Students: What probe is being used, and where on the body is it most likely?.Residents: What diagnosis is consistent with this clip?.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

RESOLUTION.S: Probe is over the abdomen.R: Small bowel obstruction: dilated (>2.5cm) small bowel (identified by plicae circulares) with alternating peristalsis. #raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

Students: Where is the probe?.Residents: What diagnosis is most likely?.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

RESOLUTION.S: Parasternal long-axis view with indicator screen-left convention (consistent convention for all applications).R: The ascending aorta is 6.5cm (normal <4 cm). In setting of chest pain, a type A dissection is the diagnosis of exclusion.

This was his ECG.

50-year-old male with chest pain radiating to jaw. No other symptoms. Students: What cardiac view is shown? .Residents: What diagnosis is most likely?.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

RESOLUTION.S: Coronal plane, right pleural effusion .R: DDx—if bilateral: alveolar interstitial syndrome, fluid overload; if unilateral: pneumonia, pulmonary embolism, malignancy (hemothorax if trauma)

Students: What is the plane and finding shown? .Residents: What is your differential for this finding?.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

RESOLUTION.S: Sagittal plane through the gallbladder (anterior to kidney, both long axis). Transverse would show both in short axis, & coronal could show one, but not both in the same plane. R: Common bile duct (CBD) dilation & biliary sludge.

Students: In what anatomical plane is this view obtained (transverse, sagittal, coronal)?.Residents: What pathology is shown?.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

RESOLUTION:.S: Linear transducer viewing 3cm of soft tissue, including dermis, subcutaneous, muscle, and bone. R: A foreign body is in the subcut layer with surrounding edema, likely an older splinter given the subtle shadowing & lack of reverberation artifact.

Students: What probe is being used? What tissues do you recognize?.Residents: What pathology is shown?.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

RESOLUTION:.S: Transverse view through bladder, uterus, and adnexa. R: Right ovarian hemorrhagic cyst (internal echoes, > 2.5 cm). #raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

Congrats Cat, Colin, Lindsay, Dave, Emily, Katie, & Gina on this study highlighting differences in point-of-care ultrasound use between academic and nonacademic EDs. Advocating for high-quality PoCUS everywhere.🔗 #ultrasound #emergencymedicine #pocus.

Students: What anatomy do you appreciate? What plane is being viewed?.Residents: What pathology is shown?.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

RESOLUTION:.This patient has dental pain. S: A linear transducer is over the patient’s lip, viewing the maxilla just above the tooth. R: There is a periapical abscess. #raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

This patient has dental pain. Students: Where is the transducer?.Residents: What is your interpretation?.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

RESOLUTION:.S: A high frequency linear transducer is aligned with a tender rib. R: Interpretation = slightly displaced rib fracture.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

Students: What transducer is being used and where is it located on the patient?.Residents: What is your interpretation?.#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

RESOLUTION:.S: The glenohumeral joint is shown from a posterior approach. Residents: There is no dislocation, but there is a humeral head fracture. #raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident