Teenage boy with complex cardiac history s/p repair who presented with syncope. The patient’s cardiac exam showed good function with no effusion. The IVC showed that it was normal after receiving fluids and the patient felt much better. You can tell that this is the IVC because it has liver on both sides, the hepatic […]
Author: Carrie Ng
IOTW: Intussusception
17 mo F with 12 hours of fussiness and NBNB emesis found to have intussusception on POCUS. This patient did have successful reduction but had a recurrence of intussusception 15 hours post reduction, while still inpatient. “The information in these cases has been changed to protect patient identity and confidentiality. The images are only […]
POCUS IOTW: Positive FAST
This was a teenager who came in after tauma with CPR in progress. He was found to have a positive FAST. The FAST views include the RUQ, LUQ, pelvis, and subxiphoid view of the heart. This is the RUQ view showing significant free fluid (likely hemoperitoneum) in Morison’s Pouch. Sometimes the fluid is subtle, so […]
POCUS IOTW: Pyloric Stenosis
This is a 6 week old who presents with vomiting found to have pyloric stenosis. This image is in the short axis and as you can see, the muscle wall thickness measured at 4.2mm and the upper limit of normal is 3mm. The normal channel length in the longitudinal is 14mm. “The information in these […]
POCUS IOTW: Testicular torsion
11 yo boy presenting with 2 day history of left-sided testicular pain. Ultrasound image below shows flow within the right testicle and no flow within the left testicle. Left testicle also edematous compared to right. When doing testicular ultrasound, always remember to select scrotal setting due to the theoretical risk of thermal injury from color […]