SonoSim Wave

April 2025 - Abdominal Alert

Written by SonoSim | Apr 11, 2025 10:48:37 PM

🎉 One Year of The SonoSim Wave!

It's been one year since we launched The SonoSim Wave. Thank you for reading! We are loving delivering ultrasound insights to your inbox.

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🗞️ Ultrasound Application News

A new meta-analysis highlights the strong diagnostic performance of emergency physician-performed point-of-care ultrasound (POCUS) for acute cholecystitis, showing high specificity and clinical value in ruling in the condition. The findings reinforce the growing role of POCUS in emergency care. Read our latest blog post to explore key insights from the study and how ultrasound training solutions like SonoSim support skill development in this critical application.

📚 Case Study:  Lower Abdomen

What are the relevant sonographic findings?

Background:

  • 57-year-old female
  • Presents to the ED with progressive discomfort and distention in her abdomen
  • The patient reports nausea, vomiting, and an inability to tolerate oral intake for 24 hours

    👇 What type of pathology is in this clip?

 

👩‍⚕️ Scanning & Imaging Tips: Gallbladder

The gallbladder and biliary tract examination starts with the patient in a supine position. It is widely recommended to scan the gallbladder and biliary tract in two different body positions. Ask the patient to take a deep breath, which lowers the gallbladder from underneath the costal margin. Concurrently, asking the patient to raise their anatomic right elbow over their head will improve your image window. If these interventions do not provide adequate views, rotate the patient into a left lateral decubitus position. This position may displace bowel gas loops out of the way and move the gallbladder inferiorly.¹

🔎 Scan & Seek - Fun with Physics

Look below to see the dragon we hid in this LUQ image, which is showing grade III hydronephrosis.

🧠 Challenge Case of the Month:  Liver

Case History:  This 18-year-old female presents to the emergency department following a motor vehicle accident. Patient complains of right-sided abdominal pain.

Evaluate her liver with ultrasound.👇

✨ SonoSim Updates

Image Portfolio Enhancements
We’ve made performance and usability improvements to the Image Portfolio Report:

  • Portfolio loads faster: Images from the last 30 days now load first, giving you a faster report loading time
  • More intuitive date filtering: Users can easily expand or tailor the view as needed

💡 SonoSim Tips & Tricks

Need to clean up your saved images? You can easily delete ungraded SonoSimulator® images in two ways:

Via My Image Portfolio Report

  1. Log in to My SonoSim Dashboard
  2. Click Track > Reports Hub > My Image Portfolio Report
  3. Hover over any ungraded image to delete or edit annotations
  4. Select the checkbox on images you wish to delete—then click the delete button in the pop-up

 

 

Via the SonoSimulator Review Feature

  1. Open a module in the SonoSimulator and click Review
  2. View all saved images for that module
  3. Hover over ungraded images to delete or annotate
  4. Select and delete as needed

Reminder: Deleted images cannot be recovered—make sure you really want to remove them!

Read the Help Article

😂 LOLtrasound

Image Credit: @pocus_memes on X

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¹ Curry RA, Tempkin BB, editors. Sonography: Introduction to Normal Structure and Function. 2nd ed. St. Louis: Elsevier Publishers; 2004.

 
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