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drshukla14 Profile picture
@DrShukla14
Dec 7, 2018 • 5 tweets • 2 min read • Read on X
#POCUS appearance of acute epididymitis with funiculitis (inflamed spermatic cord)
Comparison of normal and abnormal epididymis Image
Testes appear symmetrical in echotexture Image
And almost symmetrical blood flow in both testis (right side was affected side)
Excellent learning resource ultrasoundpodcast.com/2011/12/testic… - thanks @ultrasoundpod for all the #FOAMus - helping patients within and outside North America.

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More from @DrShukla14

drshukla14 Profile picture
Sep 15, 2023
1/n Acute right hip pain on the background of subacute migratory polyarthritis, probably reactive. #POCUS helped diagnosis of right hip effusion, consistent with synovitis. Normal left hip joint image for comparison, showing no effusion.

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2/n Joint aspirated. Low clinical suspicion of septic arthritis, thus simultaneously injected with triamcinolone+lidocaine (rheumatology colleagues supported the decision).
3/3 IMHO hip aspiration, though not commonly done by EM, is an easy skill for ##EMPOCUS provider who already does US guided vascular access. Reduced ED LoS to 4 h in this case (very supportive rheumatology followup). Moreover patient was very satisfied with symptom relief.
Read 4 tweets
drshukla14 Profile picture
May 26, 2023
1/n: Thread of interesting ED #POCUS case. F/70+, known epigastric hernia (relapsed post repair years ago). Repeated vomiting since 1 week. Labs and plain x-rays - ImageImage
2/n Distended stomach noted on #POCUS -
3/n Clinically the hernia appeared to be reducible. However, #POCUS demonstrated obstruction of gastric outflow due to incarcerated portion of gastric antrum.
Read 6 tweets
drshukla14 Profile picture
Mar 11, 2023
1/n #POCUS Acute right scrotal pain. Performed awaiting scrotal exploration. "Saddle view" from inferior poles to assess gross difference between echotexture
2/n The normal (Left) testis - shows normal internal septal architecture with pulsatile blood flow on color power doppler, with normal overlying skin thickness.
3/n Right testis is swollen, disturbed architecture with heterogenous echoes due to edema and absent flow on CPD
Read 7 tweets
drshukla14 Profile picture
Nov 19, 2022
#POCUS case 1/n - Chest pain since 2 hours. Is it posterior STEMI ?
2/n #POCUS Apical Long Axis (A3C)
3/n Admitted to cardiology and PCI to LCX done.
Read 5 tweets
drshukla14 Profile picture
Apr 21, 2022
1/4 #POCUS EM case: M/50, anginal pain since 2 hours. ECG: lateral STEMI. Decision for fibrinolytic therapy (non-PCI site)
2/4 #POCUS appearance of lateral hypokinesia on Short Axis LV:
3/4 #POCUS appearance of lateral wall hypokinesia on Apical 4 Chamber -
Read 5 tweets
drshukla14 Profile picture
Apr 9, 2022
1/n #POCUS case - F/28. Left wrist pain since 2 weeks, severe since 48 h -> ED visit. Unable to grip due to painful thumb movements. Tender over lateral radial styloid area, Finkelstein test +. Dx: De Quervain tendinopathy.
2/n Comparison with normal - * marks fluid pockets around thickened tendons APL and EPB.
3/3 Gratifying relief after injection (levobupivacaine+triamcinolone), discharged with primary care followup.
Read 4 tweets

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