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Here is sweet drop of ultrasound knowledge form the lecture "Ultrasound guided Vascular Access" in our Emergency Ultrasound BachelorClass. 🐝 It shows an example of subclavian vein catheter placement. Watch the video and answer the following quiz question.

What is true about the approach used?

Get a pollen of crucial ultrasound knowledge 🐝

Sasha Gordon, MD, shows you examples of each stage of intraventricular hemorrhage in neonates (grades 1 to 4), as assessed with cranial ultrasound (CUS).

Which feature is not present before grade 4?

Here we have an interesting patient case out of our Adult Congenital Heart Disease BachelorClass.

On echocardiography, where is the most common location of a perimembranous ventricular septal defect (VSD)?

A young female patient presents with a palpable, firm nodule on the right side of her neck/thyroid region. She is seeking a definitive diagnosis before committing to any surgical intervention.

B-Mode Ultrasound: Irregularly shaped nodule with visible microcalcifications. The thyroid capsule appears mostly intact; however, on the anterior aspect, there might be signs of some capsule destruction.

Scintigraphy: Slightly lower radiotracer uptake in the inferior pole of the right lobe compared to the surrounding parenchyma (but it is not that striking). The final step was *Shear Wave Elastography*. The results are reported together with the images!

How would you interpret the findings regarding the benign/malignant nature of the nodule?

Imagine you only have this long axis view in B-mode and with color Doppler.

Can you still detect something abnormal here?

Can you "eye ball" dyssynchrony? In echocardiography, patients with LBBB often exhibit a biphasic or paradoxical septal motion due to delayed left ventricular activation. However, abnormal septal motion can also result from other conditions, such as pericardial constriction or volume overload, making it essential to differentiate between these patterns. Carefully examine the echocardiographic images and identify which patient(s) show findings consistent with LBBB.

Which patient(s) have a LBBB?

Case: 42-year-old male presenting with precordial T-wave inversions.

Echocardiography: The 4CV reveals significant myocardial hypertrophy localized to the apex. The LV cavity demonstrates the classic "pointed" contour, known as the "Ace of Spades" sign. While radial motion appears visually preserved, left atrial enlargement suggests elevated filling pressures.

What additional information is gained in this patient by performing a speckle tracking analysis?

Looking at this patient's popliteal artery exam performed by Diagnostic Sonographer Julie Cardoso, it becomes clear that the patient has an aneurysm of clinically relevant size. However, the perfusion distally is still sustained. As explained by Dr. Andrey Espinoza, the main risks include rupture or embolization of plaque/s small thrombus formations causing occlusion of smaller arteries more distally.

Looking at the doppler waveform recorded from the lumen inside the aneurysm (longitudinal view), why is it dampened and biphasic?

This is not just a bad quality 2-chamber-view! We have also added one more loop from the same patient which shows the same pathology from a subcostal abdominal view.

Which life-threatening condition can you spot when looking at this loop?

Previous cases

There's not only bees collecting the pollen of ultrasound knowledge this spring – have you already seen some beautiful butterflies? 🦋 They can not only be found in nature, but also in a fetus! Can you answer this question?

What does the butterfly sign in ultrasound tell you about the fetus?

🐝 Here is a sweet drop of ultrasound knowledge. Look at this patient’s loops!

Can you solve the quiz inside?

What is this mysterious structure adjacent to the left ventricle?

Right heart malignancies – which case makes you worry? Masses in the right atrium or right ventricle can arise from tumors, thrombi, vegetations, or even normal anatomical variations. While metastatic disease is the most common cause of cardiac tumors, other findings such as foreign bodies, lipomatous hypertrophy of the interatrial septum, or infective endocarditis can mimic a tumor. Carefully analyse the provided echocardiographic images and determine which patient most likely has a right heart tumor.

In which patient would you suspect a right heart tumor?

🔍 In this demo, we start by scanning the radius in a transverse plane before rotating into a longitudinal view – often the best angle to detect fractures. As the probe moves along the bone toward the wrist, a normal cortex appears as a smooth, continuous bright line.

When a fracture is present, this smooth contour is interrupted by a “step-off” – a clear sign of cortical disruption. In longitudinal view, you can also assess extent of displacement.

To confirm findings, it’s essential to scan in two planes. After spotting a disruption longitudinally, rotating back to a transverse view is important. Adding color Doppler can reveal increased blood flow, helping differentiate normal from abnormal tissue.

What do they have in common? Look at these four cases and answer our quiz question!

What finding, present in all 4 cases here, catches your eye?

In the evaluation of hypotension & shock, the apical four-chamber view is crucial for differentiating between cardiogenic and hypovolemic states.

In this video we show you two examples of echo findings related to hypotension and shock:

🐝 Global LV enlargement with diffuse hypokinesia or focal hypo/akinesia, as for example in an apical/septal WMA post-STEMI (cardiogenic shock)

🐝 Compensatory LV hypercontractility in hypovolemia (hypovolemic shock)

Which echocardiographic finding is most specific for Distributive Shock (e.g., Sepsis) compared to Hypovolemic Shock?

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Echo MasterClass

46 CME credits

Advanced echocardiography

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Ultrasound teaching that sticks! 🍯

Extended until April 19th: -30% and Lifetime Access

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What is true about the approach used​?

Which feature is not present before grade 4​?

On echocardiography, where is the most common location of a perimembranous ventricular septal defect (VSD)​?

How would you interpret the findings regarding the benign/malignant nature of the nodule​?

Can you still detect something abnormal here​?

Which patient(s) have a LBBB​?

What additional information is gained in this patient by performing a speckle tracking analysis​?

Looking at the doppler waveform recorded from the lumen inside the aneurysm (longitudinal view), why is it dampened and biphasic​?

Which life-threatening condition can you spot when looking at this loop​?

What does the butterfly sign in ultrasound tell you about the fetus​?

What is this mysterious structure adjacent to the left ventricle​?

In which patient would you suspect a right heart tumor​?

What finding, present in all 4 cases here, catches your eye​?

Which echocardiographic finding is most specific for Distributive Shock (e.g., Sepsis) compared to Hypovolemic Shock​?

Echocardiography course​s​

Echo MasterClass

TEE MasterClass

Echo BachelorClass

Speckle Tracking MasterClass

Cardiac Filling MasterClass

Guidelines in Focus: Echo Essentials

ACHD BachelorClass

HCQ MasterClass

Carotid MasterClass

Right Heart MasterClass

Specific ultrasound courses

Abdominal US BachelorClass

Thyroid US MasterClass

Neonatal & Pediatric US BachelorClass

Lung Ultrasound MasterClass

Vascular Lower Extremity BachelorClass

OB/GYN Ultrasound BachelorClass

Ultrasound Guided Regional Anaesthesia

Pediatric Ultrasound BachelorClass

OB/GYN POCUS FocusClass

MSK ultrasound courses

Musculoskeletal Ultrasound BachelorClass

MSK Guided Injections US MasterClass

MSK Foot & Ankle Ultrasound BachelorClass

Bone Fracture FocusClass

Neuromuscular US Essentials

MSK Ultrasound of the Shoulder Joint

Emergency and Point-of-Care Ultrasound courses

Point-of-Care US FocusClass

Emergency & Critical Care US Essentials

Prehospital Point-of-Care Ultrasound

Emergency US MasterClass

Emergency US BachelorClass

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