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 (B10)
Question 1:
The following US was performed on a patient?
1) What was the chief complaint? (3 pts)
2) What is your diagnosis? (3 pts)
(Courtesy of JH)
1) What was the chief complaint? (3 pts)
2) What is your diagnosis? (3 pts)
(Courtesy of JH)
Question 2
A patient presented with a nasty headache and a fever and the above image was obtained.
1. What is being measured? (2 pts)
2. What are the criteria for this diagnosis? (2 pt)
3. What is the diagnosis and what is the impact in patient care? (2 pts)
(Courtesy of JH)
1. What is being measured? (2 pts)
2. What are the criteria for this diagnosis? (2 pt)
3. What is the diagnosis and what is the impact in patient care? (2 pts)
(Courtesy of JH)
Question 3:
Clip 1
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Clip 2
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The preceding images were obtained on a patient who presents with chest pain and in notable distress.
1) What cardiac view is obtained in clip 1? (2 pts)
2) What cardiac view is obtained in clip 2? (2 pts)
2) What is your diagnosis and why? (2 pts)
(Courtesy of BM, AG, BK, JG)
1) What cardiac view is obtained in clip 1? (2 pts)
2) What cardiac view is obtained in clip 2? (2 pts)
2) What is your diagnosis and why? (2 pts)
(Courtesy of BM, AG, BK, JG)
Question 4:
These images were obtained while having a conversation with this patient.
1) How was this patient able to carry on the conversation? (6 pts)
(Courtesy of AG)
1) How was this patient able to carry on the conversation? (6 pts)
(Courtesy of AG)
Question 5:
Name the artifact types in the clip above.
1) A? (2pts)
2) B? (2pts)
3) C? (2pts)
(Courtesy of BM, AG, BK, JG)
1) A? (2pts)
2) B? (2pts)
3) C? (2pts)
(Courtesy of BM, AG, BK, JG)
Question 6:
Subxiphoid
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RUQ
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LUQ
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Bladder
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The preceding clips were obtained on an unstable trauma patient after a pedestrian vs. auto collision.
1) Is there free fluid and, if so, where is it? (2 pts)
2) What is the diagnosis? (2 pts)
3) Why did Caleb actually keep the probe on the patient for the whole time? (2 pts)
(Courtesy of CP)
1) Is there free fluid and, if so, where is it? (2 pts)
2) What is the diagnosis? (2 pts)
3) Why did Caleb actually keep the probe on the patient for the whole time? (2 pts)
(Courtesy of CP)
Question 7
This patient presented with abdominal pain, nausea, and vomiting. The preceding images were obtained
1. What is the diagnosis? (3 pts)
2. What are the diagnostic criteria? (3 pts)
(Courtesy of AG)
1. What is the diagnosis? (3 pts)
2. What are the diagnostic criteria? (3 pts)
(Courtesy of AG)
Question 8
Question 9
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A 29 YOM presented to the ER sunburnt and with a swollen and painful leg after getting back from Mexico a few days earlier. The following ultrasound was obtained.
1. What's your diagnosis? (3 pt) 2. List 3 findings in the clip to support the diagnosis? (3 pts) (Courtesy of CP) |
Extra Credit!!!
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Name the labeled structures.
1. A (2 pt) 2. B (2 pt) 3. C (2 pt) 4. D (2 pt) 5. E (4 pt) 6. G (4 pt) 7. H (2 pts) 8. I (2 pts) 9. Why did Dela skip F? (undetermined pts) **10 pts extra if you get them all on this questions!!! (Courtesy of JH) |