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 (B4)
Question 1:
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The following FAST is performed on a adolecent patient involved in an MVC. They have bruising around their chest from a steering wheel. They are intubated and unresponsive.
a) What is your interpretation? (2pts) b) What adjunct testing would you order given the abnormality you see? (2pts) c) What four anatomical spaces need to be assessed for free fluid when performing a RUQ/LUQ view? (4pts) d) What spaces, if any, are not being assessed on the given RUQ/LUQ views? (2pts) Courtesy of BC, BH, AM, N, & JL |
Question 2:
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The following ultrasound is performed on a patient with dyspnea.
a) Is this probe in the long or short axis of the body? (2pts) b) What are the two main clinical questions an US of the lung can help answer? (2pts) c) What are your answers to this question? (2pts) d) Name two types or artifact seen on this ultrasound? (4pts) Courtesy of AH |
Question 3:
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The following ultrasound is obtained on a patient with chest pain.
a) What cardiac view could this be? (2pts) b) How could this image be optimized? (2pts) c) Does this patient have any left ventricular dysfunction? (2pts) d) What findings help you answer part "c"? (4pts) Courtesy of AH |
Question 4:
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The following ultrasound is performed on a patient with diarrhea and abdominal pain visiting from the Philipines.
a) What organ is being examined? (2pts) b) What is your interpretation? (2pts) c) What is the most likely culprit of this patients findings? (3pts) d) How would you treat this patient? (3pts) Courtesy of BC & RS |
question 5:
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The following ultrasound is performed in the RUQ.
a) Is the probe in the long or short axis of the body? (2pts) b) What abnormalities do you see? (2pts) c) Provide a clinical vignette for this patient? (6pts + Creativity pts) Courtesy of AM |