https://www.kpsono.com/cotw daily 0.75 2023-11-13 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1600930508989-QH27L4YTUT46P7SY2A0L/large+gif.gif Home https://www.kpsono.com/cotw/2023/9/28/96-yom-presented-with-hematemesis-and-ams monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/64f4a471-b69e-45a1-be32-73989df9ede9/image606327.jpg Home - 96 yom presented with AMS - Make it stand out Proximal abdominal aorta measuring 7.6 cm from outer wall to outer wall. https://www.kpsono.com/cotw/2023/11/12/cotw-111323-53-yo-f-with-elbow-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d0f88611-62d8-4b08-8ec2-b54d57d26c71/supracondylar+fracture+3d1.PNG Home - COTW 11/13/23: 53 yo F with elbow pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1699850752430-JT7YAR51ISA5IM2W1MW9/supracondylar+fracture+xr1.PNG Home - COTW 11/13/23: 53 yo F with elbow pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1699850753209-ZEKUELN9QHQGBC8MKTEU/supracondylar+fracture+xr2.PNG Home - COTW 11/13/23: 53 yo F with elbow pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1699850754709-EY5V5R237635SKE3PI34/supracondylar+fracture+xr3.PNG Home - COTW 11/13/23: 53 yo F with elbow pain https://www.kpsono.com/cotw/2023/9/28/44-yom-leg-discoloration monthly 0.5 2024-06-19 https://www.kpsono.com/cotw/2023/9/2/cotw-9223-flank-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/74c21c44-3d78-49a9-9e52-0a284bf6f62b/twinkle+artif.jpg Home - 48 yom w flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d62ec170-034c-45bb-abff-ec982cdb107e/Twinkling+artifact.jpg Home - 48 yom w flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2023/8/7/cotw monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/aa4d3e98-1cbc-456e-a236-f2bdf87a0f88/IMG_0772.jpg Home - COTW 8/7/23 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/ea50d813-f7a8-41f2-b8b3-3b1afda6724a/2023-08-13+18%3A07%3A40+%2B0000.gif Home - COTW 8/7/23 - Make it stand out Transverse view of temporal artery with Halo sign https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/69bbb87d-927a-40cb-a988-ae68d694a539/IMG_3982.jpeg Home - COTW 8/7/23 - Make it stand out Branches of the external carotid artery https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/3ecd4d77-215a-4126-b1ef-1e458844b5a1/2023-08-13+18%3A06%3A29+%2B0000.gif Home - COTW 8/7/23 - Make it stand out Longitudinal view of Temporal Arteritis https://www.kpsono.com/cotw/2023/4/3/48f-finger-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1680807686368-QJ127CGA7A1Y0N37PA6E/Screen+Shot+2023-04-06+at+11.53.31+AM.png Home - COTW 4/6/23: 48F finger pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1680807686539-H1WLCV2QUCA90ENN57XZ/Screen+Shot+2023-04-06+at+11.53.45+AM.png Home - COTW 4/6/23: 48F finger pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/eaac3406-a4a7-47cd-b85c-5c345b78b6e7/Screen+Shot+2023-04-06+at+12.07.57+PM.png Home - COTW 4/6/23: 48F finger pain and swelling - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1680810167156-A8852Q5LWNC5NP6DHHXC/ezgif.com-crop-2.gif Home - COTW 4/6/23: 48F finger pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1680810181341-TGSDZQNE4W2V2ESNQSB3/ezgif.com-crop-4.gif Home - COTW 4/6/23: 48F finger pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1680810199590-6ORQ1WHPLAINTSXEYCQC/ezgif.com-crop-3.gif Home - COTW 4/6/23: 48F finger pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1680810216013-JSTZELBC2LZ0JE0BEXW2/ezgif.com-crop.gif Home - COTW 4/6/23: 48F finger pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/4bc57067-1f6d-4814-a1bd-f6ea86731199/ezgif.com-crop-6.gif Home - COTW 4/6/23: 48F finger pain and swelling - Make it stand out Note needle tip in fluid collection in top left of image. https://www.kpsono.com/cotw/2023/3/28/cotw-328-79-year-old-with-abdominal-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/c89753e7-ed0c-40c0-8ab7-2472843a21e3/donut-simpson.gif Home - COTW 3/28 79 year old with abdominal pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/2ac85448-f1fb-4cb5-a74f-a681f9be49aa/ezgif.com-crop.gif Home - COTW 3/28 79 year old with abdominal pain - Make it stand out Small bowel and free fluid https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/f00bca56-f633-4cbe-9b36-de671d35545a/to+and+fro.gif Home - COTW 3/28 79 year old with abdominal pain - Make it stand out To and Fro peristalsis https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/9cd17160-7f2e-4f20-8aa5-c20636f377db/LBO.gif Home - COTW 3/28 79 year old with abdominal pain - Make it stand out Large Bowel Obstruction https://www.kpsono.com/cotw/2023/3/6/cotq-3723-71m-with-chest-pain-after-a-fall monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/b4f7450e-2ecb-496e-aadf-9d4f95834279/Screen+Shot+2023-03-12+at+11.11.12+AM.png Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out https://www.acepnow.com/article/ultrasound-guided-serratus-anterior-plane-block-can-help-avoid-opioid-use-patients-rib-fractures/ https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/8e2075f8-30fc-46ca-bae1-00a2ce944931/Screen+Shot+2023-03-06+at+5.07.51+PM.png Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out https://www.acepnow.com/article/ultrasound-guided-serratus-anterior-plane-block-can-help-avoid-opioid-use-patients-rib-fractures/ https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/bd7e2adc-c238-4499-ba1f-792947761db6/Screen+Shot+2023-03-06+at+5.59.22+PM.png Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out http://highlandultrasound.com/serratus-anterior-plane-easy https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a8d519cb-89da-4519-bc53-bcb375da292e/Screen+Shot+2023-03-12+at+11.13.32+AM.png Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out http://highlandultrasound.com/serratus-anterior-plane-easy https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/f0979659-464f-4d2f-a35a-9fbcdf87aa71/ezgif.com-crop+%283%29.gif Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/fed0ef8c-fde8-477b-b5f8-677858e69126/Screen+Shot+2023-03-06+at+5.41.01+PM.png Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e9bcf7f5-1072-4bdb-b642-6903cb091899/ezgif.com-crop+%281%29.gif Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/37357a59-aea4-452a-a6fc-6cf14b8921f3/ezgif.com-crop+%282%29.gif Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/6b0a17e4-9177-48db-8375-890af90ddd63/Screen+Shot+2023-03-06+at+5.10.07+PM.png Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/b50015f6-3d5d-4a16-8cb7-b24c83e62f77/ezgif.com-crop+%285%29.gif Home - COTW 3/12/23: 71M with chest pain after a fall - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2023/2/24/cotw-22423-a-6-year-old-boy-presents-with-elbow-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/cfe59846-759d-4dda-b7d2-815e9aee83a2/longitudinal+US+image.jpg Home - COTW 2/24/23: A 6 year old boy presents with elbow pain - Make it stand out When looking for an effusion pay attention to the fat pad-effusions should kind of cause some displacement of the fat pad. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/368b606c-fc9d-49ef-898c-784cf37a7ea7/supracondylar-fracture-and-sail-sign.jpg Home - COTW 2/24/23: A 6 year old boy presents with elbow pain - Make it stand out Case courtesy of Frank Gaillard, Radiopaedia.org, rID: 8014 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/743adad1-d29b-4dc6-92cf-b4ca90482fed/perp+scan+elbow.jpg Home - COTW 2/24/23: A 6 year old boy presents with elbow pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/0fefdfb7-9394-442d-aad3-2e8804922e76/ezgif.com-video-to-gif.gif Home - COTW 2/24/23: A 6 year old boy presents with elbow pain - Make it stand out Note the anechoic fluid deep to the fat pad. https://www.kpsono.com/cotw/2023/2/5/65f-shortness-of-breath monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/182691f5-f228-4f68-b172-a3f9318e4bf5/clot+in+transit+PSS+ish.gif Home - 65F shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/9f422be3-b764-4bc6-a350-c917e91de3bd/clot+in+transit+PSS+ish+labeled.gif Home - 65F shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/9135758c-f4e3-4eed-98a7-094474c9c2d9/ezgif.com-gif-maker.gif Home - 65F shortness of breath - Make it stand out Whats that in the right ventricle? https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/84a2401a-1601-416b-acf3-9b4027b6d1c3/ezgif.com-gif-maker-2.gif Home - 65F shortness of breath - Clot in transit it’s a clot in transit! https://www.kpsono.com/cotw/2023/1/30/45-year-old-male-presents-for-foreign-body-evaluation monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/34c1a0cc-f2b5-487b-b6d3-c0c886b11dc2/thumbnail.jpg Home - 45 year old male presents for foreign body evaluation - Make it stand out thumb+nail=thumbnail https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/ec6313b5-b40a-4b68-8752-df46fd953df9/hagrid.gif Home - 45 year old male presents for foreign body evaluation - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/42fa990c-6a98-425a-9110-0b1f965540dd/forearm+distribution.jpg Home - 45 year old male presents for foreign body evaluation - Make it stand out Courtesy of highland ultrasound https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/81180a68-5327-4d63-9d04-01d59459e93a/ezgif.com-gif-maker+%282%29.gif Home - 45 year old male presents for foreign body evaluation - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/5b48c2ec-fe0f-4dba-83c6-f39375d53a82/highlight+of+the+radial+nerve.jpg Home - 45 year old male presents for foreign body evaluation - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e22ff580-656d-4b5d-a1d8-61d394522b78/ezgif.com-gif-maker+%281%29.gif Home - 45 year old male presents for foreign body evaluation - Make it stand out note how only 180 degrees of anesthetic is really required for adequate anasthesia https://www.kpsono.com/cotw/2023/1/22/70yo-f-shortness-of-breath monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/8893c6bd-c903-4529-b686-1d2b6a5a8b70/Screen+Shot+2023-01-23+at+7.02.33+PM.png Home - 70yo F shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/26eccdc4-e36c-41af-979f-6a102a77153c/ezgif.com-gif-maker-3.gif Home - 70yo F shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/c9e6cc63-4d54-41cd-bdbb-0523c17daaca/PSS+RHS.gif Home - 70yo F shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/5cf59e37-06e5-4751-98d2-ce716e152f4c/Screen+Shot+2023-01-23+at+7.20.02+AM.png Home - 70yo F shortness of breath - Make it stand out https://123sonography.com/ebook/parasternal-short-axis-views https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/ee8c4d95-a2bd-4c02-bc2d-efa8512e6e52/Screen+Shot+2023-01-22+at+9.44.56+PM.png Home - 70yo F shortness of breath - Make it stand out PSS, Base view - https://123sonography.com/ebook/parasternal-short-axis-views https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/694665a2-027b-412a-95fd-370a690ba708/Screen+Shot+2023-01-23+at+7.19.28+AM.png Home - 70yo F shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/fdaa5ec8-2055-4b56-b533-5cbc8d8b819f/Screen+Shot+2023-01-23+at+7.19.28+AM.png Home - 70yo F shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/4b9ba013-ab76-4ca7-83bd-e2ae9df66353/PA+PE.gif Home - 70yo F shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1674448457423-ZQ36TYJ291HJ9FZYRG1U/Screen+Shot+2023-01-22+at+8.30.02+PM.png Home - 70yo F shortness of breath https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1674448462628-LINXJDTDZIAKVKEU1S0H/Screen+Shot+2023-01-22+at+8.31.04+PM.png Home - 70yo F shortness of breath https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/8988f28e-df59-47bf-a59a-b51479ed6b78/PSL+RHS.gif Home - 70yo F shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/b93503d7-86e4-4f5c-9c82-29dbf2d5d69e/Screen+Shot+2023-01-23+at+6.52.57+PM.png Home - 70yo F shortness of breath - Make it stand out https://e-echocardiography.com/page/page.php?UID=1429484741 https://www.kpsono.com/cotw/2023/1/9/an-82-year-old-male-presents-with-abdominal-pain-and-a-rash monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d8d2ad9f-7254-4b87-964d-62c7e2c0ab05/surface+landmarks.jpg Home - An 82 year old male presents with abdominal pain and a rash - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d5362dd2-854d-4f18-8ebd-aa76e9bccead/TAP+Anatomy.jpg Home - An 82 year old male presents with abdominal pain and a rash - Make it stand out The blue line is your target. Deep to the transverse abdominus you can see the border of the peritoneum. Dont hit that. