Unique transthoracic visualization of thoracic aorta through sonographic window of pleural effusion and rib metastases on point-of-care ultrasound

2018 ◽  
Vol 13 ◽  
pp. 91-93
Author(s):  
Akiya Kawanishi ◽  
Drew Jones ◽  
Deborah Kimball
Keyword(s):  
Pleural Effusion ◽  
Thoracic Aorta ◽  
Point Of Care ◽  
Point Of Care Ultrasound

scholarly journals Longitudinal Ultrasound Curriculum Improves Long-Term Retention Among Internal Medicine Residents

2015 ◽  
Vol 7 (3) ◽  
pp. 454-457 ◽  
Author(s):  
Diana J. Kelm ◽  
John T. Ratelle ◽  
Nabeel Azeem ◽  
Sara L. Bonnes ◽  
Andrew J. Halvorsen ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Pleural Effusion ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Point Of Care ◽  
Vena Cava ◽  
Knowledge Retention ◽  
Point Of Care Ultrasound ◽  
Ultrasound Images

ABSTRACT Background Point-of-care ultrasound is a rapidly evolving component of internal medicine (IM) residency training. The optimal approach for teaching this skill remains unclear. Objective We sought to determine whether the addition of a longitudinal ultrasound curriculum to a stand-alone workshop for ultrasound training improved knowledge retention in IM residents. Methods We conducted an observational cohort study from July to December 2013. All postgraduate year (PGY)-1 IM residents attended an ultrasound workshop during orientation. Ability to identify static images of ascites, kidney, thyroid, pleural fluid, inferior vena cava, and internal jugular vein was assessed immediately after the workshop. An ultrasound curriculum, including morning report and ultrasound rounds, was initiated during the inpatient medicine rotation. PGY-1 residents were randomly assigned to participate in the longitudinal curriculum. Six months later, we conducted a follow-up survey with all PGY-1 residents. Results Forty-eight PGY-1 residents (67%) completed the postworkshop test and the 6-month follow-up test. Of these, 50% (24 of 48) had participated in the ultrasound curriculum. Residents not exposed to the curriculum showed a decline in the identification of ascites, pleural effusion, and internal jugular vein at 6 months (P < .05), whereas those who participated in the curriculum maintained their performance (P < .05). Conclusions Six months after exposure to a longitudinal ultrasound curriculum, residents were more likely to correctly identify ultrasound images of ascites, kidney, and pleural effusion. The addition of a longitudinal ultrasound curriculum may result in improved knowledge retention in IM residents.

scholarly journals Successful resolution of urothorax secondary to non-traumatic uroabdomen in a cat managed with peritoneal dialysis as a bridge to surgery

2021 ◽  
Vol 7 (1) ◽  
pp. 205511692098474
Author(s):  
Pablo Donati ◽  
Leonel A Londoño ◽  
Rodrigo Fravega ◽  
Juan M Guevara
Keyword(s):  
Peritoneal Dialysis ◽  
Pleural Effusion ◽  
Pleural Fluid ◽  
Point Of Care ◽  
Central Line ◽  
Medical Intervention ◽  
Point Of Care Ultrasound ◽  
Bridge To Surgery ◽  
Limited Information ◽  
Fluid Analysis

Case summary A 9-year-old neutered male domestic shorthair cat was presented for evaluation of severe hemodynamic collapse and suspected lower urinary tract disease. On admission, severe metabolic acidosis, hyperkalemia and azotemia, and electrocardiographic findings consistent with cardiotoxicity were identified. The diagnosis of uroabdomen was made based on abdominal fluid to plasma concentration ratios of creatinine and potassium. A central line catheter was placed percutaneously into the abdomen for peritoneal drainage and used for peritoneal dialysis as a bridge to surgery. Retrograde contrast cystography confirmed rupture of the urinary bladder. Point-of-care ultrasound of the chest postoperatively revealed the presence of mild pleural effusion. Echocardiography was then performed showing no evidence of cardiac disease. Pleural fluid analysis revealed a transudate with a creatinine ratio of 2.38 ([Creatinine]pleural fluid/[Creatinine]plasma), consistent with the diagnosis of urothorax. The cat recovered uneventfully from surgery and was monitored for signs of respiratory distress during the rest of its stay in hospital. The cat was discharged 4 days later and the pleural effusion resolved without further medical intervention. Relevance and novel information There is limited information on the causes of urothorax and uroabdomen management of feline patients. Pleural effusion is a complication observed in critically ill cats secondary to fluid overload, underlying cardiomyopathy, primary thoracic pathology or a combination of these. To our knowledge, this is the first report of urothorax in a cat secondary to non-traumatic uroabdomen. Careful monitoring of respiratory signs consistent with pleural space disease is recommended in cases of uroabdomen.

