A case of a pharyngeal diverticulum complicating a total laryngectomy is presented. Possible aetiology and management are discussed.

A 33-year-old man with history of lymphoma was misdiagnosed as multiple sclerosis (MS) 18 months previously, developed intermediate uveitis, unresponsive to interferon, and corticosteroids. A diagnosis of Behçet's disease (BD) was made on the basis of recurrent orogenital ulceration, erythema nodosum, and a positive pathergy test. The patient was started on Tocilizumab and experienced an improvement in visual acuity and intraocular inflammation over the following 2 weeks. In patients with BD-related uveitis, Tocilizumab can be an effective alternative to anti-tumor necrosis factor alpha medications.

A point-of-care ultrasound (POCUS) workflow is composed of multiple processes managed by various stakeholders. There are concurrent front and back end steps including: acquiring, archiving and interpreting images; documenting the POCUS study and ultimately coding and billing for the study [1]. An efficient POCUS workflow is important for both patient care and billing [2-4]. Unfortunately, there is no single standard across POCUS programs [5]. Based on our institutional experience, we suggest that programs engage key groups described in this perspective piece.

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