January 2019

First place

Dr. Cathy Chen


Dr. Chen had a 70 yo male with PMHx of DMII, systolic CHF with EF 20% (2/2019) s/p AICD placement, apical mural thrombus present with shortness of breath. He was ultimately admitted for CHF and during his ED stay Dr. Chen got the following very cool images of his mural thrombus.  Common causes of thrombi are Afib, low EF, valvular abnormalities and wall motion defects to name a few.  It is important to pay attention to the apical area as this is where a thrombus typically forms. Many things can be mistake for a thrombus including chordae, trabeculae, papillary muscles, and muscle bundles (like the moderator band).  The youtube video is a good example of the moderator band  (hyperechoic area at the apex) found in the RV (a normal finding). 

https://www.youtube.com/watch?v=XDshA_nd9Yk

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rUNNER UP:

Dr. Lola Ajisafe

Dr. Ajisafe had a 42 yo male who came in as a trauma notification after trying to jump a fence and catching himself on a sharp part of it.  The 1st picture is the patient's wound.  Dr. Ajisafe decided that a nerve block would be the best pain management option for the patient and performed a femoral nerve block.  Patient had excellent analgesia and tolerated 10 subq and 26 superficial sutures with no issues.

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