X-ray limitations

Diagnostic errors involving imaging include not ordering appropriate imaging, incorrectly reading imaging, and incorrectly applying the results of diagnostic imaging due to its intrinsic limitations. We can order the right image and correctly read it, but if we don’t consider the inherent test characteristics we can still make a diagnostic error. This especially applies to…

POCUS: early diagnosis of ruptured ectopic

A healthy woman at 5 weeks pregnancy presents with one day of recurring syncope and abdominal pain, no vaginal bleeding, BP 80/40. On POCUS With an unstable early pregnant patient with free fluid in the abdomen, I was able to diagnose a presumed ruptured ectopic at the bedside, cross-match blood and call Gynecology. This was…

approach to POCUS

Point of care ultrasound (POCUS) is revolutionizing emergency medicine, providing faster and more accurate diagnosis and safer procedures. It’s a skill in both image generation and interpretation, with each scan involving 5 steps that I’ve summarized as POCUS Probe position: chose probe type and starting position on patient Orientation: generate image, using accoustic windows and…