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Sonographic Crepitus, a Point-of-Care Ultrasound Finding. 超声心动图crepit，一种即时超声发现。
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7i1.15406
Brian Kohen, Michael Halperin, Gloria Felix, Trevor Dixon, Michelle Montenegro, Fenil Patel
{"title":"Sonographic Crepitus, a Point-of-Care Ultrasound Finding.","authors":"Brian Kohen, Michael Halperin, Gloria Felix, Trevor Dixon, Michelle Montenegro, Fenil Patel","doi":"10.24908/pocus.v7i1.15406","DOIUrl":"https://doi.org/10.24908/pocus.v7i1.15406","url":null,"abstract":"Necrotizing fasciitis is a life-threatening polymicrobial skin and soft tissue infection that requires prompt diagnosis and treatment. Delays in diagnosis and treatment can result in an increase in morbidity and mortality [1]. Necrotizing fasciitis has historically been a clinical diagnosis. Patients with a high clinical suspicion for necrotizing fasciitis generally receive antibiotics and undergo emergent surgical debridement. In some cases, necrotizing fasciitis may be clinically difficult to differentiate from other skin and soft tissue infections such as severe cellulitis and abscesses. In such cases, POCUS may assist in diagnosis and has been shown to have a positive impact in expediting care [2,3]. Below, we describe a unique sonographic finding in a patient diagnosed with necrotizing fasciitis.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 1","pages":"129-130"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9086366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Point of Care Ultrasonography to Monitor Decongestive Therapy in Heart Failure: Seeing is Believing. 心衰时超声监测减充血性治疗:眼见为实。
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7iKidney.15340
Abhilash Koratala
{"title":"Point of Care Ultrasonography to Monitor Decongestive Therapy in Heart Failure: Seeing is Believing.","authors":"Abhilash Koratala","doi":"10.24908/pocus.v7iKidney.15340","DOIUrl":"https://doi.org/10.24908/pocus.v7iKidney.15340","url":null,"abstract":"","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 Kidney","pages":"14-16"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9088031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utility of Nephrologist-Performed Point of Care Ultrasonography in the Evaluation of Hyponatremia. 肾内科医生执行的护理点超声检查在评估低钠血症中的应用。
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7iKidney.15339
Mahmud Saqib, Gregory Capelli, Abhilash Koratala
{"title":"Utility of Nephrologist-Performed Point of Care Ultrasonography in the Evaluation of Hyponatremia.","authors":"Mahmud Saqib,&nbsp;Gregory Capelli,&nbsp;Abhilash Koratala","doi":"10.24908/pocus.v7iKidney.15339","DOIUrl":"https://doi.org/10.24908/pocus.v7iKidney.15339","url":null,"abstract":"<p><p>Point of care ultrasonography can be a valuable adjunct to conventional physical examination in patients with hyponatremia that aids in clinical decision making. It can address the shortcomings of traditional volume status assessment such as the inherent low sensitivity of 'classic' signs such as lower extremity edema. Herein, we present a case of a 35-year-old woman where discrepant clinical findings led to confusion in the accurate assessment of volume status but addition of point of care ultrasonography helped to guide the therapy.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 Kidney","pages":"11-13"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9088033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Comment on the November Issue of POCUS Journal. 《POCUS杂志》11月刊评论
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7i2.16034
Benjamin T Galen
{"title":"A Comment on the November Issue of POCUS Journal.","authors":"Benjamin T Galen","doi":"10.24908/pocus.v7i2.16034","DOIUrl":"https://doi.org/10.24908/pocus.v7i2.16034","url":null,"abstract":"","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 2","pages":"183"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9435186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
About the Special Kidney Issue. 关于肾脏特刊。
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7iKidney.15415
Nathaniel Reisinger, Abhilash Koratala
{"title":"About the Special Kidney Issue.","authors":"Nathaniel Reisinger,&nbsp;Abhilash Koratala","doi":"10.24908/pocus.v7iKidney.15415","DOIUrl":"https://doi.org/10.24908/pocus.v7iKidney.15415","url":null,"abstract":"","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 Kidney","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9451678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Potential Pitfall in POCUS of the Gallbladder: Beware of the Duodenum. 胆囊POCUS的潜在隐患:小心十二指肠。
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7i2.15632
Fan J Yang, Brian Kohen, Sowmya Sanapala, Michael Halperin
{"title":"A Potential Pitfall in POCUS of the Gallbladder: Beware of the Duodenum.","authors":"Fan J Yang,&nbsp;Brian Kohen,&nbsp;Sowmya Sanapala,&nbsp;Michael Halperin","doi":"10.24908/pocus.v7i2.15632","DOIUrl":"https://doi.org/10.24908/pocus.v7i2.15632","url":null,"abstract":"<p><p>It is estimated that 20 million people in the United States have gallbladder disease. Of the patients who present to the Emergency Department (ED) with abdominal pain, 3-10% have acute cholecystitis. Point-of-care ultrasound (POCUS) evaluation of the biliary system is a valuable tool to diagnose gallbladder disease and can greatly expedite the diagnostic evaluation of patients. One source of error in POCUS of the gallbladder is imaging nearby structures that can mimic the gallbladder, such as the duodenum.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 2","pages":"188-189"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9454829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
POCUS Finding of Portal Venous Gas: An Unusual Consequence of an Amyloid Dysmotility Related Bezoar. POCUS发现门静脉气体:淀粉样蛋白运动障碍相关牛黄的不寻常后果。
