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 (B9)
Question 1:
Attempt #1
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Attempt #2
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The following ultrasound is attempted twice on a patient.
a) What cardiac view is being obtained? (2pts)
b) What two things has this sonographer done to improve the quality of their image on "Attempt #2"? (8pts)*
*Hint (adding more gel is not one of them...)
Courtesy of AF & DG
a) What cardiac view is being obtained? (2pts)
b) What two things has this sonographer done to improve the quality of their image on "Attempt #2"? (8pts)*
*Hint (adding more gel is not one of them...)
Courtesy of AF & DG
Question 2:
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A patient is discharged from the ED after an evaluation for acute psychosis. They were diagnosed with substance abuse disorder and told not to use PCP anymore. The following day the patient returns to a rural ED after "accidentally" stabbing themselves in the chest with a steak knife. The following ultrasound is performed.
a) What cardiac view is being obtained? (2pts) b) Assuming ABC's are intact, what are your next steps in management? (8pts) Courtesy of TP |
Question 3:
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The following ultrasound is obtained on a patient with shortness of breath.
a) What cardiac view is being obtained? (2pts) b) Is there pathologic fluid seen on this ultrasound? (2pts) c) What landmark is used to discern pericardial vs pleural fluid on this view? (6pts) Courtesy of AF |
Question 4:
Question 5:
The following ultrasound is obtained on a patient who is hypotensive.
a) What is being calculated? (2pts)
b) What additional measurement is needed to complete the calculation? (2pts)
c) What is the optimal angle of insonation range one should strive for when obtaining spectral doppler velocity measurements? (6pts)
Courtesy of AF
a) What is being calculated? (2pts)
b) What additional measurement is needed to complete the calculation? (2pts)
c) What is the optimal angle of insonation range one should strive for when obtaining spectral doppler velocity measurements? (6pts)
Courtesy of AF