article

Misuse of prescription opioids is one of the defining health problems of our generation. The dramatic rise of opioid analgesic prescriptions in the US and Canada has been well documented, and opioids represent the most common cause of fatal prescription overdoses. On every shift, in every emergency department in the country, physicians struggle with the concerns of patients presenting with common pain complaints. Seeking to manage their patients’ symptoms in the face of dramatically rising prescription opioid misuse and fatal overdose, emergency physicians are challenged to distinguish those who are simply seeking pain relief, those who are seeking opioid prescriptions due to addiction, and those who fit both categories. Emergency care providers are also charged with balancing the pressures of meeting clinical care and patient satisfaction goals while fulfilling our moral obligation to provide primary and secondary prevention of opioid misuse.

(more…)

By Scott Kobner|2018-12-20T15:09:25-08:00Aug 11, 2014|Tox & Medications|

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