drshukla14 Profile picture
Mar 11 7 tweets 3 min read
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
4/n Sweeping across deep inguinal ring to root of scrotum, "whirlpool" sign of right spermatic cord torsion noted
5/n Normal left spermatic cord for comparison
6/6 Presentation was after 24 hours, however the testis was viable and survived. Great SR by @Lmellick... pubmed.ncbi.nlm.nih.gov/28953100 - unto 18% testes still viable after 24 h. Recently discussed on @emrap_tweets with @EMSwami
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More from @DrShukla14

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
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 -
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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
Mar 14, 2022
1/n #POCUS case - Pneumothorax. M/20, abrupt left pleuritic chest pain. Absent breath sound left side, hyper-resonant percussion. Absent Pleural sliding on #POCUS . No lung point found, consistent with clinical impression of large pneumothorax.
2/n Normal pleural sliding on #POCUS right anterior thorax
3/n therefore CXR was not a surprise -
Read 7 tweets
Mar 13, 2022
Thread 1/n #POCUS as a mystery solving tool. M/50, SYNCOPE. Seemed benign orthostatic, and I was upset a Head CT was done. Was expecting it normal, but surprise - reported as left parietal WATERSHED territory infarct. MRI later shows infarct better -
2/n Re-examined carefully, and indeed patient had a homonymous right inferior quadrant-anopia. But WHY does he have watershed infarct unilaterally, from what is a global hypo-perfusion event? Left carotid looks ok...
3/n left carotid doppler -
Read 6 tweets
Mar 10, 2022
Thread 1/n #POCUS case - (?) COVID - cured by metoprolol. Acute dyspnea with cough, referral as ? COVID-19 with CXR. Sinus rhythm 120/min, RR 40/min, Sats 68% RA, 93% with O2 15 lpm by NRBM.
2/n #POCUS all lung zones show B-lines as expected, but minimal left pleural effusion which is NOT common with COVID-19.
3/n Scanning the heart -
Read 6 tweets

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