On this week’s Case of the week, an 80y/o male with an indwelling foley presented to the ED without any urine output. Check out the video to see how ultrasound helped trouble shoot the problem and speed up the dispo.
The patient is a 60 year old man with history of HTN, HLD and pre-DM who presented with fevers, chills, night sweats and worsening scrotal and testicular pain.
A bedside testicular ultrasound was performed:
Note scrotal skin thickening, and dirty shadowing suggestive of subcutaneous air.
Diagnosis: Fournier’s gangrene.
OR report: extensive necrotizing fasciitis of entire right hemiscrotum, half of left hemiscrotum right pre-pubic area/base of penis and perineum with sparing of bilateral testicles.
Patient did well post-operatively. Cultures grew e. coli and bacteroides thetaiotaomicron and he was discharged on PO antibiotics four days later.
We have a cool clip this week compliments of Jessica Andrusaitis showing the reduction of an anterior shoulder dislocation in real-time. Check out the video for a brief review of shoulder anatomy as well!
A 70yo M p/w abdominal pain. A bedside ultrasound was performed:
Rare journal club away from the beach, pancakes with ultrasound gel. Did someone just actually publish a new FAST article?
Faculty and fellows (past and present) joined together to teach critical care ultrasound at ACEP18!
On Friday September 7th Ultrasound Fellowships from California, Arizona, Utah and Colorado came together to learn about topics on administration, career development, billing and to learn a little TEE on the side!