It's not too late to start your ultrasound detective training!

Extended until October 13th: 30% off plus Lifetime Access to all courses!

Go on a journey with us this fall and find out if you are an ultrasound detective! Can you find the clues in your patient's ultrasound images? Can you detect pathologies and diseases with ultrasound? Find out now – and benefit from our exclusive discount of 30% and Lifetime Access to all our courses and sharpen your detective skills! Start your ultrasound detective training until October 13th!
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Echo Icon

Become a detective with our echocardiography courses!​

Do you know how to find the clues to detect pathologies, diseases, and more? Benefit now and get 30% off plus Lifetime Access! 


Echo MasterClass

34 CME credits

Advanced echocardiography

instead of 1,200 €

only 840 €

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TEE MasterClass

11 CME credits

Transesophageal echocardiography

instead of 840 €

only 588 €

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Echo BachelorClass

12.75 CME credits

Basic echocardiography

instead of 790 €

only 553 €

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Speckle Tracking MasterClass

12.25 CME credits

Deep knowledge of strain rate imaging

instead of 890 €

only 623 €

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Cardiac Filling MasterClass

6 CME credits

Advanced echocardiography

instead of 790 €

only 553 €

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Right Heart MasterClass

7.25 CME credits

Right heart clinical course

instead of 730 €

only 511 €

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ACHD BachelorClass

16.5 CME credits

Basics of common and (more or less) simple adult congenital heart defects

instead of 890 €

only 623 €

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HCQ MasterClass

4.75 CME credits

Guidelines of the quantification of heart chambers and walls

instead of 560 €

only 392 €

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Carotid MasterClass

10.5 CME credits

Advanced carotid and vertebral artery ultrasound

instead of 880 €

only 616 €

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Aortic Disease FocusClass

3.5 CME credits

Learn how to assess the Aorta

instead of 200 €

only 140 €

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Coronary Artery Disease FocusClass

3.25 CME credits

In-depth knowledge on this challenging topic

instead of 200 €

only 140 €

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Tumors and Masses FocusClass

1.5 CME credits

Recognise different tumors and masses

instead of 120 €

only 84 €

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Find out if you are an ultrasound detective!​

Look at this patient after aortic valve surgery and answer our quiz!

  • What pathology is seen in this 3D image? *

Here is your next emergency question!

Can you detect the clues fast when necessary? Here we have a patient with a hypertensive emergency!

  • What do you suspect? *

If you are looking for our previous quiz questions and their answers, click here!

Valid on all our ultrasound courses until October 13th:

30% Discount 
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Available on all our courses!

Lifetime Access
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No expiration date on your course!

30 Day Money-Back Guarantee

No questions asked. Max. 30% course progress.

Answers to our Ultrasound Quizzes!​

Answer: What pathology is seen in this 3D image?

The correct answer is: Pseudoaneurysm of the intervalvular fibrose

This echo shows a pseudoaneurysm (PSA) of the intervalvular fibrosa in a 3D TEE. A pseudoaneurysm of the intervalvular fibrosa is a condition characterized by the formation of a pulsatile cavity located between the aortic and mitral valves (intervalvular fibrosa). This cavity forms due to blood flow entering and exiting the pseudoaneurysm (PSA), creating a pulsating structure. Pseudoaneurysms in this region are often associated with native or prosthetic valve endocarditis and commonly occur in the context of infective endocarditis. 

Learn more about how to see the clues in your patients ultrasound images in our echocardiography courses! This topic is discussed in our TEE MasterClass, Aortic Disease FocusClass, Endocarditis FocusClass, Echo MasterClass, and Echo BachelorClass!
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Answer: What do you suspect?

The correct answer is: Old inferior myocardial infarction

This patient exhibits wall motion abnormalities in the inferior regions of the myocardium. The hyperechogenic (bright) and thin appearance of the wall suggests an old infarct (scar). The patient has normal left ventricular function (LVF), making heart failure unlikely. Additionally, the normal appearance of the right heart reduces the likelihood of pulmonary embolism. 

Could you see the clues to make this diagnosis? Learn more in our POCUS FocusClass!
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Find the clues in our specific ultrasound courses!

Do you want to learn how to detect the clues in specific areas? Then choose one of the courses below and become an ultrasound detective – swipe for more!

