Ultrasound

Question 1

Discuss the RUSH exam

Answer 1

1: PSAX
2: Apical four chamber
3: IVC
4: Morison’s with hemothorax view
5: spleorenal with hemothorax view
6: bladder view
7: aortic slide views
8: pulmonary view

H - heart for tamponande, PE signs, RWMA
I- IVC obstructive vs hypovolaemia
M- morrisons - FAST 
A-Aorta
P-Pulmonary views

Question 2

Discuss US finding in PE

Answer 2

RV wall hypokinesis

• moderate or severe
• McConnells sign apical sparing

RV dilation

• End diastonic diameter >30mm in PSLA
• RV larger than LV in subcostal or apical
• increased tricuspid velocity
• Paradoxical RV septal systolic motion - bowing of the septum

Pulmonary artery hypertension
-dilated IVC with lack of respiratory collapse

Question 3

Discuss US finding in Tamponade

Answer 3

Pericardial effusions present

• Right atrial systolic collapse
• Right ventricular diastolic collapse
• Abnormal respiratory varition of transvalvular flow
• Distended IVC