Ultrasound GEL
Ultrasound GEL reviews and discusses recent literature in point of care ultrasound. The podcast covers new studies, techniques, and clinical applications of bedside ultrasound. It aims to help clinicians stay updated on the latest evidence and best practices in point of care ultrasound.
Episodes
GEL World France
This is an episode of GEL World, a developing podcast series with the aim of bringing together the global ultrasound community.
On this episode, we are talking about France.
https://www.ultrasoundgel.org/183
Peds Hip Effusion
The GEL Jr. team is back to help you get hip to the latest evidence in pediatric point-of-care ultrasound! Russ, Lianne, and Delia dive into a multicenter study evaluating the diagnostic accuracy of PEM physicians performing POCUS for hip effusions. Does accurate diagnosis require extensive fellowship training, or can anyone master this scan with a little practice? Grab your linear probe and le
Physician Assistant POCUS
Mike sits down with three physician assistant POCUS leaders who recently authored an article on PA ultrasound education to discuss the past, the present and the future of the field.
https://www.ultrasoundgel.org/181
https://pubmed.ncbi.nlm.nih.gov/40052818/
Difficult Airway Prediction
One relatively new POCUS topic that is gaining a lot of traction is using ultrasound to assess a patient's potential for being a difficult intubation. There are so many measurements being thrown around - is there one best way?? Mike and Creagh gently lift the vallecula of this topic hoping to reveal the shiny cords of truth.
https://www.ultrasoundgel.org/180
https://pubmed.ncbi.nlm.nih.gov/408
Peds Fascia Iliaca Block
The GEL Jr team reunites to discuss the hippest way to provide analgesia for femoral fractures in pediatrics, the fascia iliaca compartment block. Does it work as well in kids as it does for adults?
https://pubmed.ncbi.nlm.nih.gov/40524602/
https://www.ultrasoundgel.org/179
Lightning Talks
The GEL Team has done it again - infiltrating the illustrious Society of Clinical Ultrasound Fellowships annual conference and bringing you the insider's scoop on the latest concepts in POCUS. Special hosts Shawn Sethi, Alyssa Nguyen-Phuc and Roger Vazquez Gomez are on the scene interviewing this year's presenters of the ever-illuminating SCUF Lightning Talks.
https://www.ultrasoundgel.org/178
GEL World Israel
The GEL World Series continues in Israel with a conversation with Eyal Gohar and Leo Fuchs, who teach at the IsraPOCUS Academy.
https://www.ultrasoundgel.org/177
Waves
This is a special episode about riding the ups and downs of a life in medicine. Special guests Adaira Landry and Jeremy Boyd join Mike to discuss the rippling impact of a difficult ultrasound case.
https://www.ultrasoundgel.org/176
Stellate Ganglion Block
Do you like doing challenging procedures that in rare instances can be life-saving? Then this podcast discussing the latest evidence for the stellate ganglion block in ventricular storm is for you! Astral puns abound as Creagh and Mike rocket into this stellar article.
https://www.ultrasoundgel.org/175
https://pubmed.ncbi.nlm.nih.gov/38289867/
Potpourri
After a summer semi-hiatus, we are busting at the seams with things to talk about. Mike gives brief "state-of-GEL" address and then blazes through a baker's dozen of articles.
https://www.ultrasoundgel.org/174
GEL World Italy
On this episode of GEL World we visit Italy as Mike chats with Cristiano Di Gioia about his experiences with ultrasound as an emergency physician.
Pediatric Cardiac Arrest
The GEL Jr. squad returns to discuss a very important topic - ultrasound in pediatric cardiac arrest. Using a recent article as a diving board, they cannonball into the pool of evidence.
https://www.ultrasoundgel.org/172
https://pubmed.ncbi.nlm.nih.gov/39043130/
GEL World Ireland
New series alert! GEL World is about bringing together the global ultrasound community. In this first episode, we travel to Ireland with ultrasound champion Dr. Cian McDermott.
https://www.ultrasoundgel.org/171
GEL Live! Podcast Palooza
Delia and Creagh travel to Houston, Texas to regale audience members of the American College of Osteopathic Emergency Physicians (ACOEP) Scientific Assembly with their tales of ultrasound literature misadventures.