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7i2.15681
Grace B DeMarco, Qiuchen Jiang, Ernest A Fischer
{"title":"POCUS Finding of Portal Venous Gas: An Unusual Consequence of an Amyloid Dysmotility Related Bezoar.","authors":"Grace B DeMarco,&nbsp;Qiuchen Jiang,&nbsp;Ernest A Fischer","doi":"10.24908/pocus.v7i2.15681","DOIUrl":"https://doi.org/10.24908/pocus.v7i2.15681","url":null,"abstract":"<p><p>A 73-year-old male with a recent finding of pericardial effusion and syncope was evaluated with point of care ultrasound for recurrent effusion. A thickened left ventricle and recurrent pericardial effusion were found. Unexpectedly, on scanning the inferior vena cava (IVC), extensive portal venous gas was identified, a finding previously described as a \"meteor shower\". Subsequent imaging by computed tomography (CT) identified gastric edema and peri-gastric vessel gas as the source of the portal gas, attributed to a large bezoar. The bezoar was later classified as a phytobezoar and the patient was found to have both cardiac and gastrointestinal manifestations of light chain amyloidosis. The gastrointestinal amyloidosis predisposed the patient to bezoar formation owing to associated dysmotility, a rare complication of an unusual manifestation of systemic amyloid.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 2","pages":"201-204"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9180354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transesophageal Echocardiography Guided Partial Right Atrial Inflow Occlusion - A Case Study. 经食道超声心动图引导的部分右心房流入阻断一例。
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7i2.15663
Lucas Barboza, Rob Tanzola
{"title":"Transesophageal Echocardiography Guided Partial Right Atrial Inflow Occlusion - A Case Study.","authors":"Lucas Barboza,&nbsp;Rob Tanzola","doi":"10.24908/pocus.v7i2.15663","DOIUrl":"https://doi.org/10.24908/pocus.v7i2.15663","url":null,"abstract":"Abstract Deployment of stent-grafts and other endovascular devices is a common technique for various vascular repair procedures. Induced, transient, periods of hypotension are essential to the precise deployment of a device as this minimizes displacement that can result from high pressure aortic flow. Partial inflow occlusion of the right atrium is a reliable, precise, and safe method of achieving this. We present a case where intraoperative transesophageal echocardiography (TEE) was used to guide and confirm balloon placement for right atrium inflow occlusion during a thoracic endovascular aneurysm repair (TEVAR) procedure for repair of an aortic dissection in a 67 year old male. This highlights a novel use of TEE in the context of endovascular surgery, and showcases an alternative method of reliably achieving transient hypotension.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 2","pages":"212-215"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9084967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Takotsubo Syndrome: Clinical Diagnosis Using POCUS. Takotsubo综合征:POCUS临床诊断。
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7i1.15296
Josu López Libano, Lorenzo Alomar Lladó, Leire Zarraga López
{"title":"The Takotsubo Syndrome: Clinical Diagnosis Using POCUS.","authors":"Josu López Libano,&nbsp;Lorenzo Alomar Lladó,&nbsp;Leire Zarraga López","doi":"10.24908/pocus.v7i1.15296","DOIUrl":"https://doi.org/10.24908/pocus.v7i1.15296","url":null,"abstract":"<p><p>Takotsubo syndrome is a cardiomyopathy that can mimic an acute heart attack, in terms of clinical presentation, electrocardiographic changes, and findings on echocardiogram. Point-of-care-ultrasound (POCUS) can be used to detect this condition, even though the definitive diagnosis is made angiographically. We present the case of an 84-year-old woman with a subacute coronary syndrome and high levels of myocardial ischemia markers. The POCUS performed on admission showed characteristic left ventricular dysfunction involving the apex but sparing the base. The coronary angiography ruled out significant arteriosclerotic in the coronary arteries. The wall motion abnormalities were partially corrected in the 48 hours after admission. POCUS might be a useful tool to establish an early diagnosis of Takotsubo syndrome at time of admission.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 1","pages":"137-139"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9086365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Point-of-Care Ultrasound to Detect Dilated Coronary Sinus in Adults. 即时超声检测成人冠状动脉窦扩张。
POCUS journal Pub Date : 2022-01-01 DOI: 10.24908/pocus.v7i2.15702
Zouheir I Bitar, Mohamad Abdelfatah, Ossama Sajeh Maadarani, Muath Alanbaei, Rashed Juma Al Hamdan
{"title":"Point-of-Care Ultrasound to Detect Dilated Coronary Sinus in Adults.","authors":"Zouheir I Bitar,&nbsp;Mohamad Abdelfatah,&nbsp;Ossama Sajeh Maadarani,&nbsp;Muath Alanbaei,&nbsp;Rashed Juma Al Hamdan","doi":"10.24908/pocus.v7i2.15702","DOIUrl":"https://doi.org/10.24908/pocus.v7i2.15702","url":null,"abstract":"<p><p>Detecting dilated coronary sinus when assessing patients in an acute emergency with point-of-care ultrasound (POCUS) is important for differential diagnosis, including the detection of persistent left superior vena cava (PLSVC) and right ventricular dysfunction. Cardiac POCUS with agitated saline injections through the left and right antecubital veins is a simple bedside test to make the diagnosis. We present a 42-year-old woman with first-time rapid atrial flutter in whom POCUS confirmed the presence of dilated coronary sinus and PLSVC.</p>","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"7 2","pages":"208-211"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9080373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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