The May 2013 issue of EM News highlights one of the basic, yet most difficult, ultrasound applications to perform. It is one of the most common abdominal applications given how common the disease process shows itself in the emergency department. Nice work to Dr. Hisset, a first year resident! from Louisiana, on writing this review.
The case: “A 54-year-old woman presents to the emergency department with four days of fever, abdominal pain, nausea, and vomiting. She reports that all of this started after eating pork at a casino buffet. She is not jaundiced on exam, but has severe pain to palpation of the entire abdomen, worst in the right upper quadrant with a positive Murphy’s sign. Her blood pressure is 96/52 mm Hg, pulse is 110 bpm, and her temperature is 100.4°F. Fluid resuscitation is started, and a bedside ultrasound is performed.”
To find out what they found and a description of the application in a concise format, go here.