A 48 year-old female with idiopathic intracranial hypertension (IIH), with recent shunt removal, presented with increasing right eye vision loss over the last week, headache, and left-sided weakness. Her outpatient neuro-ophthalmologist referred her to the emergency department from clinic for a question of intracranial abscess, optic neuritis, or worsening IIH. She needed an MRI as soon as possible to rule-out these dangerous pathologies. A quick chart review showed that she has needed multiple central lines placed in the past, due to difficult IV access. The nurse was unable to place a peripheral IV…

Ultrasound, ProceduresMichael TcheyanJune 19, 2020Ultrasound, IV, intravenousComment

Learning a Hands-on Skill in a Hands-off World: Ultrasound in the Age of COVID

This blog is meant to review some of the resources that helped me with this “hands-off” learning experience. There is no substitute for hands-on practice with ultrasound, but these sites were still an invaluable resource to my pandemic home ultrasound rotation…

Ultrasound, Medical EducationGiovanna DelucaMay 29, 2020ultrasound, medical educationComment

Brown Sound: Lung Ultrasound for COVID-19

SARS-CoV-2/COVID-19 is a novel coronavirus first identified in Wuhan, China in late 2019. There are many types of human coronavirus which cause mild symptoms, but COVID-19 is a new disease which has caused a global pandemic. In COVID-19 infection, there are specific findings seen on point-of-care lung ultrasound (LUS) which correlate to computed tomography findings. Thus, LUS may have an important role in the screening, diagnosis, and prognosis of patients presenting with an influenza like illness (ILI)…

Ultrasound, Infectious DiseaseBrendan InnesApril 29, 2020POCUS, lung ultrasound, COVID19, coronavirusComment

Brown Sound: Point-Of-Care Ultrasound Diagnosis of Pyloric Stenosis

An ex-full term six-week old male presented to the pediatric emergency department with three weeks of forceful, non-bloody, non-bilious emesis. He was having two to four episodes of vomiting that occurred after feeding. Three weeks prior, the patient had been transitioned from breast milk to formula, and attempts to thicken the formula by adding rice had not improved his vomiting. More recently, he had poor PO intake and his parents were concerned about his weight. He had no fevers, no change in number of wet diapers or stooling, and no other acute complaints…

Ultrasound, PediatricsSean ReidApril 17, 2020Ultrasound, Pyloric stenosis, pediatricsComment

Brown Sound: Ultrasound Diagnosis of Ectopic Pregnancy

A 36 year-old female presented with the acute onset of abdominal pain and sweating. She had taken multiple home pregnancy tests, all of which were positive, and then experienced a bout of severe dizziness. On physical exam, she was very pale, and had a flat, but tender abdomen. Soon after arrival, the patient became unresponsive, but was still breathing with rapid pulses. She was placed in reverse trendelenburg, and multiple attempts were made to get an automated blood pressure reading with no luck. Finally, a manual blood pressure of 70/58 was obtained. Fluid resuscitation was initiated and bedside ultrasound was performed…

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