Plain radiography is often considered a first-line diagnostic tool and gold standard for bony fractures. This case series and brief literature review highlight the need for increased training in musculoskeletal sonography. A case is presented of a distal radial fracture that was not detected on radiography but diagnosed with sonography on the same day. Similarly, two fractures of the distal fibula were diagnosed using sonography after negative radiographs at follow-up appointments, led to misdiagnoses and mismanagement. A fourth case is presented to show an acute rib fracture diagnosed by sonography. These cases emphasize the importance of musculoskeletal sonography training in the diagnosis of acute fractures and its underutilization at the bedside. Collaboration between sonographers and physicians may increase utilization of musculoskeletal sonography which in turn may improve patient care and outcomes.

Stress Ulcer ProphylaxisStress related mucosal injury occurs in ICU patients within the fi rst few days of ICU admission. The most important risk factors for the development of gastrointestinal bleeding are coagulopathy and need for mechanical ventilation. Other risk factors include history of gastrointestinal bleeding, hypotension, and multi-organ system dysfunction. Most of these risk factors are common in prior to and in the immediate

A 24-year-old woman, G5P4, presented for a routine checkup at 28 weeks gestation. Ultrasound of the fetus showed a neck mass with no other anomalies and no polyhydramnios. Magnetic resonance imaging (MRI) of the fetus showed a cystic mass suggestive of a neck teratoma. She was continued with her pregnancy as planned and was scheduled for a cesarean section at 37 weeks gestation. Ex utero intrapartum treatment (EXIT) procedure was performed. There were no intraoperative or postoperative complications. How to cite this article Al-Baghdadi R, Kika N, Ahmed B, Porovic S. Ex utero Intrapartum Treatment Procedure for Fetal Neck Teratoma. Donald School J Ultrasound Obstet Gynecol 2017;11(3):227-229.