scholarly journals Signs and lines in lung ultrasound

2021 ◽  
Vol 21 (86) ◽  
pp. e225-e233
Author(s):  
Rohit Bhoil ◽  
◽  
Ajay Ahluwalia ◽  
Rajesh Chopra ◽  
Mukesh Surya ◽  
...  
Keyword(s):  
Critical Care ◽  
Pleural Effusion ◽  
Lung Ultrasound ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Colour Doppler ◽  
Lung Density ◽  
Pathological Conditions ◽  
B Lines ◽  
Lung Point

Point-of-care ultrasound has become firmly established in acute and critical care settings, and is now increasingly being used as an important tool in the assessment of the lungs. In this article, we briefly describe the technique of lung ultrasound and the various lines and signs commonly encountered during sonography of the lung, namely the normally visualised A- and T-lines and the bat sign, sliding sign (power slide sign on colour Doppler), sea-shore sign, curtain sign, and the lung pulse. We have also described signs seen in various pathological conditions like B-lines seen in cases of increased lung density; the quad sign, sinusoid sign, thoracic spine sign, plankton sign and the jelly fish sign seen in pleural effusion; the stratosphere sign and the lung point sign seen in pneumothorax; the shred/fractal sign and tissue-like sign in consolidation, and the double lung point sign seen in transient tachypnoea of the newborn. With adequate and appropriate training, lung ultrasound can be effectively utilised as a pointof-care investigation.

scholarly journals Point of Care Ultrasound for the General Internist: Pleural Effusions

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Darrel William Cotton ◽  
Ryan Lenz ◽  
Brendan Kerr ◽  
Irene Ma
Keyword(s):  
Pleural Effusion ◽  
Chest Radiography ◽  
Point Of Care ◽  
Physical Exam ◽  
Common Finding ◽  
General Internist ◽  
Point Of Care Ultrasound ◽  
Pleural Effusions ◽  
Therapeutic Implications ◽  
Point Of Care Ultrasonography

Pleural effusions are a common finding in many clinical settings and have important diagnostic and therapeutic implications.   They may be identified by physical exam, chest radiography, chest computerized tomography (CT) scans or point of care ultrasonography (POCUS).  The use of POCUS for the diagnosis and management of pleural effusions offers several advantages relevant to the practice of the general internist.  For the diagnosis of pleural effusion, POCUS has superior sensitivity and specificity when compared to chest radiography and physical exam.  Abnormal sonographic features of the pleural fluid and the adjacent pleura may suggest the presence of an exudative or malignant effusion. POCUS can be used to quickly estimate the size of a pleural effusion.  Lastly, the use of ultrasound guidance when performing a thoracentesis reduces the risk of pneumothorax and hemorrhage.

scholarly journals The Focused Assessment with Sonography in Cancer (FASC) Examination

POCUS Journal ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 42-45
Author(s):  
Peter C. Nauka, MD ◽  
Benjamin T. Galen, MD
Keyword(s):  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Patients With Cancer ◽  
Malignant Effusions

Malignant effusions occur frequently in patients with cancer and are important to diagnose and treat. In this report, we describe a novel point-of-care ultrasound (POCUS) protocol to rapidly identify pleural effusion, pericardial effusion, and ascites: The Focused Assessment with Sonography in Cancer (FASC). This protocol utilizes six standard sonographic positions to identify the presence of fluid in common anatomic spaces. The FASC examination is intended for widespread use by oncologists and other clinicians who treat patients with cancer. 

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

Sign in / Sign up

Export Citation Format

Share Document