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/c2fffd8b-4db1-40dd-b02b-b96e5c81d1d8/tap+gif.gif Home - An 82 year old male presents with abdominal pain and a rash - Make it stand out You want to kind of “split” the fascia with your anesthetic https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a31de0cb-4b09-463b-aac0-1a722ef9776f/probe+position.jpg Home - An 82 year old male presents with abdominal pain and a rash - Make it stand out Surface landmarks and rough position of probe. This provider is electing to do the block with the patient supine as opposed to in the decubitus position. I personally find supine positioning more difficult as it is harder to anchor the probe, but whatever floats your boat. Images taken from emdocs.net and highlandultrasound.com https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/928eb7ac-3cfc-4f0b-9752-3314d1325767/tap+innervation.jpg Home - An 82 year old male presents with abdominal pain and a rash - Make it stand out Abdominal dermatome map-taken from emdocs.net https://www.kpsono.com/cotw/2022/12/27/cotw-122722 monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/bedde947-e66e-4c14-9962-842b1f863ea9/Screen+Shot+2022-12-27+at+12.48.39+PM.png Home - COTW 12/27/22: 54F with R hand pain, swelling, erythema - Why use a water bath? As we know, fluid is highly effective in transmitting sound waves. Using a water bath can help you get a better image without the probe needing to be in full contact with the patient’s skin. This helps reduce the pain associated with the exam, as well as minimizes distortion of superficial tissues from the pressure of the probe on the skin. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1672175543890-XI7PVR18HCBLH4JRZB7F/FTS+thumb+long.gif Home - COTW 12/27/22: 54F with R hand pain, swelling, erythema https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1672175544336-WJ9WZWP0BUFGOQY9QR11/FTS+thumb+short.gif Home - COTW 12/27/22: 54F with R hand pain, swelling, erythema https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1672176500863-VPT1YMI4V662UDI6K1RS/Screen+Shot+2022-12-27+at+1.27.39+PM.png Home - COTW 12/27/22: 54F with R hand pain, swelling, erythema https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1672176500925-X974PADY6GYJS21499YA/Screen+Shot+2022-12-27+at+12.37.47+PM.png Home - COTW 12/27/22: 54F with R hand pain, swelling, erythema https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1672177608820-W841OAS7ZU1EIFQC91AJ/extensor-digitorum-longus-tenosynovitis-2.jpg Home - COTW 12/27/22: 54F with R hand pain, swelling, erythema https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1672177609052-LAZ717W3SEJ9OJPCON7E/extensor-digitorum-longus-tenosynovitis-3.jpg Home - COTW 12/27/22: 54F with R hand pain, swelling, erythema https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1672177796104-UAVR2C2KWRIK9R4Y8BJ7/extensor-digitorum-longus-tenosynovitis-4.jpg Home - COTW 12/27/22: 54F with R hand pain, swelling, erythema https://www.kpsono.com/cotw/2022/12/23/cotw-121922-18-year-old-man-presents-with-right-hand-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/45aecf0c-6b31-4672-9bef-ce9d87a68282/ulnar+nerve+fascial+plane.PNG Home - COTW 12/19/22 18 year old man presents with right hand pain - Make it stand out Above is the ulnar nerve next to the ulnar artery. Circled is a fascial plane next to the nerve. By injecting into the fascia you should see hydrodissection through the fascia that spreads to the nerve. This can provide a nice target for more novice users. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/0c680019-400b-4a18-8508-0ea7ec255a87/forearm+nerve+coursing.jpg Home - COTW 12/19/22 18 year old man presents with right hand pain - Make it stand out Courtesy of highland ultrasound. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/b264a103-6029-4ac7-a5de-c7d227720847/ezgif.com-gif-maker+%282%29.gif Home - COTW 12/19/22 18 year old man presents with right hand pain - Make it stand out Note how there is about 180 degrees of coverage of anesthetic around the nerve. If you dump 2-5 cc of anesthetic in that area, it should diffuse around and give adequate effect to perform the reduction. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/99a029cb-3849-4fdc-aa34-821dc4b4da76/hand+distirbution.png Home - COTW 12/19/22 18 year old man presents with right hand pain - Make it stand out Cutaneous innervation of forearm. Note this does NOT translate to boney innervation and aside from the fifth digit, you will likely need a combination of blocks for other orthopaedic injuries of the hand. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a6eec801-0574-44b5-9961-da76bce94dee/boxer+fracture.jpg Home - COTW 12/19/22 18 year old man presents with right hand pain - Make it stand out Displaced right fifth metacarpal shaft fracture. Also, positive arrow sign. https://www.kpsono.com/cotw/2022/11/27/cotw-112722-67-year-old-male-presents-with-1-day-of-painless-vision-loss monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/c5dc2911-7058-4f24-af36-616d799c712c/ezgif.com-gif-maker+%283%29.gif Home - COTW 11/27/22 67 Year old male presents with 1 day of painless vision loss. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/ae6209e9-331c-4eb2-809f-d6280313850d/crao+spot.jpg Home - COTW 11/27/22 67 Year old male presents with 1 day of painless vision loss. - Make it stand out Hyperechoic spot with subtle shaddowing within the optic nerve sheath. https://www.kpsono.com/cotw/2022/11/22/cotw-82f-hx-of monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/191b1e19-72cd-412a-91e6-67c45320f013/bowel+stool+peristalsis.gif Home - COTW: 79F presenting with N/V and shortness of breath - To-and-fro or pendulous peristalsis As well as hyperechoic spot echos (feculent matter) https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1669143159307-XESPE5D313F5V9F8UZIX/dilated+bowel.gif Home - COTW: 79F presenting with N/V and shortness of breath https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1669143159465-PGAFH3E1IMC5UJ71LYOJ/thick+bowel.gif Home - COTW: 79F presenting with N/V and shortness of breath https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/279e014a-0587-4782-bd21-222421c56843/dilated+stomach.gif Home - COTW: 79F presenting with N/V and shortness of breath - Distended stomach Patient had 2.5L of output immediately on placement of NGT https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/fbef8fee-bbd6-4959-be6b-ea2f86d815dc/Screen+Shot+2022-11-22+at+11.21.31+AM.png Home - COTW: 79F presenting with N/V and shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1669145325644-4V4EBEWR6NWCINU8VDHO/hydro+sbo+no+color.gif Home - COTW: 79F presenting with N/V and shortness of breath https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1669145332747-ZOQC7RLW3ER3MMS6BL1Z/hydro+sbo+color.gif Home - COTW: 79F presenting with N/V and shortness of breath https://www.kpsono.com/cotw/2022/11/7/cotw-11622-62f-presenting-for-shortness-of-breath monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1667838544904-NK4WTRQG3Y7KEWAM41K7/hepatic+hydro+2.gif Home - COTW 11/6/22 62F presenting for shortness of breath - Make it stand out A second example of hepatic hydrothorax, again with fluid above and below the diaphragm in the context of a nodular appearing liver. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1667840565747-JL4LTG06HLI265T9T7SL/lights.png Home - COTW 11/6/22 62F presenting for shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1667838263233-HO8X32WWE52XWVWDT353/label+hydro.gif Home - COTW 11/6/22 62F presenting for shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1667835987154-JP0OVX3M54MC3BKDEKRM/hepatic+hydro+1.gif Home - COTW 11/6/22 62F presenting for shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2022/10/27/cotw-102722-28-yo-f-presents-for-evaluation-of-muffled-voice monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a95054ca-1b13-4d38-8c3a-b7ff202e5cad/ezgif.com-gif-maker+%281%29.gif Home - COTW 10/27/22 28 yo F presents for evaluation of muffled voice and sore throat - Make it stand out Anechoic fluid collection starting at aprox 4.5 cm in depth https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/21f84145-9f97-484a-80f5-565170736186/pta+measurement.jpg Home - COTW 10/27/22 28 yo F presents for evaluation of muffled voice and sore throat - Make it stand out Left Peritonsilar abscess measuring 1.34 cm. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/9b4a412a-bd29-4f1a-be12-bc10638e6858/probe+position.jpg Home - COTW 10/27/22 28 yo F presents for evaluation of muffled voice and sore throat - Make it stand out To see the peritonsillar fluid collection you may need to fan slightly upwards https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/91fd2079-e3c9-4e57-99de-ba87f1bdb322/image330963.jpg Home - COTW 10/27/22 28 yo F presents for evaluation of muffled voice and sore throat - Make it stand out Abnormal seen on left. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/afa0bedf-e98e-4f3d-9063-85f509ae45ce/ezgif.com-gif-maker+%282%29.gif Home - COTW 10/27/22 28 yo F presents for evaluation of muffled voice and sore throat - Make it stand out Heterogenous fluid collection along the left tonsil. https://www.kpsono.com/cotw/2022/10/23/cotw-102322 monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1666562523882-SYOWS5WO2YOQ3FB19TK4/VD+washing.gif Home - COTW 10/23/22 58M hx L eye blindness, htn, herpes zoster pw painless visual changes - Make it stand out Ocular ultrasound demonstrating vitreous detachment - a thinner structure, swirling around within the vitreous body, not attached to midline https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1666561665461-SWN6ZYQ3A5ZQGTM3ADS8/RD+labeled.gif Home - COTW 10/23/22 58M hx L eye blindness, htn, herpes zoster pw painless visual changes - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1666561474271-IKFHWZHCV6UQLM4CFP7I/mac+on+retinal+detachment.gif Home - COTW 10/23/22 58M hx L eye blindness, htn, herpes zoster pw painless visual changes - Make it stand out Ultrasound of left eye showing retinal detachment with probably vitreous hemorrhage https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1666563226337-FV75KQOFNUA5R8SO269O/RD+unlabeled.gif Home - COTW 10/23/22 58M hx L eye blindness, htn, herpes zoster pw painless visual changes - Make it stand out Retinal detachment, mac-on or mac-off? https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1666563931266-1MSUBZSSCX7GELN95NT3/Ocular-Ultrasound-Pocket-Card-POCUS-101-1024x860.png Home - COTW 10/23/22 58M hx L eye blindness, htn, herpes zoster pw painless visual changes - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2022/10/9/cotw-10922-55-yo-male-presenting-with-shortness-of-breath monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/9ed19dbc-7f5c-464e-a219-e8458f9be828/probe+position.jpg Home - COTW 10/9/22 55 yo male presenting with shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/f27637ef-a2ad-4f81-8cd2-7ec37b2dc223/ezgif.com-gif-maker+%283%29.gif Home - COTW 10/9/22 55 yo male presenting with shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/5ebe8dea-1058-4c2f-94e3-48ebffdb1cdd/ezgif.com-gif-maker+%284%29.gif Home - COTW 10/9/22 55 yo male presenting with shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1a63c1f5-9314-4ddf-9bd9-d9bdef9d559c/ezgif.com-gif-maker+%282%29.gif Home - COTW 10/9/22 55 yo male presenting with shortness of breath - Make it stand out Scattered B lines-appreciated bilaterally https://www.kpsono.com/cotw/2022/9/21/cotw-92222-70m monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1663857811506-9YJ8JFNUSYNIDNA5IZSX/gb+cancer+w+CBG.gif Home - COTW 9/22/22: 70M hx of prior etoh dependence, afib presents with palpitations, fatigue - Make it stand out Gallbladder lumen filled with heterogenous, mostly low echogenic material https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1664151343313-AGVUQNN4Q70ITWCL8K0E/hypervascular+liver+with+mets.gif Home - COTW 9/22/22: 70M hx of prior etoh dependence, afib presents with palpitations, fatigue - Make it stand out RUQ ultrasound showing multiple, hypervascular nodular infiltrates in the liver https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1664151793074-63NLBD7CRDMERVSUZTMI/gb+long2.gif Home - COTW 9/22/22: 70M hx of prior etoh dependence, afib presents with palpitations, fatigue - Make it stand out Second long axis view of the gallbladder again showing large, irregularly defined heterogeneous mass within the lumen https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1664152394378-TCNFT7IWU944AN4E6H07/CBD+w+clot%2C+still.jpg Home - COTW 9/22/22: 70M hx of prior etoh dependence, afib presents with palpitations, fatigue - Make it stand out Still image above is from the end of the first gallbladder video above, showing dilated CBD filled with hypoechoic material. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1664152155905-91PHT53OVOPKI86V4AWN/porcelain-gallbladder-1.jpg Home - COTW 9/22/22: 70M hx of prior etoh dependence, afib presents with palpitations, fatigue - Porcelain gallbladder Term refers to the blue discoloration of a gallbladder with extensive wall calcifications. These are seen on ultrasound as a poorly defined gallbladder with dense posterior shadowing. This finding is associated with malignancy in ~20-30% of cases. Note in the photo the gallbladder wall is difficult to make out, however the gallbladder is identified by the large area of shadowing Image courtesy of The Radswiki, Radiopaedia.org, rID: 11806 https://www.kpsono.com/cotw/2022/9/16/cotw-9172022-a-54-year-old-male-history-of-metastatic-colon-cancer-presenting-with-shortness-of-breath monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/ee3c59ad-96a5-4b30-a599-e0e7ac564177/ezgif.com-gif-maker.gif Home - COTW 9/17/2022: A 54 year old male history of metastatic colon cancer presenting with shortness of breath - Make it stand out Moderate sized pericardial effusion with RV diastolic collapse https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/942688ec-371b-4722-ba05-cf1db0ddbdf1/rv+bounce.jpg Home - COTW 9/17/2022: A 54 year old male history of metastatic colon cancer presenting with shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/ab5db50a-7a37-4516-90c0-282db7d6b991/ezgif.com-gif-maker.gif Home - COTW 9/17/2022: A 54 year old male history of metastatic colon cancer presenting with shortness of breath - Make it stand out Apical 4 also showing right ventricular diastolic collapse https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/9281f59e-9966-402b-b8b3-dd5b111d80e3/image427878_crop.png Home - COTW 9/17/2022: A 54 year old male history of metastatic colon cancer presenting with shortness of breath - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/2095f8c4-fb95-4a7f-92e7-b3ef65f3fac3/ezgif.com-gif-maker+%281%29.gif Home - COTW 9/17/2022: A 54 year old male history of metastatic colon cancer presenting with shortness of breath - Make it stand out IVC with minimal respirophasic Variation https://www.kpsono.com/cotw/2022/9/7/cotw-9822-a-74yo-f-with-r-arm-pain-and-swelling monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662601950997-EH4X99SZDIPQFZ566XTS/SCVT+no+label.gif Home - COTW 9/8/22: A 74yo F with R arm pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662601970607-VC5S56PR7SVX9ASGR6FQ/SCVT+gif1.gif Home - COTW 9/8/22: A 74yo F with R arm pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662601978312-SKHKPEVO2A05PN4WCPLH/Ax+clot+no+label.gif Home - COTW 9/8/22: A 74yo F with R arm pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662601986900-R25E27AODLR5BZWJ45OR/Ax+thromb.gif Home - COTW 9/8/22: A 74yo F with R arm pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662591695143-S71SSGGKUTHQC6NZP8KC/technique+1.png Home - COTW 9/8/22: A 74yo F with R arm pain and swelling - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662663700632-U6HJEASGCYNOKZ0FNF8K/US+anatomy.png Home - COTW 9/8/22: A 74yo F with R arm pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662663836889-EIXPHFBVSBP0C0HSL9X4/doppler+flow.png Home - COTW 9/8/22: A 74yo F with R arm pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662591597696-8NZR74U1SI35V0RI2F55/UE+anatomy.png Home - COTW 9/8/22: A 74yo F with R arm pain and swelling https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662591721351-HD9G2Y0DA19LS0CC4Y36/technique2.png Home - COTW 9/8/22: A 74yo F with R arm pain and swelling - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2022/9/1/cotw-9122 monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/da7af280-1da4-4ad2-acd5-4c2ad738e0d7/ich.PNG Home - COTW 9/1/22: A 20 day old infant presenting after a headstrike - Make it stand out Left Temporal epidural hematoma measuring 6 mm https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662073117099-OMKY4O2DVYPZSP8TXO3M/ezgif.com-gif-maker+%281%29.gif Home - COTW 9/1/22: A 20 day old infant presenting after a headstrike - Make it stand out The bright white line aproximately 0.75 cm in depth is the skull. Above the skull is an anechoic stripe which represents a scalp hematoma. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1662073074501-5MDV1LSTW7X80V5O0B09/ezgif.com-gif-maker.gif Home - COTW 9/1/22: A 20 day old infant presenting after a headstrike - Make it stand out A step off can be seen when scanning along the skull. There is also a fluid collection deep to the skull, concerning for a traumatic intracranial hemorrhage. https://www.kpsono.com/cotw/2022/5/2/cotw-0505-a-74-year-old-female-with-right-shoulder-pain-after-fall monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/79f85ca1-f9d3-4f93-9747-32b7be1067a7/Screen+Shot+2022-05-02+at+3.35.00+PM.png Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/f8a45ff1-1293-4297-8539-4114001d07f5/Picture1.gif Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/cfcbc18e-08ba-4eaa-a3bb-4f70ce7ccbe2/Screen+Shot+2022-05-02+at+3.32.35+PM.png Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/6b941aab-def8-48b3-87da-be2add619ce2/67DfOUmGg6.gif Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/073b03b4-bfa5-4366-98cc-8f953fdeb9f8/Screen+Shot+2022-05-02+at+3.21.00+PM.png Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e30b7253-2bb9-4895-982d-d8efd6e5b9ba/Screen+Shot+2022-05-02+at+3.41.21+PM.png Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/dfe2916f-b828-41d8-9d45-127513070f16/Screen+Shot+2022-05-02+at+3.29.47+PM.png Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/7e9c7ce1-c79d-45a2-8e09-9f49583cc53b/Screen+Shot+2022-05-02+at+3.39.05+PM.png Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d7e743e9-a69d-4206-9552-5b881b4c1fec/Screen+Shot+2022-05-02+at+3.31.50+PM.png Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/44a24c60-eb5f-4f4c-b2b5-3af4fb004aff/nM7chVpUPD.gif Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/9730975e-5519-43c8-97a4-ac447ea02253/Screen+Shot+2022-05-02+at+3.33.33+PM.png Home - COTW 05/01: A 74-year-old female with right shoulder pain after fall. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2022/3/21/cotw-0324-a-74-year-old-male-with-a-bump-in-his-right-pelvic-area monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/027b1c0a-f736-43d6-bc85-2d53e3ccdf61/Screen+Shot+2022-03-21+at+3.59.00+PM.png Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a8531ef2-0ff4-41b5-95c7-ae54f60f2b6e/Screen+Shot+2022-03-21+at+3.59.09+PM.png Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a0eecead-92d6-4a7c-956a-f7e214d56686/Screen+Shot+2022-03-21+at+3.28.32+PM.png Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/92be8d15-d32c-4cd1-a0b0-4e956a6bc1ed/cnu3F4x2la.gif Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d683e6d4-5847-457b-9228-96d7e64c3412/Screen+Shot+2022-03-21+at+3.30.32+PM.png Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1a56ac18-a3aa-4f1c-813f-a9899b4aaf20/Screen+Shot+2022-03-21+at+4.08.01+PM.png Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/28a151ff-4bdd-4824-ba34-7b3be6374d0c/7xvowDVtzR.gif Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e06e3382-e452-4e5c-a72b-2d0e9bf549fc/k5zIKo8xX8.gif Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e708ae46-08d3-425f-b479-b20dd30480d2/Screen+Shot+2022-03-21+at+4.01.44+PM.png Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/43a1aa8a-3fad-4065-8706-690010fd908e/Screen+Shot+2022-03-21+at+3.33.47+PM.png Home - COTW 03/28: A 74-year-old male with a “bump” in his right pelvic area. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2022/3/17/cotw-0317-a-77-year-old-male-with-urinary-retention-and-flank-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/4170f296-9fd0-4f8d-97ff-718064f78968/Screen+Shot+2022-03-17+at+2.45.20+PM.png Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/35ef0f62-f42b-4685-a0e3-cc39a4d7b776/apB43O8Xla.gif Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/f4525eb8-90f1-43ff-959b-3b13379bcb9d/Screen+Shot+2022-03-22+at+3.04.52+PM.png Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/b8a09e9a-3d5b-411c-9a48-2e4e3e45e2e1/Screen+Shot+2022-03-17+at+2.33.21+PM.png Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/24badb16-a45f-4f57-8b80-a08b49a1e683/YKGRXPULsY.gif Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/9f33a5dd-142d-4807-8c8f-d7af98fba44e/Screen+Shot+2022-03-17+at+2.45.44+PM.png Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/ea2e2bf4-9fe7-46f3-bbdd-7acba8c78b37/Screen+Shot+2022-03-17+at+2.33.06+PM.png Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/ce116533-3ef9-425e-8361-3634a032dc7b/Screen+Shot+2022-03-17+at+3.20.37+PM.png Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/5c5fc745-80c2-4a1f-a6ab-8222856967a3/RZw0ow8GpS.gif Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/4f74cf18-a99b-47ed-9c4f-8ec9601a6a23/6FtUHaGtYT.gif Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/82d73da1-1fc7-43dd-be7e-214648187d03/Screen+Shot+2022-03-17+at+3.12.36+PM.png Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/2821b616-4546-4b22-8389-1b9f43600f76/t7v9VRlpp8.gif Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/53da312d-1449-4d26-b449-bf35e80751a5/Screen+Shot+2022-03-17+at+2.45.30+PM.png Home - COTW 03/21: A 77-year-old female with urinary retention and flank pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2022/3/17/cotw-31422-60-year-old-male-with-sore-throat monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a4d6c019-7add-45b6-ab89-2372d2a4b636/Pericardial-Effusion-Tamponade-Pressure-versus-Time-Rapid-vs-Slow-accumulation-Graph-Chart.png Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Rapidly accumulating pericardial effusion can increase the pericardial pressures significantly and lead to tamponade. