This is a trauma patient with a positive FAST. This is a transverse view of the bladder in the FAST exam of the pelvis. You can appreciate the sharp corners indicating that it is free fluid rather than encased fluid (such as a cyst, or within the bowel). “The information in these cases has been […]
Author: Haroon Shaukat MD
I was born and raised in Silver Spring, Maryland, but with very little knowledge of all things DC. “Crabs and football, that’s what Maryland does”, unfortunately I could only partake in one of those. I grew up with a crab allergy so blue crabs are a make believe creature to me, much like the lochness monster. I decided to take the leap of faith and attend medical school abroad but family and home could not keep me away for too long. Residency took me to New Jersey where I began to cultivate my love for medical education and low tolerance for poor pain control. Did I mention I also learned that I outgrew my crab allergy in NJ! Alas, to the DMV I return! Hopefully to contribute to medical education and quality improvement while feasting on a Maryland blue crab or two.
POCUS IOTW: Embedded Larvae
Patient presented with boils. Recent to travel to Ethiopia. US image shows hyperechoic area – bright white area (arrow) Incision and EXTRACTION of a larva. “The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share […]
Hot Seat Case #115: 2 yo male with seizure
Amie Cahill, MD Children’s National Medical Center with Sabrina Guse, MD Children’s National Medical Center 2 yo previously healthy male arrived via ambulance after seemingly unprovoked GTC seizure-like activity. The family recently returned from summer trip abroad. They describe the episode as lasting a few minutes with eyes rolling back into his head. It resolved […]
Hot Seat Case # 114 Denouement: 2 week old with bloody stools
Rachael Batabyal MD, Children’s National Medical Center Case: 2 week old, ex-FT, with an uncomplicated neonatal course presents with 1-2 days of hematochezia and 2 episodes of non-bloody, non-bilious emesis. She was afebrile and hemodynamically stable with a distended but soft abdomen and clearly bloody stools. Labs: CBC: 7/15/44/346, 10% bandemia, I:T ratio: 0.65. BMP […]
POCUS IOTW: Knee Pain
Patient with knee pain – retained foreign body fragment in knee from several years ago and unfortunately lost to follow up. Patient reported that the FB moved and now has pain. Image below shows FB fragment with anechoic shadowing (therefore can’t see anything posterior to the FB)… with effusion around the bullet. The patient was taken […]