https://www.ultrasoundgel.org/170
BlockHeads
Mike chats with two special guests representing the BlockHeads - a collaborative group dedicated to furthering the use of ultrasound-guided nerve blocks in the emergent setting. Find out what they have been up to and how you can join in!
https://www.ultrasoundgel.org/169
Bronchiolitis
The GEL Jr crew back with a topical episode on bronchiolitis. When you scan the lungs of these kids what do you see, and more importantly.... what does it mean??
https://www.ultrasoundgel.org/168
https://pubmed.ncbi.nlm.nih.gov/37897916/
Bubble Time
It's bubble time! This fascinating paper investigates counting the number of seconds that bubbles can be seen in right side of the heart after a flush as a means to diagnose right heart failure.
https://www.ultrasoundgel.org/167
https://pubmed.ncbi.nlm.nih.gov/38597847/
Lightning Talks
GEL x SCUF back again! This year at the annual meeting of the Society of Clinical Ultrasound Fellowships, the GEL team interviews several up-and-coming leaders in POCUS about a variety of fascinating topics.
https://www.ultrasoundgel.org/166
Biplane Needle Guidance
Are two planes better than one? Creagh, Mike, and Jailyn investigate a paper on biplane technology for placing central venous catheters.
https://www.ultrasoundgel.org/165
https://pubmed.ncbi.nlm.nih.gov/37742018/
Transgluteal Hydrodissection
In this Bonus Cut author interview, Zack and Mike go off the rails by interviewing the author of a case series describing a fascinating and mysterious procedure - the transgluteal hydrodissection! Guest Gabe Rose gives us the low down of how this nerve block alternative might be the way to go to help a radicu-lous amount of patients.
https://www.ultrasoundgel.org/164
https://pubmed.ncbi.nlm.ni
Pediatric Crohn’s Disease
The GEL Jr team strikes back with a fascinating topic - using POCUS to guide response in the treatment of Crohn's disease! Join the gang as they peristalse their way through an article describing this inflammatory idea.
https://www.ultrasoundgel.org/163
https://pubmed.ncbi.nlm.nih.gov/32453126/
General Surgery POCUS
In this Father's Day Special, Mike interviews his old man about the state of point-of-care ultrasound in general surgery. All sorts of learning ensues.
https://www.ultrasoundgel.org/162
VEXUS Updates
It's been a while since we talked about Venous Excess Ultrasound, aka VEXUS. There is still a lot of buzz around this concept, but not a lot of honey (honey is evidence in this metaphor). Ross Prager, international friend to POCUS researchers everywhere, joins Mike to discuss what's new and where this is going.
https://www.ultrasoundgel.org/161
Yale EM Podcast Day Part 2
Part 2 of the discussion with Rachel Liu and Cian McDermott for Yale Emergency Medicine podcast day. Now the banter turns to a favorite topic: POCUS in cardiac arrest - is there a right or wrong way to do it?
https://www.ultrasoundgel.org/160
Sponsor: Echonous
Yale EM Podcast Day Part 1
Creagh and Mike were invited to speak at the first ever Yale Emergency Medicine Podcast day! They join their old buddies Rachel Liu and Cian McDermott to discuss podcasting and POCUS in cardiac arrest. This is part 1 of 2.
https://www.ultrasoundgel.org/159
Sponsor: Echonous
MAPSE
The GEL trio return to discuss an old idea made new again - the mitral annular plane systolic excursion, aka MAPSE. How good is it compared to other methods for estimating left ventricular function?
https://www.ultrasoundgel.org/158
https://pubmed.ncbi.nlm.nih.gov/36933334/
Sponsor: Echonous
MicroSkills
In this Special Edition ep, Mike interviews the multi-talented Adaira Landry and Resa Lewiss. They share some of the wisdom they have gleaned from their experiences as physicians, mentees, mentors, authors, academicians, ultrasound experts, and humans.
https://www.ultrasoundgel.org/157
https://www.harpercollins.com/products/microskills-adaira-landryresa-e-lewiss?variant=41082651443234
Distal Forearm Fractures
The GEL Jr. team is back and they have a bone to pick. What's the deal with using ultrasound for forearm fractures in kids? They examine a recent article on this topic from the New England Journal of Medicine.
https://www.ultrasoundgel.org/156
https://pubmed.ncbi.nlm.nih.gov/37256975/
People, Progress, POCUS (Part 2)
In September 2023, the GEL crew traveled to Portland, Maine to do some on-the-street reporting at the annual conference for the Society of Clinical Ultrasound Fellowships (SCUF). What evolved was a series of incredible mini-interviews focusing on the different paths to ultrasound and the exciting new frontiers of ultrasound technology. This is Part 2 of 2.
https://www.ultrasoundgel.org/155http
People, Progress, POCUS (Part 1)
In September 2023, the GEL crew traveled to Portland, Maine to do some on-the-street reporting at the annual conference for the Society of Clinical Ultrasound Fellowships (SCUF). What evolved was a series of incredible mini-interviews focusing on the different paths to ultrasound and the exciting new frontiers of ultrasound technology. This is Part 1 of 2.
https://www.ultrasoundgel.org/154
h
PENG Block
Have you been PENG attention? This block is everywhere! In this episode, we talk about the preliminary data for the PEricapsular Nerve Group (PENG) block used for analgesia of acute hip fractures in the emergency department.
https://www.ultrasoundgel.org/153
https://pubmed.ncbi.nlm.nih.gov/35652877/
Femoral Doppler in Heart Failure
Bonus Cuts back again! Zack and Mike talk with guest Yale Tung-Chen about the POCUS vibe in Spain and his recently reviewed study on using doppler flow as a measure of right ventricular dysfunction in heart failure.
https://www.ultrasoundgel.org/152
Artificial Intelligence for Echo
Mike flies solo and ventures into the wily world of artificial intelligence in clinical ultrasound. How well does the machine measure up to the expert when it comes to hemodynamic measurements with echo?
https://www.ultrasoundgel.org/151
https://pubmed.ncbi.nlm.nih.gov/36835888/
Heart Failure Extravaganza!
To celebrate 150 episodes we are doing a deep dive into one of POCUS's most beloved applications - acute heart failure. We bring in echo expert Sean Hickey to help delve into the ins and outs of the hearts, the lungs, and the IVCs.
https://www.ultrasoundgel.org/150
Trigger Point Injections
Another author-focused Bonus Cuts episode with Zack and Mike joined by the one and only Rob Farrow! Rob represents the research team behind the recently discussed US-guided trigger point article. Discussion ensues regarding the methodology, procedural pearls, and a strained Bob Dylan reference.
https://www.ultrasoundgel.org/149
Femoral Vein Doppler
Another cutting edge topic! These insatiable investigators propose to use doppler waveforms from the common femoral vein as a marker of right heart dysfunction in heart failure patients. Novel? Certainly. Useful? We shall see!
https://www.ultrasoundgel.org/148
https://pubmed.ncbi.nlm.nih.gov/37088380/
Vertebral Artery Injury
What if I told you that you could use ultrasound to find traumatic injuries to the vertebral arteries? I am not telling you that...yet. The team has some thoughts on this novel idea.
https://www.ultrasoundgel.org/147
https://pubmed.ncbi.nlm.nih.gov/37087444/
The P2 Network
The GEL Jr crew sets up shop at the 2023 P2 Convention in Washington, D.C. and interviews the leaders of this organization about its history, purpose, and future.
https://www.ultrasoundgel.org/146
https://p2network.com
US-Guided Trigger Point Injections
Hold onto your hats - the latest episode discusses an application for ultrasound that you have probably never even thought about doing! Ultrasound-guided trigger point injections - do they work?!
https://www.ultrasoundgel.org/145
https://pubmed.ncbi.nlm.nih.gov/36214230/
Virtual Reality
Virtual reality ultrasound?! It is here, and it might be a valuable educational tool. Special host Shawn Sethi, usual but still somewhat special host Mike, and definitely special guest ultrasound educator Suean Pascoe discuss the available evidence and their own perspectives on this innovative technology.
https://www.ultrasoundgel.org/144
Diaphragmatic Dysfunction
Can looking at the diaphragm with ultrasound help us understand a patient's respiratory status? This is one of the first papers to look at this question in an emergency department population.
https://www.ultrasoundgel.org/143
https://pubmed.ncbi.nlm.nih.gov/36680779/
Inclusion in POCUS Part 2
This is the second and final part of our episode on diversity, equity, and inclusion within the point-of-care ultrasound community. Guests Almaz Dessie and Javier Rosario lend their insights to the discussion of their articles and practical next steps.
