Ultrasound in Resource-Limited Settings: A Case Based, Open Access Text
Editors-in-Chief: Michael Schick DO and Rebecca Stein-Wexler MD. On-line Editor Aida Nasirishargh.
Sections
Head
Focal Seizure and Use of Optic Nerve Sheath Diameter
by Charles McElyea MD, Michael Schick DOA 7-year-old female presented to the Emergency Department in status epilepticus...
Infantile Beriberi
by Kirsten Douglass MD, Rebecca Stein-Wexler MD5-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...
Hydrocephalus
by Stephen Vong MD, Rebecca Stein-Wexler MDTerm infant born via cesarean section for breech presentation and hypoglycemia, found to have macrocephaly...
Meningitis
by Rebecca Stein-Wexler MDA 1-month premature infant presented with rhythmic jerking of all 4 extremities at age six weeks...
Pediatric Skull Fractures
by Victoria Shin DO, Michael Schick DOAn 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...
Echocardiography
Aortic Dissection
by Papa Kojo Mbroh MD, Chris Oppong MD, Ideen Zeinali MDA 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...
Peripartum Cardiomyopathy
by Albert Mugisa, Deus Twinomugisha ECP, Tracy Walczynski MD, Michael Schick DOTwo sisters presented to the Emergency Department (ED) with concerns that their abdomens were increasing after giving birth...
Pulmonary Embolism
by Ideen Zeinali MD, Matthew EdwardsA 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...
Rheumatic Heart Disease
by Quraish Fazleabas DO, Niwagaba Benifer ECP, Joseph Leanza MDA 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...
Tropical Endomyocardial FibrosisFollowed by a case of Endomyocardial Fibrosis by Christine McBeth, DO, MSPH
by Nikolai Schnittke MD, PhD, Rosalia Holzman MD, Sarah Eragu MBChBA 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...
Tuberculosis Pericarditis
by R. Wahome MD, D. Mirsch DOA 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...
Pulmonary
Cavitary Lesion of the Lung
by Christine McBeth DOA 25-year-old male with past medical history of HIV presents with shortness of breath and fevers for three days...
Pneumocystis Pneumonia
by Travis Kling MD, Albert Mugisa, Michael Schick DOA 28-year-old female presents with rapidly progressive chest pain and shortness of breath over the past two days...
Lobar Pneumonia
by Travis Kling MD, Michael Schick DOA 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...
Shortness of Breath at the South Pole
by Ellen Asselin MD, John Rose MD23-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...
Undifferentiated Dyspnea in the Era of COVIDFollowed by a case of COVID-19 by Yale Tung-Chen, MD PhD
by Rio Beardsley MD, Peter Weimersheimer MD, Katie Wells MD, MPHA 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...
Abdomen
Amoebic Liver Abscess
by Romeo Wahome MD, Daniel Mirsch DOA 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...
Appendico-cecocolic Intussusception
by Anamika Jha MD, Sasmita Tuladhar MD, Bishnu Gautam MDA 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...
Ascariasis
by Wayne Fu MD, Josh Greenstein MD, Amit Ramjit MD7-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...
Echinococcus Granulosus Hydatid Cyst
by Danielle Langan DO, Josh Greenstein MD, Barry Hahn MDA 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...
Hyper-reactive Malarial Splenomegaly
by Amanda Ferguson MD, Rebecca Stein-Wexler MDA 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...
Liver Biopsy in Hepatocellular Carcinoma
by Amir Sultan MDA 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...
Midgut Volvulus
by Kristopher de Ga MD, Rebecca Stein-Wexler MDAn otherwise healthy 10-month-old female presents with 1 day of bilious emesis and fussiness...
Perforated Appendicitis
by Stephen Vong MD, Rebecca Stein-Wexler MDA 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...
Small Bowel Obstruction and Pneumatosis IntestinalisFollowed by a case of Small Bowel Obstruction by Ideen Zeinali, MD and Matthew Edwards
by Ryan Gibbons MDA 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...
Small Bowel Obstruction due to Intestinal Tuberculosis
by Jonathan F Swanson MD, Akinniyi E Fadipe MCS (ECSA), Samuel L Burleson MDA 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...
Strangulated Umbilical Hernia
by Jimmy Ford MD, Michael Schick DOA 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...
Typhoid Intestinal Perforation
by Kevin Xerxes Durgun MD, Michael Schick DOA 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...
Ultrasound-guided Reduction of Intussusception
by Jennifer LaRoy MD, Rebecca Stein-Wexler MDA 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...
Female Genitourinary
Necrotizing Endomyometritis
by Vincent Ndebwanimana, Ling Jing, Uwamahoro DorisAn 18-year-old previously healthy female consulted for progressively increasing abdominal distension, pain, vomiting, and weakness...
Ruptured Ectopic PregnancyFAST
by Freshta Sahak MDA 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...
Male Genitourinary
Fournier's Gangrene
by Romeo Wahome MD, Daniel Mirsch DO70-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...
Lymphatic Filariasis
by Benjamin Verseman MD, Michael Schick DOA 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...
Musculoskeletal
Subperiosteal Abscess
by Kristopher de Ga MD, Rebecca Stein-Wexler MD15-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...
Supracondylar Fracture
by Averyl Shindruk MD, Michael Schick DOA previously healthy 6-year-old girl presents with a chief complaint of right arm pain after a witnessed fall while running...
Tropical Pyomyositis
by Navneet Dhillon MD, Michael Schick DOA 6-year-old boy presents to an emergency department in Northern Laos with a 2-week history of right leg pain...
Soft Tissue
Human Dirofilariasis
by Amanda Ferguson MD, Rebecca Stein-Wexler MDA 45-year-old male with a history of HIV presented with a three-week history of a painless subcutaneous nodule in his left forearm...
Necrotizing Soft Tissue Infection
by Ryan Gibbons MDA 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...
Systemic Diseases
DengueFollowed by a case of Dengue Fever by Michelle Sin Lee, MDCM & Jade Seguin, MDCM
by Melissa Myers MD, MS Erin JacobsAn 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...
Miliary Tuberculosis
by Jordan Rode MD, Melony Chakrabarty MD, Michael Schick DOA 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...
Vascular
Arterial-Venous Fistula: An A&E case from Masaka, Uganda
by Leigha Winters MDA 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...
Resource Collections
Resource Collections
Single Resources
Video Amoebic Abscess Clip 1
Video Amoebic Abscess Clip 2
Video Amoebic Abscess Clip 3
Video Amoebic Abscess Clip 4
Image Aortic Dissection: Annotated Still Image 1, Parasternal Long
Image Aortic Dissection: Annotated Still Image 2, Apical 5 Chamber View
Image Aortic Dissection: Annotated Still Image 3, Transverse Abdominal Aorta
Image Aortic Dissection: Annotated Still Image 4, Longitudinal Abdominal Aorta
Image Aortic Dissection: Image 1, Parasternal Long View, Aortic Root
Image Aortic Dissection: Image 2, Transverse Abdominal Aorta