Ultrasound in Resource-Limited Settings: A Case Based, Open Access Text

A 7-year-old female presented to the Emergency Department in status epilepticus...

5-month-old Laotian female presented with intractable vomiting. She was exclusively breastfed, and her mother followed the Hmong postpartum restrictive diet of eating predominantly polished white rice...

Term infant born via cesarean section for breech presentation and hypoglycemia, found to have macrocephaly...

A 1-month premature infant presented with rhythmic jerking of all 4 extremities at age six weeks...

An 18-month-old boy is brought into a rural emergency department in Uganda by his mother who states he has had abnormal irritability and fussiness for the past 2-3 hours. At home, he entered the residence crying and holding the right side of his head...

A 66-year-old male with a past medical history of congestive heart failure (CHF) presents to Komfo Anokye Teaching Hospital (KATH) for evaluation of worsening shortness of breath on exertion and vague abdominal discomfort...

Two sisters presented to the Emergency Department (ED) with concerns that their abdomens were increasing after giving birth...

A 58-year-old African female presented to Komfo Anoyke Teach Hospital in Kumasi, Ghana for evaluation of recent right lower extremity swelling, sudden onset breathlessness, and easy fatigability...

A 28-year-old Ugandan man has had a many-month history of progressive exercise intolerance and orthopnea. He did not seek care, but volunteered to model for an ultrasound training session...

A 45-year-old male arrives to our mobile clinic after walking from his village 20km away with three days of a worsening fever, myalgias, and fatigue. He has not eaten in 48 hours. The walk from his village proved extremely difficult for him and he noted also feeling mildly dyspneic...

A 61-year-old male presents for difficulty breathing. His current illness began with a low grade, non-productive cough associated with mild chest pain, night sweats and significant weight loss over the past two months...

A 25-year-old male with past medical history of HIV presents with shortness of breath and fevers for three days...

A 28-year-old female presents with rapidly progressive chest pain and shortness of breath over the past two days...

A partially-vaccinated 6-year-old female with no significant past medical history presents to a district emergency department in rural Uganda. Her mother reports that she has had 4 days of progressively worsening cough and appears to have difficulty breathing at times...

23-year-old male with no significant medical history presents with severe shortness of breath at rest. He arrived at the Amundsen-Scott South Pole station three days prior...

A 45-year-old male arrives to our mobile clinic after walking from his village 20km away with three days of a worsening fever, myalgias, and fatigue...

A 24-year-old female presents to an emergency department in southern Uganda with a chief complaint of three weeks of night sweats. Her symptoms progressed gradually with increasing abdominal pain, localized to the right upper quadrant...

A 4-year-old boy presented with 4 days of intermittent abdominal pain and vomiting. There was no history of bloody diarrhea, constipation, or fever. No significant past medical or surgical history...

7-year-old male presented with fever and diarrhea, worsening diffuse abdominal pain and weight loss over the past 2 weeks after traveling from Honduras 3 weeks ago...

A 69-year-old female with a history of hypertension presented to the emergency department with malaise, right upper quadrant pain, and nausea intermittently for two months, worsening over the past three days...

A 19-year-old male who has just emigrated from Papua New Guinea to the United States presents for evaluation to his primary care provider for an abdominal pain and swelling as well as weight loss...

A 45-year-old farmer from rural Ethiopia presented with a 5-month history of progressive right upper quadrant pain accompanied by a dragging sensation and loss of appetite. He had no history of bleeding, change in mentation or other illness...

An otherwise healthy 10-month-old female presents with 1 day of bilious emesis and fussiness...

A 5-year-old boy with no past medical history presented with fever and abdominal pain. One week prior, he had one episode of large volume emesis and periumbilical pain...

A 54-year-old African American male presented to the emergency department (ED) complaining of 3 days of diffuse abdominal pain, obstipation, and intermittent non-bilious, non-bloody emesis...

A 37-year old male on intensive phase tuberculosis (TB) treatment presents with 3-day history of generalized moderate abdominal pain and loss of appetite. Reported passage of small amounts of stool. No history of fever...

A 22-year-old male presents with abdominal pain to a district hospital in rural Uganda. The pain began this morning at the site of an unrepaired umbilical hernia, which has gradually worsened and has now spread to his whole abdomen...

A 14-year-old male who lives in rural Uganda, presented to Masaka Regional Referral Hospital with 3 days of high-grade fever, constipation, and severe abdominal pain...

A 2-year-old male with no significant past medical history presented with abdominal pain. Pain was episodic and had increased in frequency over the course of a day...

An 18-year-old previously healthy female consulted for progressively increasing abdominal distension, pain, vomiting, and weakness...

A 25-year-old female with no significant past medical history presents to a regional referral emergency department in Uganda with one day of sudden onset diffuse abdominal pain, worse in the lower abdomen...

70-year-old man with HIV (compliant with HAART for over 5 years) with a recent surgical admission (10 days prior) for testicular hydrocelectomy, presented to the emergency department with scrotal pain for 1 week and associated fever for 5 days...

A 30-year-old male presents with bilateral testicular discomfort slowly progressing over 4 weeks. He also states he noticed slight increase in the size of his bilateral testicles...

15-year-old male with sickle cell disease presents with acute-onset severe pain in his lower back and bilateral lower extremities. He has noticed swelling of his extremities for the past few days and has experienced fatigue and subjective fever for 1 week...

A previously healthy 6-year-old girl presents with a chief complaint of right arm pain after a witnessed fall while running...

A 6-year-old boy presents to an emergency department in Northern Laos with a 2-week history of right leg pain...

A 45-year-old male with a history of HIV presented with a three-week history of a painless subcutaneous nodule in his left forearm...

A 64-year-old African American male with a history of insulin dependent diabetes mellitus and hypertension presented to the emergency department with atraumatic right foot pain, swelling, and drainage for 1 week...

An 8-month-old female with no known medical history was brought to an Emergency Department in San Pedro Sula, Honduras with fever and decreased oral intake...

A 35-year-old previously healthy Ugandan male, presents with cough for 3-4 months, dark sputum and intermittent fevers. The cough has been constant, and sputum production is thickening...

A 20-year-old male with no significant past medical history presented to the Accident and Emergency (A&E) department with proximal right forearm swelling for 1-2 months. The patient was sent in by a radiologist for reported forearm abscess seen on outside imaging, with recommendations for incision and drainage...