FacebookRssXInstagramSoundCloud
Generic filters
Exact matches only

PV Card: Focused 1st Trimester Pregnancy Transabdominal Ultrasound

Intrauterine pregnancy first trimester ultrasound transaabdominal

Although history, physical, and lab tests are obtained for patients with first trimester vaginal bleeding and abdominal pain, none compare to the utility of bedside ultrasonography. Today’s PV card reviews the transabdominal approach to the focused pregnancy ultrasound and was written by Drs. Matt Lipton, Mike Mallon, and Mike Stone.

PV Card: Focused 1st Trimester Pregnancy Transabdominal Ultrasound


Adapted from [1, 2]

References

  1. Tayal V, Cohen H, Norton H. Outcome of patients with an indeterminate emergency department first-trimester pelvic ultrasound to rule out ectopic pregnancy. Acad Emerg Med. 2004;11(9):912-917. [PubMed]
  2. Wang R, Reynolds T, West H, et al. Use of a β-hCG discriminatory zone with bedside pelvic ultrasonography. Ann Emerg Med. 2011;58(1):12-20. [PubMed]
By |2021-10-05T13:01:43-07:00Feb 25, 2015|ALiEM Cards, Ob/Gyn, Ultrasound|
Read More

Ultrasound For The Win: 46F with Right Abdominal and Flank Pain #US4TW

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this peer-reviewed case series, we focus on a real clinical case where bedside ultrasound changed the management or aided in the diagnosis. In this case, a 46-year-old woman presents with acute right-sided abdominal and flank pain.

(more…)

By |2021-03-10T10:02:08-08:00Feb 24, 2015|Expert Peer Reviewed (Clinical), Genitourinary, Ultrasound, Ultrasound for the Win|
Read More

Trick of the Trade: Needle-vein alignment in ultrasound guided peripheral IV

ultrasound guided peripheral ivPlacing a peripheral IV under ultrasound guidance is often much more challenging than it outwardly appears, especially for novice users. One of the more difficult aspects is in making sure that the target vessel is perfectly in the middle of the screen and then guessing where that corresponds to the middle of the ultrasound probe.

(more…)

By |2016-10-26T17:04:32-07:00Feb 23, 2015|Tricks of the Trade, Ultrasound|
Read More

Ultrasound For The Win: 22M with Scrotal Pain #US4TW

GU painWelcome to another ultrasound-based case, part of the “Ultrasound For The Win” (#US4TW) Case Series. In this peer-reviewed case series, we focus on real clinical cases where bedside ultrasound changed management or aided in diagnoses. In this case, a 22-year-old man presents with acute scrotal pain.
(more…)

By |2017-07-19T00:08:38-07:00Feb 12, 2015|Expert Peer Reviewed (Clinical), Genitourinary, Ultrasound, Ultrasound for the Win|
Read More

PV Card: Focused Echocardiography Ultrasound

Ultrasound cardiac focus echocardiography

So many great information can be gleaned from a focused echocardiogram in Emergency Department patients. What views are you obtaining? What is the importance of the e-point septal separation (EPSS) and how to measure this? Drs. Jimmy Fair, Mike Mallon, and Mike Stone provide a terrific step-by-step image-based guide to these questions that you can use at the bedside as a refresher.

 

PV Card: Focused Echocardiography Ultrasound


Adapted from [1, 2]

References

  1. Randazzo M, Snoey E, Levitt M, Binder K. Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography. Acad Emerg Med. 2003;10(9):973-977. [PubMed]
  2. Nagdev A, Stone M. Point-of-care ultrasound evaluation of pericardial effusions: does this patient have cardiac tamponade? Resuscitation. 2011;82(6):671-673. [PubMed]
By |2021-10-05T13:03:32-07:00Feb 11, 2015|ALiEM Cards, Cardiovascular, Ultrasound|
Read More

PV Card: Focused Lung Ultrasound

focused lung ultrasound A LinesBedside 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

  1. 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]
  2. 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]
  3. Volpicelli G. Lung sonography. J Ultrasound Med. 2013;32(1):165-171. [PubMed]
By |2021-10-06T09:48:34-07:00Feb 4, 2015|ALiEM Cards, Pulmonary, Ultrasound|
Read More

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|
Read More
Go to Top