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/62ecdd7e-0928-48d4-97e5-fcae5716a33b/Pericardial-Effusion-and-Pleural-Effusion-Cardiac-Ultrasound-Echocardiography.gif Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Pericardial effusion is seen anterior to the descending aorta as portrayed in image. Pleural effusion is posterior to the descending aorta. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/4ef383f4-5afc-49ca-9c63-010a3af31d55/subx.jpg Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Subxiphoid approach. Insert needle (not in plane) between xiphoid and left costal margin. Aim to left shoulder. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/11901959-ff6e-454a-bc35-6fc0b7346cdd/ezgif.com-gif-maker-8.gif Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Apical approach using high-frequency probe. Needle visualized top right of screen. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/973268cd-7a17-473d-a380-f6d4bcdc7c12/Screen+Shot+2017-09-05+at+2.02.37+PM.png Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Apical approach: Introduce needle over the superior border of the adjacent rib to avoid intercostal nerves/vessels. Needle is introduced lateral to ribs 5-7. Aim towards the patient's right shoulder. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1ec55298-a6b7-432f-bf06-f5b7da2181e2/U7tj9Qys2W.gif Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Large pericardial effusion in PLAX view. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1faa1978-fec6-4f78-9e03-aaec131140cb/Video-3.gif Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Fat pad visualized anteriorly is iso-echoic versus pericardial effusion (anechoic). https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/31b44b69-f13d-4921-91b3-0b63b7215112/perasternal+pericardiocentesis.jpg Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Parasternal approach. Insert needle in at/close to 5th left intercostal space. Needle in plane aiming to patient’s right shoulder. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/fdbc965e-c979-4466-8b69-1419cece358b/Screen+Shot+2022-03-20+at+5.09.31+PM.png Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a1a94cde-afbd-4ec7-b7f6-7955163af052/RXq1aFDO07.gif Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Pericardiocentesis: apical approach. Needle visualized top right of screen. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/52ae3eed-da97-46fa-ae71-cbbfaea097b3/QIcKTtWNjr.gif Home - COTW: 3/14/22: 60 year old male with hoarseness - Make it stand out Large pericardial effusion with evidence of RV free wall collapse. PSL view. https://www.kpsono.com/cotw/2022/3/1/cotw-3722-65-year-old-male-with-groin-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/866709e9-1963-4be3-b044-77371cb8904a/ezgif.com-gif-maker-5.gif Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out Normal appendix: blind-ended tubular structure https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e5ada686-ba41-48d7-85c4-e4750e87cca1/lfcp.jpg Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out In adults with larger habitus, use the curvilinear probe https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/5fbc8dc5-b94c-4e60-9f15-9645acd7fa7d/ezgif.com-gif-maker-7.gif Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out Periappendiceal edema https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/ed6c18f7-a220-4e48-93a3-792194e83ef2/US00001S_crop.jpg Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out Diameter 11.1 mm https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1072a613-8c65-431e-be32-7d992aa3f693/Appy-PoCUS1.png Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/68dc485e-2472-46cc-a791-6d4a64de5eb5/image2.png Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out Structure was non-peristalsing, non-compressible and was hyperemic vascular flow as shown above https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/296b5683-e20f-40ed-8ab2-bba3e5e8090f/hfl.jpg Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out In pediatrics and thin patients, use the high-frequency (aka. linear) probe https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/9dafdb1f-006e-4d62-b837-18aebed28d4d/radiology+long_crop.jpg Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out Secondary findings for appendicitis: free fluid surrounding blind-ended tubular structure https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/2489eb0c-cd8a-478c-be13-2f741e4efc79/ezgif.com-gif-maker-6.gif Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/fa8aaaa8-3778-4bfa-9664-164018f7aa56/image1.png Home - COTW 3/7/22: 24 year old female with abdominal pain - Make it stand out A tubular structure was visualized in the right lower quadrant. Cross sectional diameter measured 11.5 mm. https://www.kpsono.com/cotw/2022/2/24/cotw-22122-75-year-old-man-with-groin-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/12c49b23-7ea2-4902-913b-a4a1d1e4e12b/PSL_lowEF.gif Home - COTW 2/28/22: 45 year old male with shortness of breath - Make it stand out Long axis view (PLAX) shows global hypokinesis and poor ejection fraction. Visual estimate of EF was 10%. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1d7e69a7-6fda-447a-9792-10ef2faff2d9/Apical+thrombus.gif Home - COTW 2/28/22: 45 year old male with shortness of breath - Make it stand out Apical 4-chamber view shows a large apical thrombus! https://www.kpsono.com/cotw/2022/2/10/cotw-0210-a-77-year-old-male-with-abdominal-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e9cdb771-2a5b-4568-a673-90fccaeb2396/image490541_crop.png Home - COTW 02/21: A 77-year-old male with abdominal pain. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/6505575a-a683-494a-9108-ac721795ee7a/UFUZ2pf4zy.gif Home - COTW 02/21: A 77-year-old male with abdominal pain. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/018751b8-5673-4875-9647-a25bc0820cd5/X7QaF4QYYU.gif Home - COTW 02/21: A 77-year-old male with abdominal pain. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/5e0e54ba-1df3-46e0-844c-9768bfd1d4d9/uIlvp9ZJ7V.gif Home - COTW 02/21: A 77-year-old male with abdominal pain. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/623d4372-b85c-41ef-a304-1e0084c3d8d5/Screen+Shot+2022-02-10+at+2.15.43+AM.png Home - COTW 02/21: A 77-year-old male with abdominal pain. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1239edf7-c94c-4fba-a05c-55467e76fff7/Screen+Shot+2022-02-10+at+2.15.55+AM.png Home - COTW 02/21: A 77-year-old male with abdominal pain. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/992267ee-5b20-4416-8cca-1262d8e009da/Screen+Shot+2022-02-10+at+2.15.27+AM.png Home - COTW 02/21: A 77-year-old male with abdominal pain. - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2022/1/28/cotw-217 monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/dfc2d871-99f2-47e2-860a-4575c19a6f17/ezgif.com-gif-maker-2.gif Home - COTW 2/14/22: 36 year old female with abdominal pain - Make it stand out Using the high frequency probe, the structure in question was amplified. Not only a gestational sac was confirmed, a yolk sac was revealed! No fetal pole visualized. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d37f21a2-e783-4f8d-9451-398fc0eab7db/ezgif.com-gif-maker.gif Home - COTW 2/14/22: 36 year old female with abdominal pain - Make it stand out An extra-uterine structure is seen on the right side of the screen. It appears to be attached to the uterus. Image was obtained using the curvilinear probe. https://www.kpsono.com/cotw/2022/1/19/cotw-22-a-60-year-old-female-with-fever monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/75d1b1af-616a-4ee2-a157-7deeb29b0427/endocarditis_5.gif Home - COTW 1/28/22: A 60 year old female with fever - Make it stand out Apical 4 chamber shows vegetation along the posterior mitral leaflet https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/fd0e65f3-7f43-484f-99d1-f15253fac6ea/endocarditis+2.gif Home - COTW 1/28/22: A 60 year old female with fever - Make it stand out Parasternal long view shows irregular thickness along the posterior leaflet concerning for vegetation https://www.kpsono.com/cotw/2022/1/19/cotw-120-34-year-old-male-with-testicular-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/98bbcc3c-f741-4efc-a7f3-98a5b8fe87f2/gJT08Zmm7N.gif Home - COTW 1/20: 34 year old male with testicular pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2021/9/30/cotw-922-a-21-year-old-female-with-bug-bite-to-the-neck-for-1-month monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1633039019524-YHPP8FRKPEY95OHYT74H/ezgif.com-gif-maker+%281%29.gif Home - COTW 9/22: A 21-year-old female with bug bite to the neck for 1 month - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1633038766246-0O1AFGBA3XZXGZSXD3CG/ezgif.com-gif-maker.gif Home - COTW 9/22: A 21-year-old female with bug bite to the neck for 1 month - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1633055984478-AT8QMYVY3O9ELGW0XSEB/Screen+Shot+2021-09-30+at+7.39.39+PM.png Home - COTW 9/22: A 21-year-old female with bug bite to the neck for 1 month - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1633055899765-LWNRCZYXYYALOQ3P57PW/Screen+Shot+2021-09-30+at+7.38.39+PM.png Home - COTW 9/22: A 21-year-old female with bug bite to the neck for 1 month - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1633039375363-V2FMWVHC6XK63447I22P/Screen+Shot+2021-09-30+at+3.00.27+PM.png Home - COTW 9/22: A 21-year-old female with bug bite to the neck for 1 month - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1633039344879-5KOXETEICXFLL4K94HNP/Screen+Shot+2021-09-30+at+3.00.13+PM.png Home - COTW 9/22: A 21-year-old female with bug bite to the neck for 1 month - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1633039318170-ITTA4AZ59BZQDE6I4FBJ/Screen+Shot+2021-09-30+at+3.00.04+PM.png Home - COTW 9/22: A 21-year-old female with bug bite to the neck for 1 month - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1633039398759-WVIBV0IWDK1PTFYOXR1B/Screen+Shot+2021-09-30+at+3.00.35+PM.png Home - COTW 9/22: A 21-year-old female with bug bite to the neck for 1 month - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2021/6/24/cotw-524-a-63-year-old-male-with-abdominal-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1624556232242-88WZSVCNDRZOI11TKY7N/RjEhfpvsVC.gif Home - COTW 6/24: A 63 year old male with abdominal pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1624555708146-P7TQ5K4WOQ72HPPASWHL/cNwB9gdksE.gif Home - COTW 6/24: A 63 year old male with abdominal pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1624556178647-BMCYJZMSZ81B2A3Z3OTW/AneurismCT.png Home - COTW 6/24: A 63 year old male with abdominal pain - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/cotw/2021/6/11/cotw-611-5-year-old-presents-in-respiratory-distress monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1623424807803-XWAZS8OU5L5Y9B5WYW35/mygif.gif Home - COTW 6/11: 5 year old boy presents in respiratory distress - Make it stand out Here, the crew is assessing for any blood flow within the structure. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1623424541387-PI1E0RMEMVQ54BYBVSLI/mygif.gif Home - COTW 6/11: 5 year old boy presents in respiratory distress - Make it stand out You start with your parasternal long view… https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1623424865859-JL3SDQ7G0L20ZYT5S4OW/mygif.gif Home - COTW 6/11: 5 year old boy presents in respiratory distress - Make it stand out Such a smart move! Grab the linear probe and take a close look at the mediastinal mass. