POCUS for appendicitis is a powerful tool—especially in younger adults and paediatric patients.
Finding the appendix can be tricky, as it can lie in multiple locations.
Approach 1: Look where it hurts
This is the fastest and most intuitive method.
🔎 Probe choice:
• Linear probe for thin patients
• Curvilinear probe if deeper penetration is required
🧠 Technique:
• Place the probe over the point of maximal tenderness
• Scan in both transverse and longitudinal planes
✅ Positive findings:
• Blind-ended tubular structure
• Diameter >6 mm
• Non-compressible
• Absent peristalsis
💡 Pro tip: Use graded compression to displace bowel gas and bring the appendix into view.
💡 Pro tip 2: Apply colour doppler to look for Ring of fire
A quick scan of the right lower quadrant reveals:
• A dilated, blind-ending tubular structure
• Non-compressible, no peristalsis
• Diameter >6 mm
• Surrounding echogenic fat stranding
• Multiple echogenic foci with posterior acoustic shadowing
There is also localised free fluid and free air, highly suggestive of ruptured appendicitis with appendicolith.
The patient is referred back to surgery. A CT scan is ordered and confirms perforated appendicitis. Patient is taken to theatre which confirms appendicitis with pus in RLQ.
🤖📟 Case closed.
Carotid doppler and ECHO adding value to the TCCD assessment
• Carotid doppler helps evaluate stenosis/plaque of common carotid artery and proximal portions of ICA/ECA.
• ECHO helps evaluate presence of thrombus/tumor/vegetations/shunts contributing to emboli causing stroke
Welcome to the 14th post of #scanuary.
It's a month-long marathon of daily tweetorials about #POCUS and its utility in our clinical practice.
Today we're going to discuss assessment of assessment of stroke using TCCD.
If you find the post useful, please like & retweet.
@salmannaeem217@gokpocus
What a brilliant few days as faculty at #LACE advanced echo course in #LEEDS! 🤩 Hands-on scanning for delegates was a huge hit. The talks, including cases & echo with LVADs, were superb. Met some amazing faculty and passionate echo enthusiasts – the future of advanced echo is bright! If you're keen, one to look out for next year! #echofirst #criticalcare
On to #TOE toemorrow !
@MaxRidley3@Manoj_Wickram
Maximize your handheld ultrasound skills!
Watch our quick video on cardiac function evaluation. Utilize the cardiac preset on Vscan Air™ for accurate assessments. Whether you are an experienced ultrasound user or just starting your POCUS journey, this video will enhance your handheld ultrasound skills and improve your diagnostic accuracy.
📺 Watch now!
#cardiacevaluation
Unlock the potential of your handheld ultrasound!
Watch the video to learn more about Vscan Air™ and the cardiac preset. See what features can be used for pericardial effusion evaluation. Enhance your diagnostic skills today!
📺 Watch now!
#pericardialeffusion#cardiacimaging
Introducing the launch of UltraSupport Academy — your go-to platform for on-demand ultrasound education and free hands-on training in the UK & Ireland! 🚀
✅ On-demand videos for your ultrasound
✅ Book onto FREE study days
https://t.co/SHurwSmX2N
🚨🚨 New modules alert 🚨🚨
We are delighted to launch our US assisted LP module. Details and curriculum pack available at https://t.co/xoiLq0ie3S
We have also launched our free US guided peripheral vascular access module. Free for all to use / modify as needed!
Fantastic Regional Anaesthesia Course today. Good to see the best in the field assemble, thanks to our talented faculty, dedicated models & enthusiastic delegates.
6hrs of #EDRA hands-on scanning &a lot of #CPD earnt ✅
@OUHospitals@ESRA_Society@RCoANews@RegionalAnaesUK
For anyone interested, here is the link to the finalised article
POCUS reduces by a fair way the demand on downstream radiology services
Open access so share widely!
https://t.co/WSmGnDNEVh
From identifying masses to guiding procedures, ultrasound is enhancing the quality of care in primary care settings. Learn about the different types of scans, essential tips for new users, and how to maximize your practice's ROI.
https://t.co/JRnU62gKYW