Perinephric Hematoma
Perinephric Hematoma
Polycystic Kidney Disease
Polycystic Kidney Disease
Ureterovesical Junction Nephrolithiasis
Ureterovesical Junction Nephrolithiasis
The Twinkle Artifact
The Twinkle Artifact
Perinephric Hematoma
Perinephric HematomaThis is a longitudinal view of the right kidney in a patient who presented with sudden, severe right flank pain. There was no history of trauma. No gross hematuria. The patient’s pain was difficult to control with analgesics and bedside ultrasound revealed apparently spontaneous perinephric hematoma. Therese Mead, DOEmergency Physician 
Polycystic Kidney Disease
Polycystic Kidney DiseaseThis middle-aged adult female presented to the emergency department with abdominal pain. The patient reported history of polycystic kidney disease. Bedside renal ultrasound revealed multiple renal cysts in both the cortex and medullary areas of the kidney, consistent with her history. Stones and hydronephrosis would be difficult to detect in the setting of polycystic kidney disease.Ahmad Jaber, MBBS PGY3Resident Physician, Central Michigan University Emergency Medicine Residency Links for teaching points for ED physiciansParapelvic cyst misdiagnosed as Hydro https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432443/Radiopaedia ADPKD https://radiopaedia.org/articles/autosomal-dominant-polycystic-kidney-disease-1Radiopaedia Hydro staging https://radiopaedia.org/articles/grading-of-hydronephrosis
Ureterovesical Junction Nephrolithiasis
Ureterovesical Junction Nephrolithiasis This is a 58 year old man that presented with first episode of severe LLQ pain and vomiting. The differentials were diverticulitis vs nephro/urolithiasis. POCUS was performed obtaining images of left and right kidneys, bladder and aorta. The image shows a 7 mm stone seen with shadowing at the L UVJ.Maria Perez; Emergency Registrar; St Vincent’s Hospital; Melbourne - Australia
The Twinkle Artifact
The Twinkle ArtifactUltrasonographic color doppler twinkling artifact is a phenomenon that may aid in the detection of nephrolithiasis. Seen here is a left ureterovesicular junction stone with a positive twinkle artifact. Maria Perez; Emergency Registrar; St Vincent’s Hospital; Melbourne - Australia
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