Ultrasounds Of The Block
Welcome to SIU's EM Residency "Ultrasounds of the Block" curriculum (formerly known as "Ultrasound of the Month"). First instituted as a friendly competition to spark increased volume of bedside studies, it has now become a melee of ultrasound fun. As part of an asynchronous curriculum in emergency ultrasound, all ultrasounds performed at our clinical sites are reviewed for quality assurance by ultrasound director. Each block a few images/clips are selected because of an interesting finding, a high quality image showing great anatomy, or because they carry an important teaching point. These “Ultrasounds of the Block” are then displayed online with clinical vignettes and questions to test residents and their knowledge. The competition aspect of the curriculum is that residents gain points by performing any selected "Ultrasounds of the Block" and for answering monthly questions correctly. Each year a winner is announced based on overall points and surprised with trophy gifts to cherish and gloat about for the many years to come.
Past "Ultrasounds of the Block" can be viewed by clicking here. This blocks "Ultrasounds of the Block" can be viewed below.
Ultrasounds Of The Block (B11)
Question 1:
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A patient presents with abdominal pain and the following ultrasound is performed? What landmarks should be included in this study to confirm you are assessing the correct organ/structure (can pick more than one)? (10pts)
a) left portal vein b) right portal vein c) hepatic artery d) common bile duct e) median lobar fissure f) main lobar fissure Courtesy of ROT |
Question 2
The following measurement is made on the above ultrasound. Ideally the anterior wall is measured as it is more reproducible and effected by artifact. Which pairing correctly matches the most common artifact that can skew the measurement made on the associated wall? (10pts)
a) posterior, acoustic enhancement b) superior, reverberation c) superior, attenuation d) inferior, speed error Courtesy of ROT |
Question 3:
The following ultrasound is performed on a patient 35 y/o male with no known medical problms who presents with flank pain and vomiting. What is the most appropriate disposition? (10pts)
a) NSAIDS, strainer b) Foley catheter placement c) Subspecialty surgical consultation in the ED d) Close follow-up with PCP for further imaging and characterization Courtesy of ROT |
Question 4:
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The following ultrasound is performed on a 30 y/o patient presents with abdominal pain. What is true regarding the abnormality seen? (10pts)
a) Most cases are caused by autosomal recessive genes b) Patients seldom present with abdominal/flank pain c) Can be diagnosed on this patient with this image alone d) Can be diagnosed on this patient if the exam is repeated on the other side with similar findings Courtesy of ROT |