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 (B7)
Question 1: Back to basics...
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The following ultrasound exam is performed on a patient. Please answer the following:
- The probe and exam setting being used (1pts) - The views obtained in order top to bottom (4pts) - List how the image could be optimized (1pts) - Your interpretation of the images (4pts) Extra Credit MCQ (5pts): Given the findings on ultrasound, which of these patients would have an indication for surgery with no further need for adjunct imaging? (Choose ALL THAT APPLY) A - A 60 y/o MCV rollover with stable vitals B - A 20 y/o who was kicked in the abdomen with unstable vitals C - A 20 y/o GSW to the abdomen with stable vitals D - A 60 y/o multiple stab wounds to the back with unstable vitals (Courtesy of MM) |
Question 2: Just keep swimming...
The following ultrasound was performed on a patient. Please list the following:
- The probe and exam mode setting being used (2pts) - The cardiac view obtained (2pts) - List how the image could be optimized (3pts) - Your interpretation of the images (3pts) |
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Extra Credit MCQ (5pts): What finding constitute sonographic tamponade?
(Choose the best answer)
A - LV collapse during systole
B - LV collapse during diastole
C - AV collapse during systole
D - AV collapse during diastole
(Courtesy of JC, MM)
(Choose the best answer)
A - LV collapse during systole
B - LV collapse during diastole
C - AV collapse during systole
D - AV collapse during diastole
(Courtesy of JC, MM)
Question 3: FASTer
The following ultrasound if obtained on a patient with transient right flank pain. List the following:
- The probe and exam setting being used (2pts) - The view obtained (include axis and region/organ being examined) (2pts) - List how the image could be optimized (3pts) - Your interpretation of the image (3pts) |
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Extra Credit MCQ (5pts): What characteristics suggest an obstruction regarding the finding seen above?
(Choose ALL THAT APPLY)
A - Seeing > 2 per min
B - Each lasting > 6 sec duration
C - Each having > 20 cm/s peak velocity
D - Seeing none after observing for 120 sec
(Courtesy of JC)
(Choose ALL THAT APPLY)
A - Seeing > 2 per min
B - Each lasting > 6 sec duration
C - Each having > 20 cm/s peak velocity
D - Seeing none after observing for 120 sec
(Courtesy of JC)
Question 4: What am I looking at?
The following ultrasound is obtained on a patient.
What diagnosis does this patient have? (5pts) What treatment does this patient need? (5pts) |
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Extra Credit MCQ (5pts): Please select how this patient most likely presented?
(Choose the best answer)
A - Chest pain and shortness of breath
B - Fever and redness to skin
C - Lower abdominal pain and inability to urinate
D - Unresponsive with a distended abdomen
(Courtesy of JG)
Question 5: Seriously... for a paronychia?
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The following ultrasound procedure was obtained on a patient with a paronychia. Please list the following:
- The probe and exam setting being used (2pts) - The anatomical structure being visualized in the forearm (3pts) - Was this procedure done in plane or out of plane? (2pts) - What three fingers could this paronychia have been on assuming this procedure was done to help the patient tolerate the I+D. (3pts) (Courtesy of TP) |