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Ultrasound Cases

Type A dissection on POCUS

Type A dissection on POCUS

Dr. Himanshu Gul Mirani; Dr. Christopher Hadden
Nottingham University Hospitals, NHS Trust

CASE 1: Image of carotid vasculature and para tonsillar abscess.
CASE 2: Image of carotid vasculature and para-tonsillar abscess.

Submandibular approach for para tonsillar abscess (PTA)
assessment by POCUS

Amir Mahmood, Gemma Hirons, Amber Bristow, Dr. Himanshu Gul Mirani
Nottingham University Hospitals, NHS Trust

POCUS Of Sternoclavicular Joint To Assess Dislocation

POCUS Of Sternoclavicular Joint To Assess Dislocation

Maria Pia Gauci (ENP), Dr. Himanshu Gul Mirani (ED Consultant)
Nottingham University Hospitals, NHS Trust

Fast-Track Diagnosis: POCUS in SBO for Early Front-Door Referrals from the Ambulance Assessment Bay in today’s crowded ED

Fast-Track Diagnosis: POCUS in SBO for Early Front-Door Referrals from the Ambulance Assessment Bay in today’s crowded ED

Dr Himanshu Gul Mirani, Dr Hind Goriel

A Snap, a Dent, and then Sono: The Role of POCUS in Diagnosing Quadriceps Tendon Rupture in the Emergency Department – A Case Report

‘A Snap, a Dent, and then Sono: The Role of POCUS in Diagnosing Quadriceps Tendon Rupture in the
Emergency Department – A Case Report’

Dr Himanshu Gul Mirani, Dr Ravi Maharaj

Image showing a distended urinary bladder with sediments/ debris often seen in cystitis with a hypoechoic area within the prostrate gland suggestive of being an abscess.

Prostatic abscess picked up incidentally on POCUS as a cause of urosepsis

Dr Himanshu Gul Mirani
Nottingham University Hospitals, NHS Trust

Posterior shoulder dislocation on POCUS

Posterior shoulder dislocation on POCUS

Emily Rowe , Dr Himanshu Gul Mirani
Nottingham University Hospitals, NHS Trust

Posterior shoulder dislocation identification and confirmation of reduction using POCUS

Posterior shoulder dislocation identification and confirmation of reduction using POCUS

Dr Himanshu Gul Mirani, Specialty Doctor, A&E, QMC
Nottingham University Hospitals, NHS Trust

Right femoral vessel scan image showing clot burden in both artery and vein.
DVT compression test was positive.
Left femoral vessel scan image which was positive for DVT on compression test.

POCUS SAVED LIMB IN CASE PARADOXICAL EMBOLI

Dr Himanshu Gul Mirani, Specialty Doctor, A&E, QMC
Nottingham University Hospitals, NHS Trust

Images showing positive DVT study on left leg; features of right heart strain on ECHO and Saddle PE confirmed on CTPA

POCUS IN PULMONARY EMBOLISM

Dr Himanshu Gul Mirani, Specialty Doctor, A&E, QMC
Nottingham University Hospitals, NHS Trust

POCUS in evaluation of ‘hot joint’

POCUS in evaluation of ‘hot joint’

Dr Himanshu Gul Mirani, Specialty Doctor, A&E, QMC
Nottingham University Hospitals, NHS Trust

Rib fracture as seen on POCUS image with fracture suggested by the discontinuous / step in the ribcortex. Image acquired on the site of maximal clinical tenderness.

POCUS IN BLUNT CHEST INJURY

Dr Himanshu Gul Mirani, Specialty Doctor, A&E, QMC
Nottingham University Hospitals, NHS Trust

POCUS FOR EARLY DIAGNOSIS OF FINGER TENOSYNOVITIS

POCUS FOR EARLY DIAGNOSIS OF FINGER TENOSYNOVITIS

Dr Himanshu Gul Mirani, Specialty Doctor, A&E, QMC
Nottingham University Hospitals, NHS Trust

Necrotizing fasciitis on bedside ultrasound using STAFF criteria

Necrotizing fasciitis on bedside ultrasound using STAFF criteria

Dr. Himanshu Gul Mirani
Nottingham University Hospitals, NHS Trust

Rare case of Morel-Lavallee Lesion identified on POCUS in ED

Rare case of Morel-Lavallee Lesion identified on POCUS in ED

Dr Himanshu Gul Mirani, Clare Tomlinson

Right chest subpleural changes
Right chest air bronchograms on POCUS

CASE OF USELESS XRAY IN SEPSIS...POCUS COMES TO RESCUE

Dr Himanshu Gul Mirani, Specialty Doctor, A&E, QMC
Nottingham University Hospitals, NHS Trust

Grossly distended stomach with normal caliber aorta in the far field

Incidentally diagnosed gastric outlet obstruction while doing AAA scan

Dr. Himanshu Gul Mirani, Specialty Doctor, A&E, QMC
Nottingham University Hospitals, NHS Trust

Gastric Ultrasound in ED Procedural Sedation: A Game-Changer for Aspiration Risk Assessment?

Gastric Ultrasound in ED Procedural Sedation: A Game-Changer for Aspiration Risk Assessment?

Dr Himanshu Gul Mirani (Emergency Medicine Consultant),
Mr Prabhjeet Singh (Orthopaedics Registrar)

Longitudinal section

Focal Myositis Diagnosed Using Point-of-Care Ultrasound (POCUS): A Case Report

Dr Himanshu Gul Mirani

Subcostal view of the heart showing the epicardial fat and pericardial effusion

Epicardial fat masquerading as hemopericardium in a post PCI patient

Dr Himanshu Gul Mirani
Nottingham University Hospital, NHS Trust

Right hip transverse view: Demonstrates effusion
Right hip longitudinal view: Demonstrates effusion
Left hip longitudinal view: No effusion

Early Detection of Hip Joint Infections Using Point-of-Care Ultrasound (POCUS): A Case Series

Dr. Himanshu Gul Mirani Mr. Jaspreet Sehmbi
Midland Metropolitan University Hospital, Emergency Department, SWBH NHS Trust, UK

Bony spur in midfoot seen on POCUS. Spur seen on X-Ray. Inflamed flat with deep facial fluid and air in subcutaneous tissue, Subcutaneous air with thickening of subcutaneous tissue, CT confirms subcutaneous gas locules.

Beyond the Clinical Eye: POCUS as the Critical Differentiator in Emergency Skin and Soft Tissue Infection Management

Dr. Himanshu Gul Mirani
Midland Metropolitan University Hospital, Emergency Department, SWBH NHS Trust, UK

AIRWAY POCUS IN RESUSCITATION

AIRWAY POCUS IN RESUSCITATION

Dr. Himanshu Gul Mirani, Specialty Doctor, EM, QMC
Dr. Andrew Lindsay, Consultant EM,QMC
Nottingham University Hospitals, NHS Trust

Sonographic Demonstration of Chilaiditi Sign in an Elderly Patient with Respiratory Distress and Abdominal Pain

Sonographic Demonstration of Chilaiditi Sign in an Elderly Patient with Respiratory Distress and Abdominal Pain

Dr Himanshu Gul Mirani

COPD exacerbation vs Acute Heart Failure

COPD exacerbation vs Acute Heart Failure

Dr Himanshu Gul Mirani, Specialty Doctor, A&E, QMC
Nottingham University Hospitals, NHS Trust

The patient was managed along standard sepsis guidelines with intravenous antibiotics and fluids. Her hemodynamics stabilized and she was admitted under urology team.

Emphysematous cystitis on POCUS: A lines in the bladder wall – A rare case

Dr Himanshu Gul Mirani

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