This is a boy with an atraumatic knee effusion. An US guided arthrocentesis was performed with the probe placed in the transverse position and the needle entering at the superolateral aspect to the patella. Notice the ring-down artifact that comes from metal. You can also see this from metallic foreign bodies. “The information in these […]
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.
POCUS IOTW: Gallstones
This 14 yo otherwise healthy male presented with right sided abdominal pain x 1 day. These large gallstones have clear shadowing. He has a normal (<4mm) gallbladder wall and no pericholecystic fluid, consistent with cholelithiasis withOUT cholecysitis. The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational […]
POCUS IOTW: Ureterocele
This child presented with a UTI and was found to have left hydroureter and pelviectasis on Renal US. On bladder US this strangely thick walled cystic structure was seen. Ureteroceles are congenital dilations of the distal portion of the ureter. The dilated ureter can herniate into the bladder. This patient was admitted for antibiotics and […]
POCUS IOTW: Hypertrophic Cardiomyopathy
This is a Parasternal View of the Heart, showing severe Hypertrophic Cardiomyopathy. Check out the very thickened septum and Left Ventricular Wall (yellow arrows). Wow! This teen has had multiple myotomies, and has a defibrillator (thank goodness). The information in these cases has been changed to protect patient identity and confidentiality. The images are only […]
POCUS IOTW: Intraabdominal Abscess
9 yo boy s/p appendectomy 2.9.18. Returns 2.18.18 with an intra-abdominal abscess treated conservatively and patient was discharged home on augmentin. Patient returns 2.27.18 and intra-abdominal abscess identified on point of care ultrasound. Phased array probe: Abscess identified near bladder Linear probe to better evaluate abscess The information in these cases has been changed to […]