https://www.ultrasoundgel.org/142
Inclusion in POCUS Part 1
Special guests Almaz Dessie and Javier Rosario join Mike, Creagh, and Jai to discuss diversity, equity, and inclusion specifically in the point-of-care ultrasound community. This is the first of a two part discussion that covers the recently published articles on this topic and what you can do to help these efforts.
https://www.ultrasoundgel.org/141
Gastric POCUS & Sedation
Delia and Lianne take on the topic of pediatric gastric POCUS. Is it a helpful way to assess the effect of fasting prior to procedural sedation? Is fasting itself a helpful way to empty the stomach??
https://www.ultrasoundgel.org/140
https://pubmed.ncbi.nlm.nih.gov/32769837/
The State of POCUS
Vicki Noble is a veritable legend of point of care ultrasound. Zach and Mike are lucky enough to sit down with this proverbial fountain of wisdom and scoop some razor insights into the past, present and future of the field. We discuss Vicki's origin story, multi-disciplinary collaboration, hot takes on POCUS research, and the middle-age of POCUS.
https://www.ultrasoundgel.org/139
Ultrasound vs Landmark Subclavians
This episode has been a long time coming! We're talking ultrasound-guided subclavian central lines, and a lot of people have opinions. Are they better than landmark? What should we teach learners? The GEL team discusses through the lens of this fascinating RCT.
https://www.ultrasoundgel.org/138
https://pubmed.ncbi.nlm.nih.gov/35562246/
Trailer
Here's a little bit about our podcast. You can find out more at UltrasoundGEL.org.
Carotid Compression in CPR
We can only go so long without talking about cardiac arrest! Here is the latest idea - using sonographic carotid compression to help determine if a pulse is present. Can it save time compared to manual palpation and thus help our patients?
https://www.ultrasoundgel.org/137
https://pubmed.ncbi.nlm.nih.gov/35792305/
Pediatric IVC Collapse
Another Bonus Cuts author interview - this time with Amy Zhou, Pediatric Emergency Medicine specialist and first author of the recently reviewed article on IVC collapse duration. Zach and Mike ask the hard questions about how this paper came to be and how we should be thinking about the IVC in our pediatric patients.
https://www.ultrasoundgel.org/136
Pneumoperitoneum
Pneumoperitoneum is usually bad news for patients, and it would be great to have a quick way to make this diagnosis. These authors ingeniously used ultrasound contrast software (without any contrast) to boost the accuracy of ultrasound for this pathology!
https://www.ultrasoundgel.org/135
https://pubmed.ncbi.nlm.nih.gov/35204492/
Nasogastric Tube Placement
New idea alert! Should we be using POCUS to guide nasogastric tube placement? Crazy? Unnecessary, you say? Well listen in to the discussion of this interesting randomized controlled trial designed to answer this burning question.
https://www.ultrasoundgel.org/134
https://pubmed.ncbi.nlm.nih.gov/35834792/
Ultrasound-Guided Arthrocentesis
In our second in the series of Bonus Cuts, Zach and Mike interview the illustrious Ryan Gibbons for his take on arthrocentesis and a discussion of his research in the field. What an exciting joint venture!
https://www.ultrasoundgel.org/133
Duration of IVC Collapse
What do we do with IVC's in kids?! The GEL Jr squad tackles a fascinating article that might have the answer. These authors looked at the Inferior Vena Cava collapse duration in children with dehydration. Will this novel measurement help with figuring out who needs IV fluids?
https://www.ultrasoundgel.org/132
https://pubmed.ncbi.nlm.nih.gov/32530838/
The POCUS Manifesto Part 2
Part 2 of this Special Edition episode with Larry Istrail, author of the POCUS Manifesto. More great talk about POCUS, the physical exam, and ultrasound research.
https://www.ultrasoundgel.org/131
The POCUS Manifesto Part 1
In this Special Edition episode, Mike and Creagh interview physician, entrepreneur, and author Larry Istrail discussing his recent book The POCUS Manifesto! Awesome discussion of the ups and downs of implementing, teaching, and researching POCUS. Part 1 of 2.
https://www.ultrasoundgel.org/130
Neonatal Central Line Positioning
If you take care of neonates, the last thing you need to worry about is vascular access! In this episode the GEL Jr. team discusses an article on using POCUS to confirm central catheter placement. Can it save these babies a few xrays?
