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You're on for surgical acute admissions - you've taken a history, examined the patient and sent off some blood tests, but you still can't figure what is wrong with your patient! What next...? Help is at hand: Lee Creedon returns to continue his series on acute surgical imaging, this time all about ultrasound. When and where to use it are discussed, as well as limitations of the technique in the acute surgical patient. Lee takes you through some common clinical scenarios to illustrate and reinforce when ultrasound might be helpful. Mapped to ISCP learning outcomes, this is essential viewing for medical students, foundation doctors (Interns) and core trainees (junior residents) in surgery. Lee Creedon is a specialty registrar in surgery on the School of Surgery, Health Education East Midlands