PV Card: Focused Ocular Ultrasound

ocular ultrasound vitreous hemorrhage 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


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

References

  1. 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]
  2. 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 |2021-10-06T09:57:27-07:00Jan 28, 2015|ALiEM Cards, Ophthalmology, Ultrasound|

Anti-NMDA-Receptor Encephalitis

EncephalitisAnti-NMDA-receptor encephalitis is a severe and treatable immune-mediated disorder which presents with a rapid progression of  psychiatric and neuropsychiatric symptoms. Although only first reported as a diagnosis in 2007, an exponential number of cases have since been described, suggesting that the disease is not rare but rather under-diagnosed. Emergency physicians play an important role in recognizing this disorder, as prognosis is largely dependent on early treatment with immunotherapy.

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PV Card: Testicular Ultrasound for Torsion and Epididymitis

Testicular Torsion sm

“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

  1. Blaivas M, Sierzenski P. Emergency ultrasonography in the evaluation of the acute scrotum. Acad Emerg Med. 2001;8(1):85-89. [PubMed]
  2. 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 |2021-10-06T09:59:45-07:00Jan 22, 2015|ALiEM Cards, Genitourinary|

ALiEM Bookclub: Brain on Fire – My Month of Madness

jpeg“Looking back at this time, I see that I’d begun to surrender to the disease, allowing all the aspects of my personality that I value – patience, kindness, and courteousness – to evaporate. I was a slave to the machinations of my aberrant brain. We are, in the end, a sum of our parts, and when the body fails, all the virtues we hold dear go with it.” – Brain on Fire, Susannah Cahalan

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By |2016-12-20T12:27:28-08:00Jan 16, 2015|Book Club, Medical Education, Neurology|

Trick of the Trade: Knee Arthrocentesis

arthrocentesis2A patient comes into the ED and you suspect septic arthritis to the knee. As you consent the patient for arthrocentesis, you can tell s/he has reservations about a needle being inserted into their knee and left in place while you aspirate. You also think in the back of your mind how tricky it is to sometimes change syringes while keeping the needle in the correct location. Is there another way of tapping the knee without a needle?

 

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