Do You Need a CT? POCUS in First-Time Renal Colic

A 24-year-old male presents to urgent care with acute onset left-sided flank pain that began earlier that day. The pain is colicky, radiates toward the groin, and is associated with one episode of visible hematuria. He denies fever, dysuria, urinary frequency, or vomiting and is tolerating oral intake.

Posted in: POCUS 54 renal colic 2

Findings: Do You Need a CT? POCUS in First-Time Renal Colic

POCUS Findings: The ultrasound demonstrates mild hydronephrosis of the left kidney, characterized by: Small, anechoic dilation of the renal pelvis  No extension into the calyces  Preserved cortical thickness  On transverse view with color Doppler, vascular flow is seen in the renal parenchyma, with no flow in the central anechoic region,…

Posted in: POCUS 54 renal colic 2

“Fundamentals of Cardiac Ultrasound” — Southern Medicine Podcast is Now Available

In this episode of the “Southern Medicine Podcast,” Tatiana Havryliuk, MD, shares practical, high-yield insights on using focused cardiac ultrasound to assess volume status, ventricular function, and key cardiac pathology in everyday clinical practice.

Posted in: cardiac ultrasound 2 POCUS 54

Hello Sono: April 28 POCUS Webinar Spotlight

SMA is pleased to welcome Tatiana Havryliuk, MD, founder of  Hello Sono, as the featured presenter for the complimentary webinar, Fundamentals of Cardiac Ultrasound.

Posted in: cardiac ultrasound 2 POCUS 54

“Lung Ultrasound for Everyday Practice” — Southern Medicine Podcast is Now Available

In this episode of the “Southern Medicine Podcast,” Tatiana Havryliuk, MD, presents a fast-paced, practical session on using lung ultrasound to evaluate common respiratory presentations in everyday practice.

Posted in: POCUS 54

Recognizing Acute Right Heart Strain with POCUS: The D-Sign in Pulmonary Embolism

A 41-year-old woman presents to the emergency department with a sudden onset of dyspnea and pleuritic chest pain for two hours. She appears mildly anxious and diaphoretic. She denies fever, cough, trauma, or recent illness. She takes oral contraceptives and has no significant past medical history.

Posted in: POCUS 54 pulmonary embolism 17 right heart strain 3

Findings: Recognizing Acute Right Heart Strain with POCUS: The D-Sign in Pulmonary Embolism

POCUS Findings The PSSA view demonstrates a flattened interventricular septum, creating a D-shaped left ventricle instead of the normal circular contour. In addition, the right ventricle (RV) appears enlarged relative to the left ventricle on this view. The RV cavity occupies a larger proportion of the image than expected. The…

Posted in: POCUS 54 pulmonary embolism 17 right heart strain 3

Hello Sono: March 24 POCUS Webinar Spotlight

The Southern Medical Association is pleased to welcome Tatiana Havryliuk, MD, founder of SMA partner Hello Sono, as the featured presenter for the complimentary webinar, Lung Ultrasound for Everyday Practice.

Posted in: lung 7 POCUS 54 pulmonology 3

“Flashes and Floaters: Using POCUS to Detect Retinal Detachment in Primary Care” — Southern Medicine Podcast is Now Available

In this episode of the “Southern Medicine Podcast,” Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP explore a case involving a 56-year-old male who presented to his primary care provider with a two-day history of acute floaters and flashes of light in his left eye.

Posted in: POCUS 54

A Young Adult with Worsening Cough: Using Lung POCUS to Diagnose Early Pneumonia

A 24-year-old man presents to a primary care clinic with seven days of respiratory symptoms. He initially developed cough, fever, sore throat, and fatigue. His symptoms improved on days 4 and 5, but then worsened in the past 48 hours with recurrent fever and productive green sputum.

Posted in: lung 7 POCUS 54 pulmonology 3

Findings: A Young Adult with Worsening Cough: Using Lung POCUS to Diagnose Early Pneumonia

POCUS Findings   Lung ultrasound of the right posterior-axillary chest (Clip 1) reveals focal pathological B-lines arising from the pleural line, while the remainder of the right lung and the entire left lung demonstrate normal lung patterns. There is no visible consolidation or pleural effusion. Focal B-lines are abnormal vertical,…

Posted in: lung 7 POCUS 54 pulmonology 3

RUQ Pain: Expedited Work-Up with POCUS

This case highlights how bedside ultrasound enables the prompt diagnosis of symptomatic cholelithiasis in primary care, guiding appropriate referral for elective cholecystectomy.

Posted in: cholelithiasis 5 POCUS 54

“Beyond Retention: An Unexpected Bladder Finding on POCUS” — Southern Medicine Podcast is Now Available

In this episode of the “Southern Medicine Podcast”, Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP detail a case of a 27-year-old male who presented with hematuria and abdominal discomfort.

Posted in: POCUS 54

Flashes, Floaters, and an Unexpected POCUS Finding

Retinal detachment is a vision-threatening emergency that can present subtly, particularly when central vision remains intact. Point-of-care ultrasound empowers primary and urgent care clinicians to make this diagnosis rapidly at the bedside.

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“No X-ray, No Problem: POCUS Diagnoses Pneumothorax in a Rural Setting” — Southern Medicine Podcast is Now Available

In this episode of the “Southern Medicine Podcast”, Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP explore how point-of-care ultrasound (POCUS) helped identify a pneumothorax without a chest X-ray and changed the course of care.

Posted in: pneumothorax 5 POCUS 54

A Surprising and Critical POCUS Finding in a Young Patient with Hematuria

In this case, POCUS helped the urgent care provider make a quicker decision, avoid an unnecessary ED transfer, and promptly initiate referral. Most importantly, it allowed immediate action when an unexpected and concerning finding appeared.

Posted in: hematuria 2 POCUS 54

“Urinary Retention: How POCUS Helped This Patient Skip the ER” — Southern Medicine Podcast is Now Available

In this episode, Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP discuss a case in which a patient presents with symptoms of simple pyelonephritis, but point-of-care ultrasound (POCUS) reveals something more urgent: an obstructing stone.

Posted in: POCUS 54 urinary retention 2

A Young Man with Chest Pain: When POCUS Makes the Difference

Pneumothorax is a life-threatening condition that must be ruled out in patients presenting with pleuritic chest pain or undifferentiated dyspnea. In rural settings, where imaging access is often limited, POCUS offers a powerful alternative.

Posted in: chest pain 6 POCUS 54 rural medicine 2

“From Pyelonephritis to Obstructing Stone: POCUS Uncovers the Truth” — Southern Medicine Podcast is Now Available

In this episode, Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP discuss a case in which a patient presents with symptoms of simple pyelonephritis, but point-of-care ultrasound (POCUS) reveals something more urgent: an obstructing stone.

Posted in: POCUS 54 pyelonephritis 2

“Scan First, Cut Less: Soft-Tissue POCUS for Everyday Lumps” — Southern Medicine Podcast is Now Available

In this episode, Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP discuss how point-of-care ultrasound (POCUS) helped avoid an unnecessary procedure in a young athlete with axillary swelling.

Posted in: POCUS 54
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