COTM March and April
CONGRATULATIONS to Dr. Jeffrey Ruggeri for March Ultrasound of the Month and CONGRATULATIONS to Dr. Arthur Forbriger for April Ultrasound of the Month!!!
Dr. Ruggeri found a large pericardial effusion in a patient with shortness of breath and was able to diagnose them with sonographic tamponade. He wisely used M-mode in parasternal long to assess for early diastolic RV collapse. The patient was admitted to the CCU and had a pericardiocentesis the following day. Strong work!
Dr. Forbriger was able to diagnose an incarcerated incisional hernia in a patient with abdominal pain and history of previous incisional hernia. Check out the attached clips! I personally have never seen ultrasound used for this clinical question but clearly it works! Notice the back and forth peristalsis of bowel contents which indicates obstruction. Dr. Forbriger was even able to capture images of the resolved hernia after manual reduction. Very cool!
Your awards are in your mailboxes. Keep up the good work and keep the scans coming!
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Wash U EM Ultrasound Faculty and Fellows