https://www.ultrasoundgel.org/129
https://pubmed.ncbi.nlm.nih.gov/35152306/
Brief Echo in Cardiac Arrest
This clever study questions which cardiac view is best to obtain during a cardiac arrest. By using a simulated arrest scenario on living non-cardiac arrest patients, they compare the subxiphoid window and the parasternal long axis view in terms of speed and image quality.
https://www.ultrasoundgel.org/128
https://pubmed.ncbi.nlm.nih.gov/35065867/
Jugular Venous Pressure
Jugular venous distention (JVD) is a classic physical exam finding taught for ages, but assessing it can be a challenge. Can ultrasound do a better job and therefore offer a non-invasive evaluation of the patient’s right heart pressures? This goal has been the pursuit of many ultrasounds before. This time we have a new vessel to assess and a nice reference standard (right heart cath)!
https://w
Winner of Sonogames Round Zero
This is a Special Edition podcast which features the winner of a competition at the recent SAEM Sonogames! The challenge was to create the best infographic for a POCUS article of the team's choice. The winning team was from Boston Medical Center. This podcast is a brief discussion of the article and the graphic this talented team created.
https://www.ultrasoundgel.org/126
https://pubmed.ncbi.n
Felipe Teran
In the first of our new series of author interviews, hosts Zach Risler and Mike Prats interview the illustrious Felipe Teran. They discuss Felipe's take on our coverage of the Quantitative LV Function in PEA article (ep 119) as well as thoughts on ultrasound and cardiac arrest research in general.
https://www.ultrasoundgel.org/125
US-Guided Arthrocentesis
In this episode, Mike and Jacob dive into an important intersection of musculoskeletal and procedural ultrasound - the ultrasound-guided arthrocentesis. People have been doing arthrocentesis without the help of ultrasound for a while, and most would agree it is feasible. BUT what about those smaller joints - like the wrist, elbow, and ankle? Perhaps that is where the greatest benefit would be i
Intussusception
Intussusception is a big deal and an area where POCUS can potentially make a difference. The literature has been promising, but there hasn't been any definitive studies...until now? The GEL Jr hosts dive into this impressive prospective, multicenter, non-inferiority study and (much like an air enema) they try to get to the bottom of this question to reduce our impacted uncertainty.
https://www
Supraclavicular vs Infraclavicular Subclavian Lines
Ultrasound has been a friend to central venous catheter placement for a long time. It's always there to make sure you are putting that line in the right place without causing problems. While this has been standard for internal jugular lines for years, it is only more recently that this has been proposed for subclavian lines. There is now ample literature supporting this latter practice, although a
Dedicated POCUS vs Primary Team
If you have listened to this podcast for any amount of time, you know how POCUS studies usually go. Someone does an ultrasound on something cool and then compares it to another test to see how good it is. Well this study is different. In this case, we are taking a tried and true application of POCUS (undifferentiated dyspnea) and comparing a dedicated ultrasound team's POCUS to the treating emerge
Ectopic Pregnancy
Can you believe we have never talked about ectopic pregnancy on this podcast?? Fortunately for you, a new research article allows our faithful hosts to dive into this core application of POCUS. These authors ask the practical question of whether or not a POCUS saves time in patients with ectopic pregnancy requiring an operation. The results may not be too surprising, but there are many twists and
Quantitative LV Function in PEA
Ultrasound in cardiac arrest is a favorite topic of the GEL Team and thus, we are back to crack open a radical new concept in the field. Does the left ventricular function actually matter in patients that are arresting?? Current practice for many is to assess for the binary presence or absence of cardiac activity, but these audacious authors suggest that a higher LV systolic function could be asso
The exFAST
The FAST exam has been used in trauma for decades - so why is there still confusion on how to use it in pediatrics? Because kids are different than adults! This article takes a look at the associations between intraabdominal injury and the FAST, physical exam, and labs. The authors then combine the FAST with physical exam findings to create the exFAST, the FAST-enhanced physical exam! Our GEL Jr h
Peritonsillar Abscess
Do you use ultrasound for suspected peritonsillar abscess (PTA)? Some of us probably do, some don't - but what does the evidence say?? Does it help the clinician? and (dare we ask) does it help the patient? This paper is potentially the best data we currently have on the topic. Mike and special guest Kim Fender dive straight into the purulence of this fluctuant topic.
