Ultrasound Case of the Month: An Unexpected Mole

Ultrasound Case of the Month: An Unexpected Mole

Part of the power of bedside ultrasound is the ability to make a diagnosis within seconds of image acquisition. Join Dr. Golden as he takes us through a fascinating case of early pregnancy guided by POCUS in the emergency department and the unexpected finding that, while rare, can dramatically alter the patient’s ED course.

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Grand Rounds Recap 7.12.17

Grand Rounds Recap 7.12.17

In this week's Grand Rounds, Dr. McDonough spearheaded a discussion of the art of breaking bad news in the Emergency Department. Drs Dang, Renne and Teuber led us through a focused management of obstetric emergencies: placental abruption, difficult deliveries and the pregnant traumatic arrest patient.

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Grand Rounds Recap 1/7/14

Grand Rounds Recap 1/7/14

CPC with Dr. Boyer vs. Dr. Steuerwald

16yoF with 4 days of bilateral lower quadrant abdominal pain and diarrhea that was tachy, dry, and with a diffusely tender abdomen and some right-sided discomfort on pelvic exam with a mild leukocytosis.

Dr. Steuerwald's approach to listening to patient presentations: Pick out the main symptoms, get a time course, and listen for any other true "weirdness" then build your own timeline of events.

  • Don't forget about the "sexy numbers" in everyone, these include the vitals and also key aspects of a disease process (i.e. the EF in a patient with CHF)
  • DDx included appendicitis, PID, TOA, Fitz-Hugh Curtis, Ovarian Torsion, Yersinia enterocolitis
  • Dr. Steuerwald correctly identified the need to get a RLQ US to assess for appendicitis!
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