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:
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The following ultrasound is obtained on a patient from a nursing home with hypoxia.
a) What probe and exam mode is being used? (2pts) b) What is being examined? (2pts) c) How was the probe and indicator positioned on the patient? (2pts) d) What is your interpretation and most likely diagnosis? (4pts) Courtesy of DP |
Question 2:
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The following ultrasound is obtained on a patient with ESRD.
a) What probe and exam mode is being used? (2pts) b) What is being examined? (2pts) c) How was the probe and indicator positioned on this patient? (2pts) d) How could this image be optimized? (4pts) Courtesy of JC & AF |
Question 3:
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The following ultrasound is obtained on a patient with shortness of breath.
a) What probe and exam mode is being used? (2pts) b) What is being examined? (2pts) c) What is your interpretation? (2pts) d) At what anatomical spots should this be checked for 5cms to complete a valid "abbreviated" exam Courtesy of SI |
Question 4:
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The following ultrasound is obtained on a patient with extremity swelling.
a) What probe and exam mode is being used? (2pts) b) What is being examined? (2pts) c) What is your interpretation? (2pts) d) What would findings would be concerning for deep space infection? (4pts) Courtesy of SI |
Question 5:
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The following ultrasound is obtained on a patient with painless discoloration of skin.
a) What probe and exam mode is being used? (2pts) b) What is being examined? (2pts) c) What is your interpretation? (2pts) d) What wall of the organ being evaluated should be measured to assess for thickening? (4pts) Courtesy of DF |
Extra Credit:
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Provide a narrative clinical vignette that could accompany these images.
(10pts) Courtesy of JC, JCB, & AF |