Abdominal US BachelorClass

10 CME credits

Detect abdominal pathologies with ultrasound

instead of 730 €

only 511 €

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Thyroid US MasterClass

10.5 CME credits

Basics and advanced techniques of thyroid ultrasound

instead of 790 €

only 553 €

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Neonatal & Pediatric US BachelorClass

4.75 CME credits

Ultrasound knowledge and skills specific to neonates and infants

instead of 790 €

only 553 €

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Lung Ultrasound MasterClass

6.5 CME credits

Basic and advanced lung ultrasound

instead of 710 €

only 497 €

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Vascular Lower Extremity BachelorClass

9.5 CME credits

Non-invasive vascular ultrasound

instead of 730 €

only 511 €

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OB/GYN Ultrasound BachelorClass

7 CME credits

Basics of gynecology & obstetrics

instead of 800 €

only 560 €

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Ultrasound Guided Regional Anaesthesia

 

Expertise in regional anaesthesia techniques

instead of 670 €

only 469 €

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Pediatric Ultrasound BachelorClass

4.75 CME credits

Diagnose pediatric patients through ultrasound

instead of 730 €

only 511 €

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OB/GYN POCUS FocusClass

2 CME credits

Knowledge and skills on how to do an ultrasound examination in OB/GYN

instead of 400 €

only 280 €

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Become an MSK ultrasound detective!

From basics to advanced and specialised musculoskeletal ultrasound, learn to detect the clues with us! Swipe to see more courses!

Musculoskeletal Ultrasound BachelorClass

19.75 CME credits

Foundations of MSK ultrasound

instead of 944 €

only 661 €

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MSK Guided Injections US MasterClass

4.75 CME credits

Advanced MSK ultrasound

instead of 730 €

only 511 €

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MSK Foot & Ankle Ultrasound BachelorClass

11.5 CME credits

Basics of MSK US of the foot and ankle joint

instead of 660 €

only 462 €

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Bone Fracture FocusClass

2.5 CME credits

Ultrasound knowledge and skills specific to fracture sonography

instead of 286 €

only 200 €

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Neuromuscular US Essentials

8.5 CME credits

Diagnose conditions and injuries not visible through other imaging methods

instead of 600 €

only 420 €

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MSK Ultrasound of the Shoulder Joint

20 European CME credits

Ultrasound knowledge and skills specific to shoulder joint sonography

instead of 777 €

only 544 €

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Emergency Icon

Find the clues in emergencies and point-of-care situations!

Be prepared for emergencies at all times by knowing where to find the clues to detect potential life-threatening pathologies and save critical time!

Point-of-Care US FocusClass

6 CME credits

Primary care ultrasound

instead of 790 €

only 553 €

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Emergency & Critical Care US Essentials

 

Essentials of emergency ultrasound

instead of 749 €

only 524 €

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Emergency US MasterClass

5.25 CME credits

Advanced emergency ultrasound

instead of 730 €

only 511 €

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Emergency US BachelorClass

 

Basic emergency ultrasound

instead of 660 €

only 462 €

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We offer a 30 day money-back guarantee. 100% refund, no questions asked. Course progress must be under 30%.

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"The communication style is simple, uncomplicated, but extremely effective in the way various topics are covered and discussed."

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Become an ultrasound detective yourself!

Our courses will guide you how to detect the clues in your patient's ultrasound images for enhanced patient care!

30% Discount
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Available on all our courses!

Lifetime Access
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No expiration date on your course!

30 Day Money-Back Guarantee

No questions asked. Max. 30% course progress.

Get your course now!

This offer expires on October 13th, 2024.

Previous detective questions!​​

Look at these loops and answer our first question!

  • Which patient has normal filling pressure? *

Ready for the next question on abdominal ultrasound?

Look at this ultrasound image of an obese male patient with fatigue, muscle weakness and hypertension.

  • What is the problem here? *

Can you answer this next question?

Look at these loops and answer our next question!

  • Which syndrome do you suspect? *

Check out this next case!

You are doing a carotid ultrasound exam on a 40-year-old female with a headache and joint pain. She does not have cardiovascular risk factors.

  • Which suspicion would you have based on this Carotid ultrasound exam? *

Can you see the clues in emergencies?

The ambulance is called to a patient with chest pain. Can you solve this critical case?

  • Which coronary artery is occluded? *

Next quiz on Thyroid Ultrasound!

In this case, you see a follow up study of a patient with thyroid hormone replacement therapy.

  • Which conclusion can you draw from this ultrasound image of the neck? *

Can you get this next question right?