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1623424670440-F0A3GMBY99KPDX188QS1/mygif.gif Home - COTW 6/11: 5 year old boy presents in respiratory distress - Make it stand out On this view, you can still see the mediastinal mass anterior to the cardiac border https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1623424708004-KPSZCN8YUR5JNWMOE3VQ/mygif.gif Home - COTW 6/11: 5 year old boy presents in respiratory distress - Make it stand out The mediastinal mass obstructs your ability to get great PLAX views-> so you aim for the apical 4 chamber which allows you to evaluate cardiac LV function. This is key in a child with respiratory distress and hypoxemia. Particularly if you are worried about CHF or myocarditis. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1623424605991-ASVEBP2RFRK4SIOMZNNG/mygif.gif Home - COTW 6/11: 5 year old boy presents in respiratory distress - Make it stand out You notice that you have to move your probe pretty lateral on the child’s chest in order to get your PLAX view.. You also notice that there is an echogenic structure medial to the cardiac border. Do you guys see the heterogeneous structure? You are certain that its not the liver… and finally figure out that its likely a mass. https://www.kpsono.com/cotw/2021/3/27/cotw-327-82-year-old-woman-presents-after-an-mvc monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1616874598139-E953MWDMI3AT6W797I9Z/8FwPIOTrxf.gif Home - COTW 3/27: 82-year-old woman presents after an MVC https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1616874604296-EM6EGSVXM0A50TPXY6GY/dEOMMV0IP7.gif Home - COTW 3/27: 82-year-old woman presents after an MVC https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1616873700354-93YGC6KLJIU0X3MVCWRU/hfTkGK1PxZ.gif Home - COTW 3/27: 82-year-old woman presents after an MVC https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1616875208672-90AIEMIP4XESCFNLLSCN/dEOMMV0IP7.gif Home - COTW 3/27: 82-year-old woman presents after an MVC https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1616873577009-52YR1OWG8D6OWF83IOVO/Necfasc.jpg Home - COTW 3/27: 82-year-old woman presents after an MVC Right lower extremity wound https://www.kpsono.com/cotw/2021/2/14/cotw-4-year-old-with-lower-abdominal-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613312636755-Y4DOED7V8FJ6H8X41RDB/Screen+Shot+2021-02-14+at+6.23.46+AM.png Home - COTW: 4 year old with lower abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613311784770-LF5WGOIE8U7N40NK3TUV/Screen+Shot+2021-02-14+at+6.09.21+AM.png Home - COTW: 4 year old with lower abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613312218083-JI574IDQIAR8L8BT0ABK/mygif.gif Home - COTW: 4 year old with lower abdominal pain Lots of complex fluid ! is that the appendix within that fluid and “hot fat”? https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613312655758-7JE7VW874HF9J6RW3CU2/Screen+Shot+2021-02-14+at+6.22.44+AM.png Home - COTW: 4 year old with lower abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613312676919-AXN6Z7H9DKFQTHNPBMRT/Screen+Shot+2021-02-14+at+6.23.01+AM.png Home - COTW: 4 year old with lower abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613312424989-3WETGDSF0OK87VFD78DZ/mygif.gif Home - COTW: 4 year old with lower abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613312320214-DDR9948Q6N4JIY0CQYEH/mygif.gif Home - COTW: 4 year old with lower abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613311872992-M4GBVDGT2YBMZQVYAKBO/Screen+Shot+2021-02-14+at+6.11.01+AM.png Home - COTW: 4 year old with lower abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613312373295-RP12PY3MF9U2FE8H8SOJ/mygif.gif Home - COTW: 4 year old with lower abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1613312136706-0DPOADZ8CLF5OSTKTDAX/mygif.gif Home - COTW: 4 year old with lower abdominal pain Wow, right away you notice angry looking bowel… https://www.kpsono.com/cotw/2021/1/27/a-90-year-old-with-abdominal-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1611812112255-X430AY8AHO1U6R2EOJRP/Screen+Shot+2021-01-27+at+9.34.22+PM.png Home - A 90 year old with abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1611810689037-ZYYTUDF9JCQ4Z3R8PYAN/Screen+Shot+2021-01-27+at+9.09.58+PM.png Home - A 90 year old with abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1611811039547-JPWCXPF1KTTGSZUUMFJE/Screen+Shot+2021-01-27+at+9.16.46+PM.png Home - A 90 year old with abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1611812194943-EZFSJQA7UN63ZYR65JU7/image-asset.png Home - A 90 year old with abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1611811727194-TSCMKIC1AHNTF46S2HGO/XWuOXVvRMV.gif Home - A 90 year old with abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1611810727714-7JV8SM3YXNZS85N7FD15/XOMHrrsej7.gif Home - A 90 year old with abdominal pain Loop of dilated bowel with stagnant intraluminal contents https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1611811316989-3K0B66LIPKFRYAMM5KZG/Screen+Shot+2021-01-27+at+9.21.20+PM.png Home - A 90 year old with abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1611810888002-DJ7IKYLVJ65IVJ2IR1HG/image438240.jpg Home - A 90 year old with abdominal pain Dilated, fluid-filled small bowel https://www.kpsono.com/cotw/2021/1/14/cotw-114-86-yom-hx-of-htn-pw-1-week-of-fevers-and-epigastric-abdominal-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610694157661-JQ9TXVQZOOQEBGTI9YI9/Screen+Shot+2021-01-14+at+10.55.41+PM.png Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610694795136-IGSFYD2O1XSI13Y5DLZK/Screen+Shot+2021-01-14+at+11.12.41+PM.png Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610694017029-DTK08NH17EZG5VG171UY/1.gif Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain Right away, you notice there is something abnormal within the liver -> see next images for better definition. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610694660836-9DFWEB1G5IQ5YFRVGMTY/5malignancy.gif Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain A clip of complex/ heterogeneous lesions/echotexture concerning for malignancies https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610694219098-RIWX4QUH01S2IZXFL3AD/2.gif Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610695196154-NHUWMCQCPV3IG0WXIU39/Screen+Shot+2021-01-14+at+11.18.32+PM.png Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610695305725-D5424RAFBAARIQ47K14X/Screen+Shot+2021-01-14+at+11.20.54+PM.png Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610695236162-I4O4ZJOCOK5L7CUJ56LZ/Screen+Shot+2021-01-14+at+11.18.56+PM.png Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610694360359-ORWI1QF88LC5TPQVUC82/3.gif Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1610694509499-0ZH27OGEBA6U7D89CSH7/4cyst.gif Home - COTW 1/14: 86 yom presents with 1 week of fevers and mild epigastric abdominal pain A clip of a large simple liver cyst https://www.kpsono.com/cotw/2020/12/24/cotw-1224-a-42-year-old-man-with-finger-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1608852954028-J1U6PYG4L8UE37DO5APN/Screen+Shot+2020-12-24+at+3.32.33+PM.png Home - COTW 12/24: A 42-year old man with finger pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1608853224085-Z68S9DB4W84W3DPKKGWK/Screen+Shot+2020-12-24+at+3.39.51+PM.png Home - COTW 12/24: A 42-year old man with finger pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1608852869961-J18O99UCNX6RN4ST7032/Screen+Shot+2020-12-24+at+3.34.05+PM.png Home - COTW 12/24: A 42-year old man with finger pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1608853695135-WEIMI32HIG8VIL7KJZ6H/Screen+Shot+2020-12-24+at+3.47.45+PM.png Home - COTW 12/24: A 42-year old man with finger pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1608851317059-68JIN7TPJH9O5QGX5BWC/rHBvaBN3sR.gif Home - COTW 12/24: A 42-year old man with finger pain Linear probe held about 0.5 cm above the patient’s finger https://www.kpsono.com/cotw/2020/11/23/cotw-1122-a-20-day-old-infant-presents-after-a-fall-from-the-bed monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1606204433608-0HDEWHRKKP38E5A12OA8/Screen+Shot+2020-11-23+at+11.52.17+PM.png Home - COTW 11/22: A 20 day old infant presents after a fall https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1606205675684-5FP6YRHMYPP224J2P75S/sk1.gif Home - COTW 11/22: A 20 day old infant presents after a fall https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1606205612607-12QX4E0FXKYQYAQY829R/Screen+Shot+2020-11-24+at+12.13.01+AM.png Home - COTW 11/22: A 20 day old infant presents after a fall https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1606205743735-MI88AK2W7OFDXSZ6HFO0/skullfx4.gif Home - COTW 11/22: A 20 day old infant presents after a fall https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1606206549450-H4IOTYN0E1PQT2A5VELM/Screen+Shot+2020-11-24+at+12.28.22+AM.png Home - COTW 11/22: A 20 day old infant presents after a fall https://www.kpsono.com/cotw/2020/11/3/68-year-old-man-with-rib-pain-after-a-fall monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1604427689134-BPJ3UQUYMUVH9GQQNHXV/Screen+Shot+2020-11-03+at+10.21.06+AM.png Home - 68 year old man with rib pain after a fall https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1604427733410-1PREHZDTHSRZB62IX0G9/Screen+Shot+2020-11-03+at+10.11.51+AM.png Home - 68 year old man with rib pain after a fall https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1604427751344-P3GJ2A62X76EOQAU0Q5A/Screen+Shot+2020-11-03+at+10.10.22+AM.png Home - 68 year old man with rib pain after a fall https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1604425249192-GXXB2B6HYAVPF44FOP9F/Screen+Shot+2020-11-03+at+9.40.08+AM.png Home - 68 year old man with rib pain after a fall CT showed multiple contiguous rib fractures https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1604427824970-PLVX9FXIT7XJII1JHS07/Screen+Shot+2020-11-03+at+10.23.05+AM.png Home - 68 year old man with rib pain after a fall Image at the left shows more lateral rib cage where rib and pleural are visible, while the image at right shows transverse process without rib or pleura. This is the target for the ESPB. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1604428419541-EXU9197W8FSZMUISX8EC/h03itCvSem.gif Home - 68 year old man with rib pain after a fall Injection of anesthetic just inferior to the erector spinae muscle plane https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1604428508326-B8OWN8M4BRX3WICYDKAT/eSAVtRWyeq.gif Home - 68 year old man with rib pain after a fall https://www.kpsono.com/cotw/2020/9/10/cotw-920-a-case-of-bloody-urine monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1599798932725-5CQ29GSIWKGX7J765ZLX/image-asset.gif Home - COTW 9/20 : A 61 yo M presents with gross hematuria Adding color flow -> reveals a hypervascular mass within the bladder.. most concerning for a bladder mass https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1599797602125-J2U9BN9DIWIDS8W1JXAN/1.gif Home - COTW 9/20 : A 61 yo M presents with gross hematuria Right Kidney: Notable for moderate hydronephrosis https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1599798167838-0464CAG7AW4J31OS8WLY/3.gif Home - COTW 9/20 : A 61 yo M presents with gross hematuria A look at his Left Kidney… also notable for moderate hydronephrosis ( Color was also applied in a separate image) https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1599798433065-BC5H4MUT9IOB5HW8X3DL/5.gif Home - COTW 9/20 : A 61 yo M presents with gross hematuria The Sagittal view helps further differentiate whether this is a mass or enlarged prostate- this view is KEY ! https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1599797872953-XQ186FQPZAQBCP6IU0R5/2.gif Home - COTW 9/20 : A 61 yo M presents with gross hematuria Applying Color flow confirms evidence of hydronephrosis https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1599798309431-H306AYOFS8TL7F8HJVPU/4.gif Home - COTW 9/20 : A 61 yo M presents with gross hematuria Bladder view: …. is that an enlarged prostate? a mass? large blood clots? https://www.kpsono.com/cotw/2020/8/19/cotw-820-an-82yo-m-presents-with-chest-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1597891647612-U9JCUDI10TSDRATSBP7Z/normalA4.gif Home - COTW 8/20: An 82yo M presents with chest pain... https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1597892328383-G2JU5UQE0W2K0PH5Y6SZ/Coronarydistribution.JPG Home - COTW 8/20: An 82yo M presents with chest pain... https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1597891684213-NJHYMB92KFAR8K3KIQDV/normalPSS.gif Home - COTW 8/20: An 82yo M presents with chest pain... Parasternal short axis with concentric contraction of the left ventricle https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1597891572611-E35OVALXC9MQFU58SJA0/A5proxsetphypokinesis.gif Home - COTW 8/20: An 82yo M presents with chest pain... Apical four chamber view https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1597885954496-MT6SXFH0YW7Z7POE99AH/uucB1xZ9iP.gif Home - COTW 8/20: An 82yo M presents with chest pain... Parasternal short axis view https://www.kpsono.com/cotw/2020/5/5/cotw-55-year-old-man-presents-in-cardiac-arrest-under-cpr monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1588716552919-SIEU5O1H70LFTBKABUU8/vfibcpr+4.gif Home - COTW 5/5 62 year old man presents in cardiac arrest under CPR https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1588716516353-HMNG874ZO81LOA1LHOTB/tee+vfib+cpr+3.gif Home - COTW 5/5 62 year old man presents in cardiac arrest under CPR https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1588716410408-7DULEG1KIPY4JLTCFBUC/tee+cpr+1.gif Home - COTW 5/5 62 year old man presents in cardiac arrest under CPR https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1588716446494-I0OPKCH8ZBKFKGY5VJUA/vfibtee.gif Home - COTW 5/5 62 year old man presents in cardiac arrest under CPR https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1588716604381-WNBN7E9AVU9JAFC9F5B0/vfib+cpr+5.gif Home - COTW 5/5 62 year old man presents in cardiac arrest under CPR https://www.kpsono.com/cotw/2020/4/12/cotw-41220-a-13-yo-m-with-rlq-abdominal-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1586732839347-PBJGZA3LS2MBT57YQFV0/1.3.6.1.4.1.6052.3067616072.11586190650.4151844780159.jpg Home - COTW 4/12/20: A 13 y/o M with RLQ abdominal pain Short axis measurement well over the upper limit of normal for an appendix of 6mm. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1586732989519-O397M7EWC6731BRNMWLS/1.3.6.1.4.1.6052.3067616072.11586190669.4171018022162.jpg Home - COTW 4/12/20: A 13 y/o M with RLQ abdominal pain Longitudinal view shows similar measurements with surrounding edema. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1586733064786-FGBN6X3H0GLG3J52J4ZQ/appy+to+bowel.gif Home - COTW 4/12/20: A 13 y/o M with RLQ abdominal pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1586732458617-45RK702FDFQ7WJS6T6ZZ/non+compressible+appy.gif Home - COTW 4/12/20: A 13 y/o M with RLQ abdominal pain Found something! This fluid filled structure is located well into the RUQ. In fact, that’s the liver just to the left on the screen! As evidenced on this clip, it is not compressible by pressure. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1586732233840-OGN5YJA5VEOA50912BEL/lymph+nodes+RLQ.gif Home - COTW 4/12/20: A 13 y/o M with RLQ abdominal pain At the RQL, many lymph nodes may be seen. No clear sign of appy here, but the suspicion is quite high… https://www.kpsono.com/cotw/2020/3/21/cotw-322-25-year-old-male-presents-with-fever-and-shortness-of-breath monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1585352768229-0APREQH3RENFI0HZH0UL/endo54.gif Home - COTW 3/29: 25 year old male presents with fever and shortness of breath... This is his right anterior lung field. Note the confluent B-lines. There were no B-lines in the posterior or Left sided lung fields, making these findings focal. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1585353571466-5SLEUXRSFMEF33M2PWSU/endo1.gif Home - COTW 3/29: 25 year old male presents with fever and shortness of breath... https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1585353331479-GJS2P9RH8I0S1V8PUULV/endo2.gif Home - COTW 3/29: 25 year old male presents with fever and shortness of breath... https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1585353275633-TLX6Q9BM7JIZKH9FYQ7L/endo4.gif Home - COTW 3/29: 25 year old male presents with fever and shortness of breath... There is a significant amount of tricuspid regurgitation. https://www.kpsono.com/cotw/2020/3/9/cotw-march-9-2020-65-yo-m-with-worsening-dyspnea monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1583790865597-8L34ZY84H7JRH9Q8F5M8/1.3.6.1.4.1.6052.3067616072.11582928405.1710381757868.jpg Home - COTW March 10, 2020: 65 y/o M with worsening dyspnea https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1583789550723-4QLL6WHPM8WRW5GP0FHO/PLAX+massive+effusion.gif Home - COTW March 10, 2020: 65 y/o M with worsening dyspnea https://www.kpsono.com/cotw/2020/1/19/cotw-january- monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1580690110921-EEFWAC31Y9ZHN0ED11AK/unnamed.jpg Home - COTW February 1st, 2020 Note the subtle free air on both the left and right side below the diaphragm. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1580529176203-GZNXY06SVSK66YJIJOB7/free+air.gif Home - COTW February 1st, 2020 Note the reverberation artifact (a-lines). Normally the abdominal ultrasound should not look like a lung ultrasound. This image is suspicious for pneumoperitoneum. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1580529055696-99PCZM6YZFU1U7OZ2RXZ/RUQnofree+air.gif Home - COTW February 1st, 2020 You can often sit the patient up at 45 degrees or put them in reverse Trendelenburg to look for intraperitoneal air above the liver. You may see a small blip of free air at the tip of the liver near the end of the clip. https://www.kpsono.com/cotw/2019/12/15/cotw-december- monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1576453169515-LT7MODGZK7EHZW961670/image-asset.gif Home - COTW December 21st This image was obtained using the high frequency L10-5 linear transducer. Notice the hyperechoic dot sitting behind the retina within the optic nerve sheath. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1576453214527-AOXGO66VOI6VHF8HVIFJ/CROL20b.gif Home - COTW December 21st Here is another view where you can also see the hyperechoic dot as well as more vitreous hemorrhage. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1576453194194-KLN6EOVYY75EHHQGC5JW/image-asset.gif Home - COTW December 21st This is the same eye, but with the L20-5 high frequency linear transducer. Note the sharper image and the subtle vitreous hemorrhage not seen with the L10. https://www.kpsono.com/cotw/2019/12/14/cotw-december-14th-a-middle-aged-male-with-a-few-days-of-worsening-sob monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1576375461729-3BDEIXR93LF9DQ6TUKJ3/video366380.gif Home - COTW: December 14th: A middle-aged male with a few days of worsening SOB... PLAX: The LV function appears normal, but notice how the interventricular septum bulges away from the RV, also consistent with elevated RV pressures. Now focus on the RV free wall thickness, which is approximately 1cm. The normal upper limit of RV wall thickness is 5mm. This finding should not be present in acute pulmonary hypertension, as the RV needs enough time to remodel and show evidence of hypertrophy. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1576375480678-EVIY14DT48EOFDV60XWO/video366383.gif Home - COTW: December 14th: A middle-aged male with a few days of worsening SOB... A4CH shows a large RV as compare to the LV size. Further inspection shows the RV free wall is hypodynamic, whereas the RV apex appears hyperdynamic (RV apical wink). This is also known as McConnell’s sign, a sign of pulmonary hypertension. https://www.kpsono.com/cotw/2019/11/28/a-man-presents-with-chest-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1575222730254-QWLB6SBCS37UY5W7NBRE/apicalantstemi.gif Home - An elderly woman presented to the ED with a rash... Notice in this A4C view the septum and portion of the apex are hypokinetic. The patient was transferred, emergent PCI performed showing 100% LAD occlusion. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1575325223762-48RRU4QE55V2FIBLWIB7/ecg+stemi.jpg Home - An elderly woman presented to the ED with a rash... ST depressions in the inferior leads. STE in AVr, V2, and V3. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1575222385313-VRU2OG68H2RWCI1EZC47/anteriorstemi.gif Home - An elderly woman presented to the ED with a rash... Here the septum is akinetic and makes the RV appear hyperdynamic. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1575222636169-7DMYYTK1L51QHX08UN1F/anteriorstemi.gif Home - An elderly woman presented to the ED with a rash... In this PSX view the septum and the anterior wall are hypokinetic. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1575234485677-FBOZSVUJRWCPHMK2BCPQ/The-distributions-of-coronary-arteries-perfusion-in-17-segments-of-LV-on.png Home - An elderly woman presented to the ED with a rash... You can review your coronary artery anatomy and distribution on echo with the graphic above. Notice there is some overlap with the RCA and LAD at the septum. Shalbaf, Ahmad & Behnam, Hamid & Alizade-Sani, Zahra & Shojaeifard, Maryam. (2013). Automatic Classification of Left Ventricular Regional Wall Motion Abnormalities in Echocardiography Images Using Nonrigid Image Registration. Journal of digital imaging : the official journal of the Society for Computer Applications in Radiology. 26. 10.1007/s10278-012-9543-x. https://www.kpsono.com/cotw/2019/11/20/cotw-november-20th-a-70-yo-male-with-a-painful-erection monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1574320552778-S7YT2ES25K2QLCFIS3DV/penis+block.JPG Home - COTW November 20th: A 70 y/o male with a painful erection... https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1574320947911-0QOWNKE6CADYLTN5G2AZ/corpora++aspiration.gif Home - COTW November 20th: A 70 y/o male with a painful erection... https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1574320375306-O1RFC9END6OU9T7KYD1E/1.3.6.1.4.1.6052.3067616073.11573313085.64191662251984.gif Home - COTW November 20th: A 70 y/o male with a painful erection... https://www.kpsono.com/cotw/2019/11/3/cotw-november- monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1573237499438-DV1C5ZIK529G7E0RO9XS/Screen+Shot+2019-11-08+at+10.23.55+AM.png Home - COTW November 8th https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1573236729930-FJ2I4DONJFYMQ4RMCFNO/ppcmlong+axis.gif Home - COTW November 8th Parasternal long axis shows decreased EF as well as global hypokinesis. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1573236789486-01WJYAJXDLEWUWNRQKPM/ppcmshortaxis.gif Home - COTW November 8th Parasternal short axis shows global hypokinesis, but more prominent in the septal and anterior wall. