Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma.

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI:10.24908/pocus.v8i2.16500
William Noel, Brian B Donahue
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Abstract

We present a case of a 59-year-old man who arrived to the emergency department with abdominal pain and bruising after coughing. Point of care ultrasound (POCUS) was used to make the diagnosis of rectus sheath hematoma (RSH). This diagnosis was made within minutes of arrival to the ED and subsequently confirmed on computed tomography (CT) of the abdomen. As abdominal ultrasound is a technically straightforward imaging technique which includes a sensitivity that rises about 90%, its utilization to identify rectus sheath hematoma can reduce the rate of CT imaging and time to diagnosis for this pathology.

咳嗽引起腹痛?直肠鞘血肿的快速 POCUS 诊断。
我们报告了一例 59 岁男子的病例,他因咳嗽后腹痛和瘀伤来到急诊科就诊。急诊超声检查(POCUS)确诊为直肠鞘血肿(RSH)。该诊断是在患者到达急诊室后几分钟内做出的,随后经腹部计算机断层扫描(CT)确诊。由于腹部超声是一种技术简单的成像技术,灵敏度高达 90%,因此利用它来识别直肠鞘血肿可以降低 CT 成像率,缩短诊断时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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