A 67-year-old female with left shoulder pain and stiffness for 4 months, unresponsive to exercise, was diagnosed with moderate glenohumeral osteoarthritis based on an X-ray. She agreed to an ultrasound-guided cortisone injection. The ultrasound revealed mild bicep tendon sheath effusion with the rotator cuff intact.

  • How can you make sure that the cannula tip is placed correctly when doing injections into the glenohumeral joint? *

Another emergency is waiting for you!

A 55-year-old man was found unconscious at home, with a fever of 38.5°C and low blood pressure. His CT scan showed a stroke. A TTE was performed. Additionally, a transesophageal echocardiogram (TEE) was done.

  • What are the TTE and TEE findings? *

Answers to our Ultrasound Quizzes!

Answer: Which patient has normal filling pressure?

The correct answer is D.

Watch this answer video for a detailed explanation!

Answer: What is the problem here?

The correct answer is: Adrenal tumor

The image shows a 2.5 cm hypoechoic structure located cranially to the right kidney, consistent with an adrenal adenoma. Adrenal adenomas are common, benign tumors of the adrenal gland, often found incidentally during imaging studies. They typically appear as well-defined, homogeneous, hypoechoic masses on ultrasound. While most adrenal adenomas are non-functioning, some can secrete hormones, leading to clinical syndromes such as Cushing's syndrome or hyperaldosteronism.

Answer: Which syndrome do you suspect?

The correct answer is C) Shone Complex.

Watch this answer video to get a detailed explanation!

Answer: Which suspicion would you have based on this Carotid ultrasound exam?

The correct answer is: Vasculitis.

The image shows a carotid ultrasound with marked wall thickening (2.1 mm), suggestive of vasculitis. The absence of luminal obstruction, confirmed by color duplex, along with the lack of cardiovascular risk factors, further supports the diagnosis of an inflammatory process rather than atherosclerotic disease, which typically presents with plaque formation and luminal narrowing. Vasculitis is characterized by diffuse, concentric wall thickening, often referred to as the 'halo sign' on ultrasound.

Get the Carotid US MasterClass
Answer: Which coronary artery is occluded?

The correct answer is: Circumflex.

Watch this answer video to get a detailed explanation!

If you want to learn how to see these clues and save medical mysteries, get access to our echocardiography or emergency ultrasound courses now for our offer conditions! 
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Answer: Which conclusion can you draw from this ultrasound image of the neck?

The correct answer is: The patient most likely had an operation done.

The ultrasound image shows the thyroid of a female patient with a small right lobe and an absent left lobe, consistent with a previous hemithyroidectomy performed several years ago for the removal of cancerous nodules.

Learn to see these clues now in our Thyroid Ultrasound MasterClass!
Get Thyroid US MasterClass
Answer: How can you make sure that the cannula tip is placed correctly when doing injections into the glenohumeral joint?

The correct answers are: Making sure to keep the cannula tip in the imaging plane with subtle transducer movements & Visualization of the injectant spreading laterally in the joint space. The spread inside the joint capsule can usually be well visualized with ultrasound.

Palpating the coracoid process and the humeral head helps locate landmarks to guide needle insertion, but it does not confirm cannula placement. The anterior approach can be used, however it does no guarantee correct placement. In this video, for example, a posterior approach is used. Keeping the cannula tip in the imaging plane ensures you can track its progress and confirm its position relative to the joint. Subtle movements of the transducer allow for continuous visualization. Visualization of the injectant spreading in the joint space is the most definitive way to confirm the cannula tip placement – it also confirms that the medication is being delivered into the correct location. Also you will see a "flash" at the end of the injection!

By the way, this video shows an example of a posterior approach (medial to lateral). Even though this is a very common approach, there are other ones – All of them can be done with ultrasound-guidance!
Get MSK US Guided Injections MasterClass
Answer: What are the TTE and TEE findings?

The correct answer is: Destruction of the aortic valve with mobile structure

The TEE revealed a destruction of the aortic valve, along with a mobile structure likely indicating vegetations (infected masses). The aortic valve was also associated with a drained abscess and massive aortic regurgitation, where blood flowed backward through the valve. These findings are characteristic of infective endocarditis, where infection damages the valve and can lead to severe complications such as septic emboli. In this case, the patient had a stroke, likely due to septic embolism traveling to the brain.

Learn more about how to see the clues in emergencies like this with our Emergency & Critical Care Ultrasound Essentials!
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