This 12 yo F with SSD presented with RUQ pain. She was found to have cholelithiasis. In addition, she had this small left ovarian cyst. Ovarian follicles are generally less than 1 cm. Anything larger can be considered a cyst. “The information in these cases has been changed to protect patient identity and confidentiality. The […]
Author: Joanna Cohen
Joanna is originally from NY where she attended medical school at Downstate in Brooklyn. She completed her pediatric residency at Johns Hopkins and made her way south to DC for PEM and ultrasound fellowships. She has remained in DC, making her home in Capitol Hill since 2005. She stays busy mostly attending youth soccer games with her three kids and running.
IOTW: Edge Artifact
When the US beam hits the edge of a curved object, it bounces away at an angle and the signal never returns to the probe, creating this “edge artifact”. Be careful not to confuse this with shadowing from a gallstone. “The information in these cases has been changed to protect patient identity and confidentiality. The […]
IOTW: RUQ Pain
12 yo M with SSD presents with RUQ pain in his abdomen. He has had no fevers, vomiting or diarrhea. POCUS identified cholelithiasis withOUT evidence of cholecystitis. In other words, he had stones, but no gallbladder inflammation which could be seen as gallbladder wall thickening (greater than 3 mm) or pericholecystic fluid. Disclaimer: “The information […]
IOTW: Appendicitis with free fluid
This is 15 yo M with 9 hours of abdominal RLQ pain. Concern for perforated appendicitis on ACT from OSH. Txn to CNMC ED and found to have an enlarged appendix with surrounding free fluid. Ultimate pathology from OR showed no perforation so this surrounding free fluid represents inflammatory fluid. “The information in these cases […]
IOTW: Poopoma
This 4 yo M presented with a week of fever and abdominal pain. FAST exam was negative for free fluid, but he had this 6 cm round LUQ mass which turned out to be large dilated colon with impacted stool. Note the bright white air in the stool. “The information in these cases has been […]