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1573237806436-DU90F0WRD4B180CZ6UIO/baliatlas_ch13_f006.png Home - COTW November 8th https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1573236856230-3EJSOJC72SI6XNZ5DWMM/ppcma4c.gif Home - COTW November 8th Apical 4 chamber showing a normally functioning RV. Again Hypokinesis along the septum. https://www.kpsono.com/cotw/2019/10/20/cotw-october-20th-a-78-yo-f-with-severe-shortness-of-breath monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1571623515866-OX8AX6AXFWBWCNCSN4DN/1.3.6.1.4.1.6052.5067616073.11563399467.14296653633369_14471909.gif Home - COTW October 20th: A 78 y/o F with severe shortness of breath Lots of B Lines… https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1571623636709-16D76BD1NCCJARY31QQ1/video355425.gif Home - COTW October 20th: A 78 y/o F with severe shortness of breath https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1571623768626-L19D9ANNT7PTYSMS0UBF/1.3.6.1.4.1.6052.5067616073.11563399477.14306604927037_14471909.gif Home - COTW October 20th: A 78 y/o F with severe shortness of breath https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1571623187805-1VB3WY5R58BL0MZPWJWY/video355423.gif Home - COTW October 20th: A 78 y/o F with severe shortness of breath https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1571624831518-8R6VUOIXWTPTMK58PLZY/MR_LA_area.png Home - COTW October 20th: A 78 y/o F with severe shortness of breath https://www.kpsono.com/cotw/2019/10/1/cotw-october-4th-a-57-year-old-with-scrotal-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1570070147266-VVLFPW8CCUZKOWMLCZJ1/nl+testicle+gif.gif Home - COTW October 4th: A 57 year old with scrotal pain... https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1570065715666-0F70X8F0S8FJGD07XKFZ/deadtesticle.gif Home - COTW October 4th: A 57 year old with scrotal pain... https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1570066298145-FDNXDUC0JJ005BFX9HVV/Screen+Shot+2019-10-02+at+6.31.02+PM.png Home - COTW October 4th: A 57 year old with scrotal pain... Arterial waveform (left) Venous (right) (Radiopaedia.org) https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1570065808400-URFGQAFQFUZV0BQFAE3T/torsion.jpg Home - COTW October 4th: A 57 year old with scrotal pain... When compared with the contralateral testicle there is absent flow on power doppler. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1570065997952-DVF27EJHVW85GDT2FJYV/no+flow.gif Home - COTW October 4th: A 57 year old with scrotal pain... Note the absence of venous and arterial wave forms on pulse wave doppler. https://www.kpsono.com/cotw/2019/9/13/cotw-september-13th-a-75-yo-f-with-rlq-pain-for-about-a-week monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1568384980131-8501LS3PYQPYK18XHOSL/video345880.gif Home - COTW September 13th: A 75 y/o F with RLQ pain for about a week https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1568386308651-LDHQJXPTQ4QBJVNZNHQ1/1.3.6.1.4.1.6052.5067414068.11567199140.116506924213221.gif Home - COTW September 13th: A 75 y/o F with RLQ pain for about a week https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1568385056254-GVRLD3Y1PMPL1QGSRKEM/video340562.gif Home - COTW September 13th: A 75 y/o F with RLQ pain for about a week https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1568385042101-FNZ17L6FP29WAXIF7F5M/video340565.gif Home - COTW September 13th: A 75 y/o F with RLQ pain for about a week https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1568385087431-H52TSCCM0ADAIYUF5NPQ/image340567.jpg Home - COTW September 13th: A 75 y/o F with RLQ pain for about a week https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1568384995737-LLBT1X22HQP62FRQE02U/video345881.gif Home - COTW September 13th: A 75 y/o F with RLQ pain for about a week https://www.kpsono.com/cotw/2019/9/2/cotw-september-4th-a-90-year-old-man-with-chest-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1567656522695-ICGESEJZAYY2P7GEMO5U/Untitled4.gif Home - COTW September 4th: A 90 year old man with chest pain. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1567656508021-DYDZ1EMFD3CJEQMS1YON/Untitled+3.gif Home - COTW September 4th: A 90 year old man with chest pain. https://www.kpsono.com/cotw/2019/8/8/cotw-august-9th-34-year-old-female-with-pelvic-pain-and-vaginal-bleeding monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1565312389391-XR022DM35QQCHKRYO5KA/COTW+ectopic+uterus+mp4.gif Home - COTW August 27th: A 34 year old female with pelvic pain and vaginal bleeding... On this first clip you see the uterus without any obvious gestational sac or sign of IUP. Notice that there is a moderate amount of free fluid within the pelvis surrounding the uterus. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1565312478435-G4GPFCWBSNQ6YDLNHJUM/COTW+ectopic++NOT+marked.gif Home - COTW August 27th: A 34 year old female with pelvic pain and vaginal bleeding... On this next clip we see the adnexa and the first thing we see is a structure that appears to be an ovary with small follicles within it. However, adjacent to it you will notice that there is an echogenic mass that doesn’t quite appear to be part of the ovary itself. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1565312661566-AHRQ656A431APPW4W7L0/COTW+ectopic+marked.gif Home - COTW August 27th: A 34 year old female with pelvic pain and vaginal bleeding... This clip highlights the distinct areas and the mass that his highly suspicious for an ectopic pregnancy. https://www.kpsono.com/cotw/2019/8/1/cotw-august-1st-a-3-year-old-male-with-intermittent-abdominal-pain-for-3-days monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1564697675245-7MWVS1D14NQZ0HVCIMB7/ezgif.com-optimize.gif Home - COTW August 1st: A 3-year old male with intermittent abdominal pain for 3 days... https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1564697053160-BHO3M2Z2AJ80LKZ3SFSK/intu+2.gif Home - COTW August 1st: A 3-year old male with intermittent abdominal pain for 3 days... https://www.kpsono.com/cotw/2019/6/25/cotw-june-25-an-elderly-lady-with-epigastric-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1561491327622-LFQCTKB0R39P9FXZ6QCM/Flap.gif Home - COTW June 25: An Elderly Lady with Epigastric Pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1561491127733-MRC93MWIZVNC6RRGMR62/Extra+Chamber.gif Home - COTW June 25: An Elderly Lady with Epigastric Pain https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1561491193462-SKEC8JN1T9OFXS37DEAR/Measurement.jpg Home - COTW June 25: An Elderly Lady with Epigastric Pain https://www.kpsono.com/cotw/2019/6/17/cotw-right-eye-lacrimation-and-swelling monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1560797444632-S2NKYCV2LDOSRV7N0L3V/1.3.6.1.4.1.6052.9067618070.11556053173.15871258584223_crop.gif Home - COTW: Right eye lacrimation and swelling https://www.kpsono.com/cotw/2019/5/19/case-of-the-week-month-projectile-vomit-in-an-infant monthly 0.5 2024-06-19 https://www.kpsono.com/cotw/2019/4/24/cotw-april-24-the-case-of-thewhat-on-earth-is-going-on-with-that-ruq monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1556138284041-N38R2XXVJJJNH3NI94JK/COTW+Portal+System+Pneumatosis.gif Home - COTW April 24: The Case of the...What on Earth is Going On with that RUQ? https://www.kpsono.com/cotw/2019/3/28/cotw-just-a-little-bit-of-a-aortic-dissection monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1553802719302-FRNJRPU731UBVQT18C5U/Aorta.jpeg Home - COTW: Just a little bit of an aortic dissection Aortic dissection is apparent as there are 2 separate enhancing lumens of the aorta. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1553802492100-4WBC9IHQBOS45ZST4O4F/1.3.6.1.4.1.6052.3067616072.11550012381.25841566477745_crop.gif Home - COTW: Just a little bit of an aortic dissection Distal aorta in long-axis. https://www.kpsono.com/cotw/2019/3/14/cotw-march-14-the-short-of-breath-teenager monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1553117234131-TJWYBY3A63BM67Q36VH9/COTW.gif Home - COTW March 21: The Short of Breath Teenager https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1552600961250-7HBFX8CL87UHY89N9XCC/AP+CXR Home - COTW March 21: The Short of Breath Teenager https://www.kpsono.com/cotw/2019/2/15/catw-the-curious-case-of-the-foley-corndog monthly 0.5 2024-06-19 https://www.kpsono.com/cotw/2019/2/7/wstn1obzuovdaae313hjf58fth8tr0 monthly 0.5 2024-06-19 https://www.kpsono.com/cotw/2019/2/7/cotw-a-swollen-painful-testicle monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1549586722205-JIXVJ3QCWPICC5AYX76X/1.3.6.1.4.1.6052.3067616072.11548969742.5308600261964_crop.gif Home - COTW: A painful testicle https://www.kpsono.com/cotw/2019/1/31/ultrasound-of-the-week monthly 0.5 2024-06-19 https://www.kpsono.com/cotw/2019/1/17/cotw-abdominal-pain monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1547751555676-C7J38O85BQ8THCK9P7G4/aaa.jpg Home - COTW - Abdominal Pain https://www.kpsono.com/cotw/2019/1/17/speckle-tracking-over-breakfast monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1547751726932-YIWBFZC3LKCG0H6OBXMS/IMG_3163.jpg Home - Speckle tracking over breakfast https://www.kpsono.com/cotw/2018/10/9/kpsd-leads-acep-critical-care-us-workshops monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1539108822000-WAZJRPTRAF4FWA4YV0RP/image-asset.jpeg Home - KPSD leads ACEP Critical care US Workshops https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1539108830618-Q23DHQSCWW2VQRG5RO4B/image-asset.jpeg Home - KPSD leads ACEP Critical care US Workshops https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1539108831032-4LKW3YXWA832KP5YJPVJ/image-asset.jpeg Home - KPSD leads ACEP Critical care US Workshops https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1539108831180-Q46YTHPM4VTIVZKDUYG1/image-asset.jpeg Home - KPSD leads ACEP Critical care US Workshops https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1539108831832-ACMSHWZV4Y9E93Z1TVUV/image-asset.jpeg Home - KPSD leads ACEP Critical care US Workshops https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1539108832062-9A94S2F4PNJ60EPH44Y6/image-asset.jpeg Home - KPSD leads ACEP Critical care US Workshops https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1539108832272-LSIFYW87SAKTMO6K69WO/image-asset.jpeg Home - KPSD leads ACEP Critical care US Workshops https://www.kpsono.com/cotw/2018/9/22/kpsd-hosts-first-ever-southwest-ultrasound-regional-fellowship-surf-conference monthly 0.5 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1537647445031-ITZH7JMOBAGLA276Z4YG/7B4771AD-281C-4977-BBC8-6A4F1A7AAB54.jpeg Home - KPSD hosts first ever Southwest Ultrasound Regional Fellowship (SURF) Conference https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1537647445498-APSUR463KJVQ1RAPJO1F/40F66D3E-16B8-4402-AB6E-42D2B8F4AC9C.jpeg Home - KPSD hosts first ever Southwest Ultrasound Regional Fellowship (SURF) Conference https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1537647453715-1NAQIG6KCK762XI2APMG/43CB81DF-2756-4DB5-9F73-12F6CAA7DA4C.jpeg Home - KPSD hosts first ever Southwest Ultrasound Regional Fellowship (SURF) Conference https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1537647452010-351EJ7W2K2LUB6WJR6D1/65FF9796-9349-404A-BA7C-7D22C2C2D38F.jpeg Home - KPSD hosts first ever Southwest Ultrasound Regional Fellowship (SURF) Conference https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1537647457635-8U8UGG2X1Z0AHCWMBMGW/F005DBC3-E478-4899-AE0F-4E0BEA68D6CF.jpeg Home - KPSD hosts first ever Southwest Ultrasound Regional Fellowship (SURF) Conference https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1537647467105-ARV7ETR9QUJ7UQJAMU88/F6A93F16-FDC7-4749-9B28-9260FF6DF53B.jpeg Home - KPSD hosts first ever Southwest Ultrasound Regional Fellowship (SURF) Conference https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1537647461416-QWI9ZP1QAQZLKFP8T9TS/FB700CE5-52B7-47F0-BE94-BDCD98D14050.jpeg Home - KPSD hosts first ever Southwest Ultrasound Regional Fellowship (SURF) Conference https://www.kpsono.com/cotw/2018/9/21/kaiser-fellowship-featured-on-aliem monthly 0.5 2024-06-19 https://www.kpsono.com/cotw/2018/9/22/august-journal-articles monthly 0.5 2024-06-19 https://www.kpsono.com/cotw/category/Case+of+the+Week monthly 0.5 https://www.kpsono.com/cotw/tag/Case+of+the+Week monthly 0.5 https://www.kpsono.com/fellowship daily 0.75 2025-07-18 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/21dd551a-be3a-4335-83f8-d39269f4101f/IMG_8822+5.jpg Fellowship - Dasia Esener, MD, MS Division Director and Co-Fellowship Director EM Residency and Fellowship: Tufts University/Baystate Medical Center Years in Position: Since 2015 National Positions: Prior Co-chair of ACEP Ultrasound Section Fellow subcommittee Current Co-Editor for ACEP’s Sonoguide https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/8c54970f-5c78-4784-aba8-3e570625a158/IMG_2468+4.jpg Fellowship - Gabe Rose, DO Co-Fellowship Director EM Residency: Mt. Sinai Medical Center, Miami Beach, FL Ultrasound Fellowship: Mount Sinai West/Morningside (St. Luke’s Roosevelt) Years in Position: Since 2019 National Positions: Current Co-Editor for ACEP’s Sonoguide https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540034202660-80SFMBBIWS5IVPWQWENW/DSC_1367+%281%29.JPG Fellowship https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540033542006-5JKH1CMPKDZF6T7FDN85/image-asset.png Fellowship https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540034377349-J54MAH4HY3ZP63HT96FX/1.png Fellowship https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a33b7b8e-2e82-4b38-9995-44d61aa7b48d/IMG_2929.JPG Fellowship https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540018703068-J1HSVH7OO134QKK9MVN2/mccorkell+lecturing.jpeg Fellowship Past Fellow Peter McCorkell giving a lecture at the inaugural Southwest Ultrasound Regional Fellow’s (SURF) Conference hosted by Kaiser San Diego. