A 15-day-old male who was born at term presented with non-bilious projectile vomiting. He was nontoxic and his abdomen was benign without masses. Point-of-care ultrasound (POCUS) showed hypertrophic pyloric stenosis (HPS). Typical findings include target sign; pyloric muscle thickness greater than three mm; channel length greater than 15-18 mm; and lack of gastric emptying. The patient was admitted; consultative ultrasound (US) was negative, but repeated 48 hours later for persistent vomiting. This second US was interpreted as HPS, which was confirmed surgically. Pyloromyotomy was successful. Few reports describe POCUS by general emergency physicians to diagnose HPS. Here, we emphasize the value in repeat US for patients with persistent symptoms.

Blunt scrotal injury represents a diagnostic dilemma for emergency physicians (EP).Consequently, point-of-care ultrasound (POCUS) has emerged as a tool for early investigation ofthe acute scrotum in the emergency department. We describe a case where an EP used scrotalPOCUS to immediately visualize the loss of testicular contour and underlying heterogeneousparenchyma to rapidly make the diagnosis of testicular rupture in a young male presenting withscrotal trauma. The use of POCUS in this case expedited therapy, likely improving the patient’soutcome. To our knowledge, this is the first detailed description of testi cular rupture diagnosedwith POCUS by an EP.