Dr. Leigha Clarkson
Prize: $15 Starbucks gift certificate
JCB: "61M with severe superficial pain to L deltoid region. Felt to be MSK in nature (tendonitis, etc). Refractory to nsaids. Ultrasound Guided Interscalene block was performed with great success."
*Unfortunately, our clips lost somewhere in the Cloud
Dr. Ken Inamasu
Prize: $5 Starbucks gift certificate
JCB: "Patient presented with RUQ pain, tenderness. Ken's report wrote: "Gallbladder filled with sludge/stones, GBW and CBD WNL (better than attending ultrasound)." en was right, at first I felt this was a normal gallbladder. Ken urged me he felt something was wrong and felt the gallbladder was filled with sludge. We compared this with prior ultrasounds and it appeared similar. Radiology US confirmed the diagnosis of sludge filled gallbladder without evidence of cholecystitis.
Take home: KNOW YOUR LIMITATIONS, including myself. The echogenicity of the sludge led me to believe this was normal bile in the GB but it was correctly identified by Ken and the radiologist as sludge. Nice work!