CONSIDER THE PROBE: CHOROIDAL WT%?
(Courtesy Dr. Katia Johnston)
Just when you think you finally are getting a solid grip on opthalmalogic (spellcheck?) point-of-care ultrasound findings you have a case like Dr. Katia Johnston recently had, and you begin to question everything. While Retinal Detachments (RD), Posterior Vitreous Detachments (PVD), and Vitreous Hemorrhage (VH) are all quite common findings (in our ED at least), Dr. Johnston picked up on a less common diagnosis based off her abnormal POCUS.
Even if you don't know what you are looking at (which may or may not have been the case for Katia and myself...), it is important to recognize the presence of a clear abnormality. In this case, the POCUS findings led to a same-day diagnosis of a quite rare but vision-threatening diagnosis. Most importantly, the patient ended up with a huge improvement in their outcome based on the early initiation of treatment. Tune in to the following lecture, courtesy of Dr. Johnston and remember always my friends to CONSIDER THE PROBE!