Mikaela Lynn Chilstrom

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CASE DESCRIPTION A three-year-old girl presented to the emergency department (ED) for five days of pain and decreased mobility of the left shoulder. She had been evaluated in the ED five days prior for shoulder pain after a minor slip and fall with negative clavicle radiographs, and was discharged home with supportive care. Since the initial visit, her(More)
OBJECTIVES To evaluate two educational methods for point-of-care ultrasound (POC US) in order to: 1) determine participant test performance and attitudes in using POC US and 2) compare cost and preparation time to run the courses. METHODS This was a pilot study conducted at a county teaching hospital. Subjects were assigned to participate in either a(More)
Objective Ultrasound (US) guided peripheral vascular access is a valuable skill for physicians. A novel approach to vascular cannulation called the oblique technique has been described, which purports to eliminate the disadvantages of the traditional techniques (short axis, SA; and long axis, LA) while preserving their advantages. This technique has not(More)
A 49-year-old man presented to the emergency department (ED) with shoulder pain after intramuscular injection of heroin into his right deltoid muscle. Point-of-care (POC) ultrasound identified a subdeltoid abscess, and ultrasound-guided aspiration of the fluid collection was performed. The patient was admitted and improved on antibiotics and made a complete(More)
Objective Ultrasound (US) guided central vascular access is an indispensable skill for physicians. Recently, a novel approach to vascular cannulation, the oblique technique, has been described. This technique combines the advantages of the traditional (short axis, SA, and long axis, LA) approaches, while purportedly avoiding their pitfalls. This claim has(More)
A 51-year-old woman with Hepatitis C was referred to the emergency department (ED) for " massive ascites. " She reported increasing abdominal girth for six months with intermittent abdominal pain. An outpatient ultrasound performed two weeks prior to ED presentation was interpreted by a radiologist as " massive ascites, no masses within the abdomen " on the(More)
CASE REPORT A previously healthy 30-year-old woman (gravida 1 para 1) presented to the emergency department (ED) with 5 days of lower abdominal pain, fever, and nausea. On examination, she had a temperature of 37.6° Celsius, pulse 116 beats/ minute, blood pressure 123/65 mmHg, respiratory rate 18 breaths/minute, and oxygen saturation 98% on room air. On(More)
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