882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 134

EUS教學 _991028

Journal reading amp challenging cases

新光醫院急診醫學科

陳國智醫師 中華民國醫用超音波學會指導醫師

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 234

Bedside Ocular Ultrasound for the

Detection of Retinal Detachment in the ED

ACADEMIC EMERGENCY MEDICINE 201017913 ndash917

US abnormal lifting of the retina

or the presence of a retinal flap

Standard for RD final diagnosis

given by the ophthalmologist

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 334

Ultrasound Assessment of Severe

Dehydration ( 10)

in Children With Diarrhea and Vomiting

IVCAo IVC collapse (IVCe-i)IVCe

ACADEMIC EMERGENCY MEDICINE 2010171024 ndash1027Site Rwandan

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 434

WHO assessment

ACADEMIC EMERGENCY MEDICINE 2010171024 ndash1027

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 534

Aorta frasl IVC ratio can be used to

identify severe dehydration

After rehydration ROC curves

AortaIVC ratio 122 (sen 93 spec 59)

IVC 27 collapse (sen 93 spec 35)WHO score with 2 or more signs (sen 73 spec 43) AEM 2010 171024 ndash1027

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 634

Use of Bedside Ultrasound to Assess

Degree of Dehydration in Children

With Gastroenteritis ( 5)

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 734

IVCAo ratio was a

marginally accurate measurement of acute weight loss in

children with dehydration from gastroenteritis

IVCAo ratio 08

(Sen 86 Spec 56)

PEM Attending Physician assessment

(Sen 78 Spec 51)

073

ACADEMIC EMERGENCY MEDICINE 2010171042 ndash1047

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 834

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 934

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 234

Bedside Ocular Ultrasound for the

Detection of Retinal Detachment in the ED

ACADEMIC EMERGENCY MEDICINE 201017913 ndash917

US abnormal lifting of the retina

or the presence of a retinal flap

Standard for RD final diagnosis

given by the ophthalmologist

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 334

Ultrasound Assessment of Severe

Dehydration ( 10)

in Children With Diarrhea and Vomiting

IVCAo IVC collapse (IVCe-i)IVCe

ACADEMIC EMERGENCY MEDICINE 2010171024 ndash1027Site Rwandan

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 434

WHO assessment

ACADEMIC EMERGENCY MEDICINE 2010171024 ndash1027

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 534

Aorta frasl IVC ratio can be used to

identify severe dehydration

After rehydration ROC curves

AortaIVC ratio 122 (sen 93 spec 59)

IVC 27 collapse (sen 93 spec 35)WHO score with 2 or more signs (sen 73 spec 43) AEM 2010 171024 ndash1027

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 634

Use of Bedside Ultrasound to Assess

Degree of Dehydration in Children

With Gastroenteritis ( 5)

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 734

IVCAo ratio was a

marginally accurate measurement of acute weight loss in

children with dehydration from gastroenteritis

IVCAo ratio 08

(Sen 86 Spec 56)

PEM Attending Physician assessment

(Sen 78 Spec 51)

073

ACADEMIC EMERGENCY MEDICINE 2010171042 ndash1047

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 834

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 934

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 334

Ultrasound Assessment of Severe

Dehydration ( 10)

in Children With Diarrhea and Vomiting

IVCAo IVC collapse (IVCe-i)IVCe

ACADEMIC EMERGENCY MEDICINE 2010171024 ndash1027Site Rwandan

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 434

WHO assessment

ACADEMIC EMERGENCY MEDICINE 2010171024 ndash1027

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 534

Aorta frasl IVC ratio can be used to

identify severe dehydration

After rehydration ROC curves

AortaIVC ratio 122 (sen 93 spec 59)

IVC 27 collapse (sen 93 spec 35)WHO score with 2 or more signs (sen 73 spec 43) AEM 2010 171024 ndash1027

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 634

Use of Bedside Ultrasound to Assess

Degree of Dehydration in Children

With Gastroenteritis ( 5)

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 734

IVCAo ratio was a

marginally accurate measurement of acute weight loss in

children with dehydration from gastroenteritis

IVCAo ratio 08

(Sen 86 Spec 56)

PEM Attending Physician assessment

(Sen 78 Spec 51)

073

ACADEMIC EMERGENCY MEDICINE 2010171042 ndash1047

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 834

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 934

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 434

WHO assessment

ACADEMIC EMERGENCY MEDICINE 2010171024 ndash1027

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 534

Aorta frasl IVC ratio can be used to

identify severe dehydration

After rehydration ROC curves

AortaIVC ratio 122 (sen 93 spec 59)

IVC 27 collapse (sen 93 spec 35)WHO score with 2 or more signs (sen 73 spec 43) AEM 2010 171024 ndash1027

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 634

Use of Bedside Ultrasound to Assess

Degree of Dehydration in Children

With Gastroenteritis ( 5)

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 734

IVCAo ratio was a

marginally accurate measurement of acute weight loss in

children with dehydration from gastroenteritis

IVCAo ratio 08

(Sen 86 Spec 56)

PEM Attending Physician assessment

(Sen 78 Spec 51)

073

ACADEMIC EMERGENCY MEDICINE 2010171042 ndash1047

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 834

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 934

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 534

Aorta frasl IVC ratio can be used to

identify severe dehydration

After rehydration ROC curves

AortaIVC ratio 122 (sen 93 spec 59)

IVC 27 collapse (sen 93 spec 35)WHO score with 2 or more signs (sen 73 spec 43) AEM 2010 171024 ndash1027

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 634

Use of Bedside Ultrasound to Assess

Degree of Dehydration in Children

With Gastroenteritis ( 5)

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 734

IVCAo ratio was a

marginally accurate measurement of acute weight loss in

children with dehydration from gastroenteritis

IVCAo ratio 08

(Sen 86 Spec 56)

