Background: Point-of-care ultrasound training programs (POCUS) have proliferated, but the best method of skills assessment remains unclear. Most published testing protocols assess only image acquisition and interpretation. In a clinical scenario, recognizing an indication for POCUS, selecting the appropriate exam, integrating findings with the other data from the case, and formulating a differential diagnosis and [...]

Case Presentation: A 17-year-old African American male with a past medical history of pulmonary embolism (PE) and morbid obesity presented to the hospital for right shoulder pain and dyspnea. On admission, his physical exam findings were most consistent with cellulitis, and he was started on IV vancomycin and PO clindamycin for MRSA and MSSA coverage [...]

Case Presentation: Although infrequent, systemic loxoscelism can occur following a brown recluse spider bite and result in dermal necrosis, hemolytic anemia, DIC and renal failure. We present a case of an eight year old male who developed Hemophagocytic Lympho-Histiocytosis (HLH) secondary to systemic loxoscelism. The patient presented with gross hematuria, abdominal pain, and fever. The [...]