Evaluation of the shoulder with ultrasound may appear like a daunting task in the emergency department, however with a strong understanding of the anatomy and an organized approach, the technique will rapidly become more within your realm of comfort.
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While the majority of patients presenting in heart failure will have systolic dysfunction, it is useful to grasp the idea of diastolic dysfunction, its pathophysiology, and how we can use ultrasound to assist with making this diagnosis rapidly and confidently.
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New evidence from a recent NEJM article, evaluating US vs CT for initial work up of suspected renal colic, found no difference in adverse outcomes. This suggests that a more conservative imaging strategy, beginning with renal ultrasound, may be the right place to start. Learn how here.
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Understanding the multiple tissue layers in MSK ultrasound may appear daunting, but once you get the basics you should be all set. Your next task, which will ultimately make to a highly skilled MSK ultrasonographer, will be knowing your anatomy well for each scan you perform.
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If you thought that the EFAST would be the only use of ultrasound in trauma then you were wrong. We are just beginning to touch on the extended utility of ultrasound in trauma.
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There is growing literature to support beside compression ultrasonography by emergency physicians as the initial study. Multiple studies have demonstrated that this approach is both sensitive and specific for diagnosis of DVT and decreases ED length of stay.
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