Point-of-Care Ultrasound Facilitates Bedside Diagnosis of Appendicitis With an Appendicolith in a Pediatric Patient

2018 ◽  
Vol 34 (11) ◽  
pp. 818-819 ◽  
Author(s):  
Kathryn H. Pade
Keyword(s):  
Pediatric Patient ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Bedside Diagnosis

scholarly journals Hematocrit Sign Elucidates Cause of Abdominal Pain

POCUS Journal ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 8-9
Author(s):  
Jeffrey Lam ◽  
Steven Montague
Keyword(s):  
Point Of Care ◽  
Rectus Sheath ◽  
Point Of Care Ultrasound ◽  
Spontaneous Movement ◽  
Appropriate Care ◽  
Life Threatening ◽  
Catheter Site ◽  
Bedside Diagnosis ◽  
Threatening Situation ◽  
Rectus Sheath Hematoma

A 78-year-old male with chronic kidney disease on peritoneal dialysis developed unprovoked bilateral pulmonary embolisms. He was started on IV unfractionated heparin, but shortly thereafter developed severe pain and a small firm abdominal nodule near his dialysis catheter site. The diagnosis was unknown, and the initial plan was watchful waiting, until point-of-care ultrasound (POCUS) was used. POCUS revealed an ovoid mass with hyperdensity in the gravity dependent regions with spontaneous movement. This appearance was classic for the hematocrit sign. When combined with the clinical presentation, this was concerning for a rectus sheath hematoma. An urgent CT of the abdomen confirmed this several hours later. POCUS allowed for rapid bedside diagnosis, which expedited appropriate care in a potentially life-threatening situation.

scholarly journals Use of point-of-care ultrasound in the management of patients presenting with shock: the treatment implications of an early bedside diagnosis of pulmonary embolism

2020 ◽  
Vol 13 (3) ◽  
pp. e233670
Author(s):  
Fiqry Fadhlillah ◽  
Maiyuran Ratneswaran
Keyword(s):  
Pulmonary Embolism ◽  
Systolic Function ◽  
Point Of Care ◽  
Pulmonary Arteries ◽  
Left Ventricular ◽  
Haemodynamic Instability ◽  
Point Of Care Ultrasound ◽  
Systemic Thrombolysis ◽  
Pulmonary Angiogram ◽  
Bedside Diagnosis

Point-of-care ultrasound has been used to identify real-time indicators of acute obstruction to right ventricular outflow and aid appropriate diagnosis and management of patients presenting with extensive pulmonary embolism in whom haemodynamic instability permits only bedside investigation. We present the case of a 70-year-old woman who presented with shock. A focused bedside echocardiography was performed and showed left ventricular septal wall flattening and a severely dilated right ventricle with impaired systolic function. The right atrium was dilated with a floating thrombus visible on the sub-xiphoid view. The patient was treated with intravenous systemic thrombolysis (alteplase) prior to undergoing CT pulmonary angiogram. This showed saddle pulmonary embolus, with extensive thrombus in the main and all lobar pulmonary arteries bilaterally, with evidence of right heart strain.

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