Bedside Ultrasound Clip Quiz #3 – #FOAMed, #FOAMcc

This is what you see on the anterior chest of your patient:

What can you conclude?

scroll below for answers…

 

 

 

 

 

 

 

 

 

 

 

 

 

Lung sliding and B lines

The notable findings are:

a. lung sliding – this indicates that there is no pneumothorax in the area you are scanning.

b. there are B lines – this indicates that there is interstitial edema – this has no etiological information and must be coupled with the rest of the ultrasound and clinical examination to make a diagnosis. It could represent CHF, pneumonia, non-cardiogenic pulmonary edema, or any other interstitial process.

Bedside Ultrasound Clip Quiz 2 – #FOAMed, #FOAMcc

64 yr old woman POD#3 Rt heimcolectomy with fever and abdominal pain.

Right costal longitudinal scan. What do you see?

 

 

 

 

 

 

 

 

A complex echogenic sliver of ascites over the liver…now what do you do? Here’s what I did…

 

…and it showed fecaloid material. Turned out to be anostomotic leak. ┬áDidn’t have to push much for surgery.

 

Philippe