All first-year emergency medicine residents at the University of Wisconsin write and present a case study in point of care ultrasound at the end of their four-week ultrasound rotation. We refer to this as the Ultrasound Case of the Month (UCOM). The following medical cases are fictional or anonymous and are for educational purposes only. All content is reviewed and approved by Division of Ultrasound faculty and follows guidelines set forth by the University of Wisconsin HIPAA Privacy Coordinator to ensure compliance with patient privacy rules.