Category Archives: Ultrasound

Ultrasound for Pneumothorax

Ultrasound (US) is more sensitive than supine chest x-ray for the detection of pneumothorax (PTX) in blunt trauma victims. A supine chest radiograph has an approximate sensitivity for the detection of PTX of 50% and is reported as low as … Continue reading

Posted in Trauma, Ultrasound

Ovarian torsion

Ovarian torsion is the twisting of an ovary on its ligamentous supports resulting in compromised blood supply. Symptoms are often non-specific although sudden onset of unilateral pelvic pain is common. Nausea and vomiting, peritoneal signs as well as pyrexia can … Continue reading

Posted in Gynecology, Imaging, Pediatrics, Ultrasound

Ultrasound in SBO

Should we start to use ultrasound for rapid diagnosis of small bowel obstruction? In a study from European Journal of Emergency Medicine: Emergency room residents were compared to radiology residents in their ability to diagnose small bowel obstructions by bedside … Continue reading

Posted in Gastrointestinal, Ultrasound

Ultrasound in Cholecystitis

Focused ultrasound performed by emergency physicians is reported to have a 91% sensitivity. 95-99% of patients with acute cholecystitis have gallstones identified on ultrasound. A combination of gallstones and sonographic Murphy’s has a positive predictive value of 92.2%. A combination of … Continue reading

Posted in Gastrointestinal, Ultrasound