https://www.ultrasoundge
Optic Disc Elevation
GEL Jr coming in hot with the latest in neuro-ocular sonography - optic disc elevation! That's right - not optic nerve sheath diameter (ONSD), the actual elevation of the disc as seen on ocular ultrasound. Super cool new idea - lets how how it pans out in this pilot study!
https://www.ultrasoundgel.org/116
https://pubmed.ncbi.nlm.nih.gov/34051397/
Early Systolic Notching Part 2
Everyone's new favorite doppler marker for pulmonary embolism is back! We discussed the ESN (early systolic notching) when this concept was first introduced as a marker for large PEs, but now we have a prospective study that improves upon some of the limitations of the past article...or does it?
https://www.ultrasoundgel.org/115
https://pubmed.ncbi.nlm.nih.gov/33987920/
Pre-Pause Imaging in Cardiac Arrest
One of the gang's favorite topics - ultrasound in cardiac arrest! This article delves into the importance of "pre-pause imaging", getting that picture of the heart ready even before the compressions are stopped! This seems like an important part of minimizing pauses in CPR, but how convincing is this data?
https://www.ultrasoundgel.org/114
https://pubmed.ncbi.nlm.nih.gov/34223359/
Pediatric Intubation
The GEL Jr. team is back with another great use for pediatric POCUS! You might not have known that you can actually use ultrasound to confirm that your endotracheal tube is in the right place! But how good is it??
https://www.ultrasoundgel.org/113
https://pubmed.ncbi.nlm.nih.gov/32168296/
The SAEMMIES 2021
This Special Edition podcast covers not one - but 7 really important POCUS articles! These articles were selected by the Academy of Emergency Ultrasound (an academy of the Society of Academic Emergency Medicine) as the top articles from the past year. Here we briefly discuss the winningest articles from each of the categories!
https://www.ultrasoundgel.org/112
Papilledema
We have talked about ocular ultrasound many times before - it certainly can be useful in identifying many acute ophthalmologic pathologies. But what about papilledema? We know that POCUS can be used to measure the optic nerve sheath diameter (ONSD), which dilates with increased intracranial pressure. So theoretically this should work well in patients with suspected increased intracranial pressure,
Septic Arthritis of the Hip
We have been ultrasounding hips for a while now. We know this modality is accurate for finding effusions. This can really help in cases of suspected septic arthritis. Unlike patients with this disease, this study takes multiple steps forward. First it asks the question - "Does point-of-care ultrasound (POCUS) in the emergency department lead to a faster diagnosis?". Then it goes further by trying
Innovation Through Collaboration
In this Special Edition podcast, Mike is joined by POCUS leaders and educators Nova Panebianco and Cameron Baston to discuss their recent publication on interdepartmental collaboration with ultrasound. They discuss their process for creating a combined fellowship and share additional pointers in achieving mutually beneficial relationships between departments.
https://www.ultrasoundgel.org/109
htt
Lung Ultrasound for Acute Chest Syndrome
Acute chest syndrome is such a great application for lung ultrasound, especially in pediatrics where we do everything we can to dodge the harmful affects of ionizing radiation. We have covered this once before on the podcast, but it was ages ago. This is a recent well-done study that takes another look to see how ultrasound compares to the commonly employed chest radiography. Join the GEL Jr team
Transcranial Doppler in Traumatic Brain Injury
Transcranial doppler has been a developing interest to point-of-care ultrasound enthusiasts. While it has been a mainstay for certain inpatient indications, only relatively recently have some bold souls proposed application in the acute care setting. These uses include assessing for midline shift, vasospasm, elevated intracranial hemorrhage. This article explores an even more novel idea - using it
Pediatric POCUS Interpretation
This is the first episode of GEL Jr. - our pediatric series! Hosts Delia Gold and Lianne McLean join Mike in discussing an important article on the learning of pediatric POCUS. These authors studied how participants learned image interpretation from an online POCUS educational system. The findings have many important implications for education and competency!
https://www.ultrasoundgel.org/106
htt
Integrated Lung Ultrasound for the Diagnosis of COVID-19
Look - we're sorry. We know you are sick of COVID-19, but when this came across our desk we knew it was important. So far we know that point-of-care lung ultrasound is accurate for the diagnosis and even that extent of sonographic findings can correlate with the severity of disease. Now we ask - could it provide a superior diagnostic strategy to even our beloved PCR??
https://www.ultrasoundgel.or
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