This video demonstrates a ureteral jet. Ureteral jets are the normal ejection of urine from the ureter into the bladder due to calyceal persistalsis. They are often seen during routine ultrasound of the bladder. You see a short burst of echoic material from about the 4o’clock position on the transverse image of a bladder (at […]
Author: Rosemary Thomas-Mohtat MD
Rosemary has lived an adventurous life both geographically and professionally. She grew up an army brat in India living in 5 cities in her ten years there, then schooling in the many boroughs of NYC. Her professional journey has involved residency and a year of private practice in Pittsburgh, followed by a fellowship in Pediatric Nephrology at Montefiore and a year of bench genetics research at Columbia University, all the while working in a Peds ER in the Bronx. It was there that she found her true calling! She graduated PEM Fellowship at Children's National Medical Center, and then completed a one year Point of Care Ultrasound (POCUS) Fellowship. In her spare time, she loves running around Bethesda and the world with her family, including 2 sweet kiddos.
IOTW: Pericardial effusion
The image of the week is impressive. This teen had undifferentiated cardiomegaly on a chest Xray from an outside institution. POCUS was requested by the astute providers. You see 2 identical cardiac images of the parasteral long view (PSL) of the heart (one original, and the other annotated). From images of prenatal ultrasounds, even the […]
Hot Seat #48 Denouement: 5 yo M abd pain transfer
by Rosemary Thomas-Mohtat, Children’s National with Moh Saidinejad, Children’s National The Case 5 yr old male transferred from OSH for abd pain found to be mostly left sided, worse on left flank/LLQ. This case addresses the challenges of different imaging modalities for abdominal pain. Here’s How You Answered Our Questions Denouement Infectious etiology was high […]
Hot Seat #48: 5 yo M abd pain transfer
by Rosemary Thomas-Mohtat, Children’s National with Moh Saidinejad, Children’s National The Case Sunday morning 3am: You receive signout on a 5 yr old male transferred from OSH for abd pain. He has had 48hrs of abd pain- awakening “shrieking” in the night 2 nights ago. Pain was described as periumbilical. Had 3 episodes of NBNB […]
Ultrasound: groin swelling evaluation
by Rosemary Thomas-Mohtat, Children’s National At 2am, Tuesday morning: Patient is 2 month old male ex 31 week preemie, who presented with fussiness and vomiting. Baby has been crying inconsolably for the last 1hour. Mom noted a persistent swelling in the right groin for the last hour. This swelling used to be able to be […]