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 (B12)
Question 1:
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The following ultrasound is performed on a patient transferred from an outlying facility as a burn trauma.
a) What exam is being performed? (2pts)
b) If you see any pathologic fluid, what anatomical spaces is it in? (4pts)
c) After performing this exam you are notified by staff that the patient has an AKI and poor UOP. How best would your proceed in caring for this patient? (4pts)
Courtesy of EJ
a) What exam is being performed? (2pts)
b) If you see any pathologic fluid, what anatomical spaces is it in? (4pts)
c) After performing this exam you are notified by staff that the patient has an AKI and poor UOP. How best would your proceed in caring for this patient? (4pts)
Courtesy of EJ
Question 2:
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The following ultrasound is performed on a patient
a) What is being examined? (2pts) b) What landmark confirms this for you? (4pts) c) When performing this exam formally, what is the most superior structure and inferior anatomic landmark that delineate the area that needs visualization for a complete exam? (4pts) Courtesy of JB |
Question 3:
Question 4:
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A patient presents as an intubated trauma after a MVC. The patient had a prolonged extrication and their right knee was pinned inbetween the dash and the carseat. The patient has notable swelling around the knee and a bump in their mid anterior thigh. The orthopedic resident has been consulted regarding a c-spine fracture, however after examining the patient has concern regarding a possible tendon rupture due to the swelling in the right leg. To aid in their decision making you perform the following ultrasound of the knee.
a) What structure is being evaluated on video 1? (3pts)
b) What structure is being evaluated on video 2? (3pts)
c) What is your interpretation of the ultrasound images? (4pts)
Courtesy of RT & EJ
a) What structure is being evaluated on video 1? (3pts)
b) What structure is being evaluated on video 2? (3pts)
c) What is your interpretation of the ultrasound images? (4pts)
Courtesy of RT & EJ