Value of a Cardiovascular Limited Ultrasound Examination Using a Hand-Carried Ultrasound Device on Clinical Management in an Outpatient Medical Clinic

2007 ◽  
Vol 100 (2) ◽  
pp. 321-325 ◽  
Author(s):  
Bruce J. Kimura ◽  
David J. Shaw ◽  
Donna L. Agan ◽  
Stan A. Amundson ◽  
Andrew C. Ping ◽  
...  
Keyword(s):  
Clinical Management ◽  
Ultrasound Examination ◽  
Medical Clinic ◽  
Ultrasound Device

scholarly journals Acute Bronchiolitis: Is There a Role for Lung Ultrasound?

Diagnostics ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 172 ◽  
Author(s):  
Di Mauro ◽  
Ammirabile ◽  
Quercia ◽  
Panza ◽  
Capozza ◽  
...  
Keyword(s):  
Clinical Management ◽  
Lung Ultrasound ◽  
Ultrasound Examination ◽  
Diagnostic Algorithm ◽  
Current Evidence ◽  
Radiographic Examination ◽  
First Year ◽  
Pubmed Database ◽  
First Year Of Life

Introduction: Viral bronchiolitis is a common cause of lower respiratory tract infection in the first year of life, considered a health burden because of its morbidity and costs. Its diagnosis is based on history and physical examination and the role of radiographic examination is limited to atypical cases. Thus far, Lung Ultrasound (LUS) is not considered in the diagnostic algorithm for bronchiolitis. Methods: PubMed database was searched for trials reporting on lung ultrasound examination and involving infants with a diagnosis of bronchiolitis. Results: Eight studies were suitable. Conclusions: This review analyzed the current evidence about the potential usefulness of LUS in the clinical management of bronchiolitis. Literature supports a peculiar role of LUS in the evaluation of the affected children, considering it as a reliable imaging test that could benefit the clinical management of bronchiolitis.

Observations on Managing Medical Patients With Borderline Personality

2007 ◽  
Vol 20 (5) ◽  
pp. 377-384 ◽  
Author(s):  
J. Chris Nordgren
Keyword(s):  
Clinical Management ◽  
Borderline Personality ◽  
Medical Setting ◽  
Medical Clinic ◽  
Medical Patients ◽  
Burn Out ◽  
The Common

Patients with borderline personality present pharmacists with significant clinical management challenges in hospital and medical clinic settings. These challenges include patient behaviors that interfere with treatment, burn out providers, and interfere with other patients' treatment. Recognizing the dynamics of borderline personality and the common pitfalls of caring for these patients in a medical setting is essential to effectively managing their treatment.

Comparison of a pocket-size ultrasound device with a premium ultrasound machine: diagnostic value and time required in bedside ultrasound examination

2015 ◽  
Vol 40 (7) ◽  
pp. 2861-2866 ◽  
Author(s):  
Konrad Friedrich Stock ◽  
Bettina Klein ◽  
Dominik Steubl ◽  
Christian Lersch ◽  
Uwe Heemann ◽  
...  
Keyword(s):  
Ultrasound Examination ◽  
Diagnostic Value ◽  
Bedside Ultrasound ◽  
Ultrasound Machine ◽  
Ultrasound Device ◽  
Time Required

scholarly journals Perbedaan Sonopattern Ultrasonografi Kandung Empedu pada Kasus Cholelithiasis & Galbladder Polyp

2021 ◽  
Vol 11 (2) ◽  
pp. 116
Author(s):  
Fiddinillah Fiddinillah ◽  
Sriyatun Sriyatun ◽  
Nurbaiti Nurbaiti ◽  
Nursama Heru Apriantoro
Keyword(s):  
Tumor Tissue ◽  
Ultrasound Examination ◽  
Gallbladder Wall ◽  
Sound Waves ◽  
Gallbladder Polyp ◽  
Acoustic Shadow ◽  
Ultrasound Device ◽  
Pass Through