PEM Attending Physician assessment

(Sen 78 Spec 51)

073

ACADEMIC EMERGENCY MEDICINE 2010171042 ndash1047

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 834

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 934

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 634

Use of Bedside Ultrasound to Assess

Degree of Dehydration in Children

With Gastroenteritis ( 5)

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 734

IVCAo ratio was a

marginally accurate measurement of acute weight loss in

children with dehydration from gastroenteritis

IVCAo ratio 08

(Sen 86 Spec 56)

PEM Attending Physician assessment

(Sen 78 Spec 51)

073

ACADEMIC EMERGENCY MEDICINE 2010171042 ndash1047

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 834

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 934

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 734

IVCAo ratio was a

marginally accurate measurement of acute weight loss in

children with dehydration from gastroenteritis

IVCAo ratio 08

(Sen 86 Spec 56)

PEM Attending Physician assessment

(Sen 78 Spec 51)

073

ACADEMIC EMERGENCY MEDICINE 2010171042 ndash1047

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 834

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 934

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 834

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 934

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 934

A novel technique for ultrasound-guided

supraclavicular subclavian cannulation

American Journal of Emergency Medicine(2010) 28 966 ndash969

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1034

How to do ocular examination

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1134

Position of the ultrasound probe for

EOM testing

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1234

Assessment of the pupillary light reflex

AJEM 201028 956 ndash95

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1334

謝謝收看

歡迎指教及給予回饋

Juice119pixnetnetJuice119gmailcom

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1434

Case 1 75M with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1534

EUS 重點

bull Echo finding

1 Hyperdynamic heart

2 Small IVC with gt50 collapse

3 Advanced gastric ca with liver invasion andgas-forming liver abscess

bull 超音波掃描目的

ndash

分辨shock type ndash找尋infection focus

ndash Confirm liver abscess

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1634

Case 2 43M with SOB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1734

EUS 重點

bull Echo finding1 Massive right PLE

2 Confirm cirrhosis amp ascites (new diagnosis)

3 Left lung rocket (cw lung edema)4 Good LV function wo pericardial effusion

bull 超音波掃描目的

ndash Dyspnea survey (Heart amp Lung)

ndash Confirm cirrhosis related right massivehydrothorax and left lung edema

ndash Assist thoracentesis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1834

Case 3 99F with left abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 1934

EUS 重點

bull Echo finding

1 Segmental decending colon wall edema

cw colitis

1 No AAA

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Rule out life threatening diagnosis (AAA)

ndash Confirm colitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2034

Case 4 66F with Septic shock

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2134

EUS 重點

bull Echo finding

1 Left moderate hydronephrosis

2 Echogenic content in hydronephrosis

(pyonephrosis)3 Left renal stone and UPJ stone

bull 超音波掃描目的

ndash

Infection survey ndash Confirm left UPJ and renal stone amp

pyonephrosis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2234

Case 5 64M with LLQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2334

EUS 重點

bull Echo finding

1 Decending wall edema

2 Dome sign

bull 超音波掃描目的

ndash Acute abdomen survey

ndash Confirm diverticulitis

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2434

Case 6 37M with left thigh FB

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2534

EUS 重點

bull Echo finding

1 Echogenic FB in thigh

bull 超音波掃描目的

ndash Foreign body survey

ndash Echo-assisted FB removal

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2634

Case 7 64F with abd pain amp

fullness

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2634

Case 7 64F with abd pain amp

fullness

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2734

EUS 重點

bull Echo finding

1 Jejunal gaseous bowel dilatation

2 Segmental ileum edema with lumen

narrowing3 Ascites

bull 超音波掃描目的

ndash

SBO survey without prior surgery ndash Confirm enteritis with bowel dilatation

ndash Quick disposition and avoid surgery

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2834

Case 8 56F with RUQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2834

Case 8 56F with RUQ pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 2934

EUS 重點

bull Echo finding

1 Segmental A-colon wall asymmetricthickening

2 Signs of obstructionbull 超音波掃描目的

ndash Abdominal pain survey

ndash

Bowel obstruction survey ndash Confirm lesion site and suspect possible

colon cancer (Pathology adenocarcinoma)

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3034

Case 9 47M with painful scrotum

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3134

EUS 重點

bull Echo finding

1 No testicles abnormality

2 Prominent enlarged left epididymis amp

increased Doppler signals

bull 超音波掃描目的

ndash Acute swollen and painful scrotum survey

ndash Confirm epididymitis

ndash Rule out torsion

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3234

Case 10 50F with low abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3034

Case 9 47M with painful scrotum

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3134

EUS 重點

bull Echo finding

1 No testicles abnormality

2 Prominent enlarged left epididymis amp

increased Doppler signals

bull 超音波掃描目的

ndash Acute swollen and painful scrotum survey

ndash Confirm epididymitis

ndash Rule out torsion

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3234

Case 10 50F with low abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3134

EUS 重點

bull Echo finding

1 No testicles abnormality

2 Prominent enlarged left epididymis amp

increased Doppler signals

bull 超音波掃描目的

ndash Acute swollen and painful scrotum survey

ndash Confirm epididymitis

ndash Rule out torsion

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3234

Case 10 50F with low abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3234

Case 10 50F with low abd pain

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3334

EUS 重點

bull Echo finding

1 Right adnexal complex cyst with echogenic

content

2 CDS ascites

bull 超音波掃描目的

ndash Acute RLQ pain in female patient survey

ndash Rule out appendicitis

ndash Confirm diagnosis of right TOA

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3434

882019 991028 EUS Challenging Cases

httpslidepdfcomreaderfull991028-eus-challenging-cases 3434