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 (B6)
Question 1:
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2 |
The following ultrasound is performed on a patient with hypotension
a) What exam is being performed? (2pts)
b) What is your interpretation? (2pts)
c) What anatomical region is being examined in image 1? (3pts)
d) What anatomical region is being examined in image 2? (3pts)
Courtesy of CT
a) What exam is being performed? (2pts)
b) What is your interpretation? (2pts)
c) What anatomical region is being examined in image 1? (3pts)
d) What anatomical region is being examined in image 2? (3pts)
Courtesy of CT
Question 2
The following ultrasound is performed on a patient with hypotension
a) What exam is being performed? (2pts)
b) What is your interpretation? (2pts)
c) In what patient population can collapsibility be used as a static measure of volume status? (3pts)
d) What measurement threshold corresponds to a CVP < 8mmHg? (3pts)
Courtesy of CT & JE
a) What exam is being performed? (2pts)
b) What is your interpretation? (2pts)
c) In what patient population can collapsibility be used as a static measure of volume status? (3pts)
d) What measurement threshold corresponds to a CVP < 8mmHg? (3pts)
Courtesy of CT & JE
Question 3:
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The following ultrasound is performed on a patient with hypotension
a) What cardiac view is being obtained? (3pts) b) How would you optimize this image? (3pts) c) What is your interpretation? (4pts) Courtesy of CT |
Question 4:
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The following ultrasound is performed on a patient with hypotension after obtaining ROSC after a vfib arrest
a) What cardiac view is being obtained? (3pts) b) How would you optimize this image? (3pts) c) What leads would you expect to see ST elevations on this patient? (4pts) Courtesy of CT |