On ultrasound examination of the gallbladder Cholelithiasis and Gallbladder Polyp usually have similar results but have their own characteristics that can differentiate. In the image results Cholelithiasis, which is usually called gallstones, has a characteristic Sonopattern Hyperechoic with an Acousstic Shadow behind it, where when using the technique the patient's position changes the stone according to the direction of Earth's gravity. While the results of the Gallbladder Polyp image, which is a tumor protrusion attached to the gallbladder wall, has the characteristic Sonopattern Hyperecoic without an acoustic shadow behind it, where when using the technique the patient's position changes not according to the direction of Earth's gravity. In both cases, the presence or absence of an acoustic shadow behind it is based on the density of the tissue that the sound waves pass through from the ultrasound device, so that when passing through the stone, the acoustic shadow is more visible than when passing through the tumor tissue.. Keywords: sonopattern ultrasound; cholelithiasis; gallbladder polyp ABSTRAK Pada pemeriksaan USG kandung empedu Cholelithiasis dan Gallbladder Polyp biasanya memiliki hasil gambaran yang serupa tetapi memiliki ciri khasnya masing-masing yang dapat membedakan. Pada hasil gambaran Cholelithiasis yang biasa disebut batu empedu memiliki ciri khas Sonopattern Hyperechoic dengan Acousstic Shadow di belakangnya, ketika menggunakan teknik dengan posisi pasien yang berubah batu mengikuti arah gravitasi bumi. Sementara pada hasil gambaran Gallbladder Polyp yang merupakan tonjolan tumor yang menempel pada dinding kandung empedu memiliki ciri khas Sonopattern Hyperecoic tanpa Accoustic Shadow dibelakangnya, dimana ketika menggunakan teknik dengan posisi pasien yang berubah tidak mengikuti arah gravitasi bumi. Pada kedua kasus ini ada tidaknya Accoustic Shadow di belakangnya didasari oleh kepadatan jaringan yang dilalui oleh gelombang suara dari alat USG, sehingga saat melewati batu lebih tampak Accoustic Shadow dibandingkan saat melewati jaringan tumor. Kata kunci: sonopattern ultrasound; cholelithiasis; gallbladder polyp

scholarly journals A Comparative Study of Ultrasound Examination of Urinary Tract Performed on Spinal Cord Injury Patients with No Urinary Symptoms and Spinal Cord Injury Patients with Symptoms Related to Urinary Tract: Do Findings of Ultrasound Examination Lead to Changes in Clinical Management?

2006 ◽  
Vol 6 ◽  
pp. 2450-2459 ◽  
Author(s):  
Subramanian Vaidyanathan ◽  
Peter L. Hughes ◽  
Bakul M. Soni
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urinary Tract ◽  
Clinical Management ◽  
Ultrasound Examination ◽  
Urinary Symptoms ◽  
Ultrasound Scan ◽  
Cord Injury ◽  
Ultrasound Findings ◽  
Group 2

Findings of ultrasound examination of the urinary tract and changes in clinical management, which were instituted on the basis of ultrasound examination, were compared between two groups of spinal cord injury patients. Group 1 had no urinary symptoms when they underwent the scan, whereas group 2 was comprised of patients with symptoms pertaining to the urinary tract. Between 2000 and 2006, ultrasound examination of the urinary tract was performed in 87 spinal cord injury patients who had no urinary symptoms when they underwent the ultrasound scan. No abnormality was found in 63 patients. The ultrasound scan showed some abnormality of the urinary tract in 24 patients (simple cyst in the kidney: 4; reduced size of a kidney: 3; increased echogenicity of left kidney: 1; prominent extrarenal pelvis and mild calyceal dilatation: 1; slightly dilated renal pelvis and calyceal system: 1; pelvic kidney showing mild hydronephrosis: 1; foetal lobulation of kidney: 2; multicystic kidney with no interval change in the appearance since last examination: 1; 2-cm-diameter parapelvic cyst: 1; small renal calyceal calculus: 5; a little cortical scarring bilaterally: 1; focal renal scar: 2; generalised thinning of renal cortex: 3; increase in renal sinus fat: 3; trabeculated bladder: 2; small vesical diverticulum: 1; mild generalised bladder wall thickening: 1; small residual urine in postvoid scan; 2). No specific interventions were performed in these patients on the basis of ultrasound findings. In Group 2, ultrasound examination revealed serious abnormalities such as hydronephrosis, pyonephrosis, vesical calculi, vesical polyp in 20 of 21 patients, and all 20 patients required therapeutic intervention on the basis of ultrasound scan findings.In conclusion, routine ultrasound examination of the urinary tract in spinal cord injury patients who have no urinary symptoms may not be justifiable in terms of cost effectiveness; limited hospital resources should be directed to spinal cord injury patients with urinary symptoms so that ultrasound examination and therapeutic interventions based on ultrasound findings are carried out expeditiously.

scholarly journals Suspected Testicular Torsion: A Survey of Clinical Practice in North West England

2002 ◽  
Vol 95 (5) ◽  
pp. 247-249 ◽  
Author(s):  
I Pearce ◽  
S Islam ◽  
I G Mcintyre ◽  
K J O'Flynn
Keyword(s):  
Clinical Practice ◽  
Clinical Management ◽  
Testicular Torsion ◽  
Ultrasound Examination ◽  
Radiological Investigation ◽  
North West ◽  
The North ◽  
West Region ◽  
Routine Imaging

