Saturday, May 16, 2015


Bone fractures occur.  I hate to say it, I am getting old, and I had a rib fracture.  It hurts to this day.  I pray for the wonderful people who fall down and injure themselves every night and day, and end up in the ED for medical care.  They are in horrid pain, I know.  I have had a fractured humerus, toe and rib.  Pain pills are not a long term answer..  I have long known a fractured rib hurts like Satan's breath.  Perhaps we can help the older people with a Sonogram of the bone.  X-Rays by Roentgen are great, but an ultrasound can be efficient.  Here is the article  TYVM  SonoWorld, andd SCIENCE 20

A study of portable ultrasound in detecting the presence of minor fractures in patients showed that 85% of patients with a fracture confirmed by X-ray had injuries detected through ultrasonography.

You'd still want a radiographer to rule out fractures but emergency clinicians could rule in fractures using ultrasound images, they conclude.

Ultrasound is a high pitched sound wave generated at a frequency of more than 20,000Hz in air, though the frequency changes depending on the density of the objects through which it passes.

THANKS Science20

Been Gone For a Few Days.

Sorry, I have a family, and I have issues.  I think everyone knows what it is like to prepare for deaths.  My Mom and Dad are in the 80's.  We have been going around with the bottom feeders (attorneys).  Enough.

Upper extremity U/S is great at ruling out CLOTS!

Shoot I have known this for years, and so have many of the great doctors I work with are great.  Here is an article from to put this issue at rest.  Thanks Sonoworld!

Single whole-arm ultrasound can rule out upper-extremity deep vein thrombosis with a lower rate of repeat screening than a multi-step strategy using clinical scoring and D-dimer testing, researchers reported.
Ultrasonography has largely replaced venography for the diagnosis of upper-extremity deep vein thrombosis (UE-DVT), despite the absence of diagnostic management studies showing the practice to be useful for determining which patients need anticoagulation therapy, researcher Michelangelo Sartori, MD, PhD, of S. Orsola-Malpighi University Hospital, Bologna, Italy, and colleagues wrote online May 11 in JAMA Internal Medicine.