Bedside ultrasound interrogation of the thorax can aide the clinician in determining the cause of the respiratory dysfunction. Often plain radiographs are not sufficient to differentiate pathology. We present a case in which bedside ultrasound defined the pathology without the need for further imaging.
A 15-year-old Hispanic primigravid female at 12 weeks gestation presented to the Emergency Department (ED) complaining of vaginal bleeding for two days. The patient denied any abdominal pain, nausea, vomiting, or fever.
A 33-year-old man presented to the emergency department with two days of right-sided facial and submandibular swelling. He denied fevers, shortness of breath, difficulty swallowing or recent dental problems.
A two-year-old male presented to the emergency department (ED) with a four-day history of evening tactile fevers, measured to 38.1ºC at home, associated with a worsening cough, congestion, mild diarrhea, emesis, decreased oral intake and level of activity.
A 47-year-old Hispanic woman presented to the emergency department for evaluation of a left frontal head mass she reported noticing in the previous month, which caused her localized dull discomfort.
A 21-month-old male presented with a low impact fall striking his left eye against a metal stand at the market. On examination he was in no distress, had significant periorbital swelling, a dilated pupil with a sluggish pupillary response, and grossly normal extraocular movements.
A 17-year-old man presented with acute left lateral knee pain after “twisting” his knee during a soccer scrimmage. He denied trauma and prior injury to that knee.
A 23-year-old male with a history of Crohn’s disease and prior ileostomy, presented to the emergency department complaining of his “intestines coming out.”
A 60-year-old man had just enjoyed a summer meal that included hamburgers, fruit, and lettuce salad. He finished it off with some ice cream, and to make it healthier he threw on it a handful of seeds from the cupboard that he understood to be flax seeds.
A 75-year-old male presented to the emergency department (ED) following a fall from his bicycle. The patient fell face-first onto the handlebars, with the brake handle impaling his left upper lip.
A 48-year-old Hispanic male presented to the emergency department for medication refill for insulin-dependent diabetes mellitus. Upon presentation, the patient reported running out of insulin (Novolin) one month prior.
A 38-year-old male presented to the Emergency Department (ED) after a motorcycle crash. The patient was unable to walk because of isolated left knee pain.
A 51-year-old male with hepatitis C and a history of intravenous (IV) drug use presented to the emergency department, reporting one day of worsening scrotal pain and swelling. He denied diabetes, trauma, or infection with HIV.
A 37-year-old woman presented to the emergency department with 12 hours of gradually worsening left lower quadrant pain with anorexia, vomiting, and diarrhea.
A previously healthy 25-year-old man presented to a community emergency department (ED) with two hours of sharp, intermittent, right-sided flank pain associated with hematuria. Vital signs showed no fever or tachycardia. Abdominal and genitourinary exam were benign.
A 73-year-old man was brought to the emergency department (ED) after his caregiver noticed his percutaneous endoscopic gastrostomy (PEG) tube was missing.
