by Priya Gopwani A 3yo M presented with 2 weeks of worsening abdominal distention, scrotal and LE edema. He has a history of frequent vomiting x 2 years. He had been seen the week prior with mild abd pain and vomiting, and was found to have an albumin of about 2 with no proteinuria. […]
Optic Nerve Ultrasound to Detect Increased ICP
by Lauren Staple Optic nerve ultrasonography may be used to help identify increased intracranial pressure (ICP) in a rapid, noninvasive and safe manner. The optic nerve is part of the central nervous system and is surrounded by cerebrospinal fluid. The sheath around the optic nerve is a continuation of the dura, and the subarachnoid […]
Bedside FAST ultrasound
An 11 yo M with no PMH presented with 2 days of intermittent RLQ pain which migrated to periumbilical area. Some vomiting of remainder of ROS is negative. Patient was awaiting formal ultrasound of appendix. A bedside FAST exam was performed. This demonstrated asymmetry between the right and left kidney. Bedside ultrasound focusing on the […]
Cardiomegaly and cardiac ultrasound
Posted by Joelle HPI: Two year old male with developmental delay was referred by his PCP to evaluate cardiomegaly on CXR. The patient presented to the pediatrician with 4 days of cough and fever and crackles on exam. The CXR is shown below: On arrival his vital signs were as follows: • Temperature Axillary 36.5 […]