Several aspects of the management of suspected testicular torsion are controversial. A questionnaire was mailed to all 33 consultant urologists in the North West region of England to elicit their policies for routine clinical management. 29 of 33 questionnaires were returned (2 incomplete). As regards radiological investigation, 4 consultants always request ultrasound examination; the others do not favour routine imaging. When the diagnosis of testicular torsion is confirmed at operation, all consultants would perform bilateral testicular fixation, although with considerable variations in technique; most use Vicryl sutures (66%) and three-point fixation (57%). One-third would do an ipsilateral orchidopexy if there was no clear evidence of testicular torsion at operation. The variation revealed by this survey prompted an attempt to formulate a protocol for management. A review of the published work indicates that, in cases of proven testicular torsion, treatment should include bilateral fixation with delayed-absorption or nonabsorbable sutures; fixation should be at three points. When torsion is not found at operation, there is no evidence of benefit from orchidopexy.

scholarly journals Increased of the carotid intima media thickness in preeclampsia

2020 ◽  
Vol 48 (8) ◽  
pp. 787-791 ◽  
Author(s):  
Raul Moreira Neto ◽  
Jose Geraldo Lopes Ramos ◽  
Edin Medjedovic ◽  
Edin Begic
Keyword(s):  
Pregnant Women ◽  
High Frequency ◽  
Ultrasound Examination ◽  
Intima Media Thickness ◽  
Carotid Intima Media Thickness ◽  
High Frequency Ultrasound ◽  
Porto Alegre ◽  
Ultrasound Device ◽  
Media Thickness ◽  
Frequency Ultrasound

AbstractObjectivesThe aim of the study was to determine carotid intima-media thickness (CIMT) values in patients who developed and did not develop preeclampsia (PE), and to determine whether CIMT values could be predictors of PE development.MethodsThe study included pregnant women who were examined by regular ultrasound examination at the Materno-Infantil Presidente Vargas Hospital (HMIPV) in Porto Alegre, Brazil, from April 2016 to September 2017. The examinations were performed every three months. Patients were divided into two groups. The first group included patients diagnosed with PE (n=21) and second group included patients who did not have PE (n=199). A high frequency ultrasound device (12 MHz) with a semi-automatic method was used to estimate CIMT.ResultsCIMT was significantly higher in pregnant women with PE than in women without PE (55±0.11 vs. 0.44±0.06, respectively; p<0.001). Using a cut-off value of 0.51 mm, CIMT had a specificity of 77.9% and sensitivity of 81% in the diagnosis of PE. With CIMT ≥0.6 mm, the probability of a patient developing PE was 44.4%; with CIMT >0.42 mm, the probability was only 4.2%.ConclusionsAn increase in CIMT was associated with the onset of PE. CIMT values were significantly higher in patients who develop PE.

Assessing the Use of Age-Equivalent Scores in Clinical Management

1992 ◽  
Vol 23 (1) ◽  
pp. 6-8 ◽  
Author(s):  
Carol W. Lawrence
Keyword(s):  
Case Management ◽  
Clinical Management ◽  
Management Decisions ◽  
Language Deficits

Speech-language evaluation reports from many institutions present age-equivalent scores as the evidence for speech-language deficits. Yet, the value and interpretation of this measurement criterion requires clinical scrutiny. This article reviews the concept and derivation of age-equivalent scores and presents arguments against their use in case management decisions.

Structural Aspects of Phonological Development

1988 ◽  
Vol 19 (1) ◽  
pp. 5-16 ◽  
Author(s):  
Karen E. Pollock ◽  
Richard G. Schwartz
Keyword(s):  
Clinical Management ◽  
Structural Complexity ◽  
Strong Preference ◽  
Phonological Development ◽  
Structural Position ◽  
Phonological Disorders ◽  
Syllabic Structure ◽  
The Relationship ◽  
Structural Aspects ◽  
Target Words

The relationship between syllabic structure and segmental development was examined longitudinally in a child with a severe phonological disorder. Six speech samples were collected over a 4-year period (3:5 to 7:3). Analyses revealed gradual increases in the complexity and diversity of the syllable structures produced, and positional preferences for sounds within these forms. With a strong preference for [d] and [n] at the beginning of syllables, other consonants appeared first at the end of syllables. Implications for clinical management of phonological disorders include the need to consider both structural position and structural complexity in assessing segmental skills and in choosing target words for intervention.

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