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540018703068-J1HSVH7OO134QKK9MVN2/mccorkell+lecturing.jpeg https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/bc5cd600-d93f-46c0-b489-e511f40b3463/Ellen+TEE+Simulator.jpg https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540034202660-80SFMBBIWS5IVPWQWENW/DSC_1367+%281%29.JPG https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/8c54970f-5c78-4784-aba8-3e570625a158/IMG_2468+4.jpg https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/a33b7b8e-2e82-4b38-9995-44d61aa7b48d/IMG_2929.JPG https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/0193d4dd-d670-42b5-abd2-de928607f3ac/KP-SDMC.jpg https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540033542006-5JKH1CMPKDZF6T7FDN85/image-asset.png https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/21dd551a-be3a-4335-83f8-d39269f4101f/IMG_8822+5.jpg https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1639033486134-3XM4N9CT4T40RJNEX11M/IMG_1027.JPG Fellowship https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1617857433116-IME3KW8YZD3OEC2J7D9V/IMG_1756.jpg Fellowship https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1594540701601-AUTYK02YJPSKIW1FHUH2/IMG_6154.JPG Fellowship https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540032699922-2OUQBKQCHQ51T1TXG53F/IMG_3437.JPG Fellowship https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540032694864-WCD9PH6LD4L4DA21RDA3/IMG_1301.PNG Fellowship https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540034872981-VNE8VQJLECCOUBOY5P9W/surfing+at+journal+club.JPG Fellowship 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https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1540034377349-J54MAH4HY3ZP63HT96FX/1.png https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1537602787403-3EXTWLGM07OKRJ1FE816/group+shot+tee.jpg Fellowship https://www.kpsono.com/acep-bedside-echo-references daily 0.75 2020-11-19 https://www.kpsono.com/aceplab daily 0.75 2020-11-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1572279047112-9XHG0C17ZH0NWBM489LM/Screen+Shot+2019-10-28+at+10.10.19+AM.png ACEP Critical Care Ultrasound Lab Card PDF link for laminated cards HERE https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1572279047112-9XHG0C17ZH0NWBM489LM/Screen+Shot+2019-10-28+at+10.10.19+AM.png ACEP Critical Care Ultrasound Lab Card PDF link for laminated cards HERE https://www.kpsono.com/zonare daily 0.75 2020-11-19 https://www.kpsono.com/surf2020 daily 0.75 2024-07-03 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1600643676867-EFACXXIH7C84B2EHMEV1/Screen+Shot+2020-09-20+at+4.14.19+PM.png SURF Conference 2020 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1600643676867-EFACXXIH7C84B2EHMEV1/Screen+Shot+2020-09-20+at+4.14.19+PM.png SURF Conference 2020 https://www.kpsono.com/funbag daily 0.75 2024-06-19 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1600973897310-HHT6HBPHO45J1FLOZXX4/EFZVIk_XkAUGNHP.jpg Theodoro's SURF 2020 Fun Bag https://www.kpsono.com/surf2021 daily 0.75 2024-07-03 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1630213524422-2KQG0K4D6B8T2JYY7J8E/IMG_4006+2.JPG SURF Conference 2021 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1630213705386-WSKA3FY2SRK8CMR5SYXM/IMG_3970+3.jpg SURF Conference 2021 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1630023243218-DW2GI9MEKUUQP7XP7X6O/Screen+Shot+2021-08-26+at+5.13.31+PM.png SURF Conference 2021 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1630213524422-2KQG0K4D6B8T2JYY7J8E/IMG_4006+2.JPG SURF Conference 2021 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1630023243218-DW2GI9MEKUUQP7XP7X6O/Screen+Shot+2021-08-26+at+5.13.31+PM.png SURF Conference 2021 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1630213705386-WSKA3FY2SRK8CMR5SYXM/IMG_3970+3.jpg SURF Conference 2021 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1630048692943-SQIKQXCS1FFCQLDYV6U6/Screen+Shot+2021-08-27+at+12.17.58+AM.png SURF Conference 2021 https://www.kpsono.com/travelinfo daily 0.75 2025-04-29 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1630213557585-EA5Y3IGRKHYOL2W6KW0M/Screen%2BShot%2B2021-08-11%2Bat%2B12.18.37%2BAM.png Travel Info - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1630213557585-EA5Y3IGRKHYOL2W6KW0M/Screen%2BShot%2B2021-08-11%2Bat%2B12.18.37%2BAM.png Travel Info - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/ss2021 daily 0.75 2021-10-30 https://www.kpsono.com/surf2022 daily 0.75 2024-07-03 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/b96a30bf-1b44-45b5-a9f8-15232f45fc94/Screen+Shot+2022-08-23+at+10.22.52+PM.png SURF Conference 2022 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/59ba5b76-4c9f-4cf9-a43c-9591a7142ff6/2f25d065-4554-46fd-8a25-5c1587234ede.JPG SURF Conference 2022 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/041648be-38a2-495f-a2ca-4239bc8b4c44/IMG_4003.JPG SURF Conference 2022 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/59ba5b76-4c9f-4cf9-a43c-9591a7142ff6/2f25d065-4554-46fd-8a25-5c1587234ede.JPG SURF Conference 2022 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/041648be-38a2-495f-a2ca-4239bc8b4c44/IMG_4003.JPG SURF Conference 2022 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/b96a30bf-1b44-45b5-a9f8-15232f45fc94/Screen+Shot+2022-08-23+at+10.22.52+PM.png SURF Conference 2022 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/teachinglinks daily 0.75 2025-05-24 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/8ea40fd2-b611-47d0-9650-f3a1ae0bff12/Screen+Shot+2022-10-28+at+6.17.38+PM.png Teaching links - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/12823062-2969-405e-ba6f-8565325d356a/Screen+Shot+2022-10-28+at+6.17.14+PM.png Teaching links - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/12823062-2969-405e-ba6f-8565325d356a/Screen+Shot+2022-10-28+at+6.17.14+PM.png Teaching links - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/8ea40fd2-b611-47d0-9650-f3a1ae0bff12/Screen+Shot+2022-10-28+at+6.17.38+PM.png Teaching links - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/434b8c4f-6b3b-40a2-b70a-be8ad25f8d29/Screenshot+2025-05-23+at+11.59.17%E2%80%AFPM.png https://www.kpsono.com/kidneystone daily 0.75 2022-10-25 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/6aae7e4b-720f-4dc6-84a4-e75f53b6a0c9/Screen+Shot+2022-10-25+at+9.54.05+AM.png kidneystone - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/6aae7e4b-720f-4dc6-84a4-e75f53b6a0c9/Screen+Shot+2022-10-25+at+9.54.05+AM.png kidneystone - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.kpsono.com/mskaid daily 0.75 2023-01-12 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/36c2d82a-3365-411e-8d24-871274aa81e3/ankle1.jpg MSKaid ANKLE https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/3eb596b2-0b78-4e9e-a82e-9810c78bb09f/hip.jpg MSKaid HIP https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d81809e4-d822-4f77-ac44-ca43946c93b2/shoulder1.jpg MSKaid SHOULDER https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e968ebd3-86df-4a6b-89f3-8bf821c0d8d5/wrist.jpg MSKaid WRIST https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/187e0638-aef7-4c4b-8fa6-fc5002ca7d33/elbow.jpg MSKaid - Make it stand out ELBOW https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d8f65704-64e0-4529-aaf4-8d92970a3eaa/knee.jpg MSKaid KNEE https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/3eb596b2-0b78-4e9e-a82e-9810c78bb09f/hip.jpg MSKaid HIP https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d81809e4-d822-4f77-ac44-ca43946c93b2/shoulder1.jpg MSKaid SHOULDER https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/187e0638-aef7-4c4b-8fa6-fc5002ca7d33/elbow.jpg MSKaid - Make it stand out ELBOW https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d8f65704-64e0-4529-aaf4-8d92970a3eaa/knee.jpg MSKaid KNEE https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/36c2d82a-3365-411e-8d24-871274aa81e3/ankle1.jpg MSKaid ANKLE https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e968ebd3-86df-4a6b-89f3-8bf821c0d8d5/wrist.jpg MSKaid WRIST https://www.kpsono.com/knee-arthro daily 0.75 2023-01-12 https://www.kpsono.com/elbow-arthro daily 0.75 2023-01-12 https://www.kpsono.com/ankle-arthro daily 0.75 2023-01-12 https://www.kpsono.com/wrist-arthro daily 0.75 2023-01-12 https://www.kpsono.com/hip-arthro daily 0.75 2023-01-12 https://www.kpsono.com/shoulder-arthro daily 0.75 2023-01-12 https://www.kpsono.com/surf2023 daily 0.75 2024-07-03 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d06cd1f8-c99b-4f83-8623-ca54d00822b1/62fe03e0-5ab2-4801-b472-af1b711497e0+2.JPG SURF Conference 2023 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e9357950-48d3-4e82-87d6-6c52663221a1/Screenshot+2023-08-20+at+5.41.19+PM.png SURF Conference 2023 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/df10b4aa-3ff6-4b33-8ea4-d291fb698868/LA_2023.png SURF Conference 2023 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1693265211100-QIBV5IF5UQQ6GAY2JW43/6914f90d-e3b1-4d73-83ec-24a9a119b37f.JPG SURF Conference 2023 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1693265211034-RZ32EJAENBNCT1VIYDTT/4967e9f1-4c3a-458d-ac77-fcc1459ef87b.JPG SURF Conference 2023 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1693265217141-R5B73IBN2KG5OUSENGDG/IMG_4115.JPG SURF Conference 2023 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1693265217698-XP50N383LXBJZL61IDRJ/IMG_4120+2.JPG SURF Conference 2023 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/e9357950-48d3-4e82-87d6-6c52663221a1/Screenshot+2023-08-20+at+5.41.19+PM.png SURF Conference 2023 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1690439466666-7FTI268WJL5XUH8S4EE8/SURF+2023+Recs+2.jpg SURF Conference 2023 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/1690439467385-72ICGRCG95GNHEZJBBGU/SURF+2023+Recs+5.jpg SURF Conference 2023 https://images.squarespace-cdn.com/content/v1/5ba5518a8d97402ca6098312/d06cd1f8-c99b-4f83-8623-ca54d00822b1/62fe03e0-5ab2-4801-b472-af1b711497e0+2.JPG SURF Conference 2023 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. 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