The Visualization of a Foreign Body in a Patientʼs Subglottic Region Using Point-of-Care Ultrasonography

Introduction: Vision loss is an ophthalmologic emergency with broad differential requiring prompt medical attention. Case Report: We describe a 55-year-old male presenting to the emergency department (ED) with unilateral, painless visual field deficit with ipsilateral conjunctivitis induced by a presumed foreign body. The patient described a foreign body sensation nine days prior to developing visual changes. In the ED, the patient was diagnosed with a retinal detachment using point-of-care ultrasonography, and emergent ophthalmologic consultation was obtained. Conclusion: Concurrent retinal detachment and conjunctivitis in a patient is extremely rare. Healthcare providers should be aware that foreign body-induced conjunctivitis could lead to retinal detachment.

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Ingested Foreign Body Imaging Using Point-of-Care Ultrasonography

Pediatric Emergency Care ◽

10.1097/pec.0000000000001971 ◽

2019 ◽

Vol 35 (11) ◽

pp. 807-810 ◽

Cited By ~ 2

Author(s):

Nalan Kozaci ◽

Mustafa Avci ◽

Tansu Pinarbasili ◽

Eda Dönertaş ◽

Adeviyye Karaca

Keyword(s):

Foreign Body ◽

Point Of Care ◽

Body Imaging ◽

Ingested Foreign Body ◽

Point Of Care Ultrasonography

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Use of Point-of-Care Ultrasonography in Simulation-Based Advanced Cardiac Life Support Scenarios

Journal of Anesthesia and Perioperative Medicine ◽

10.24015/japm.2017.0058 ◽

2018 ◽

Vol 5 (2) ◽

pp. 53-60 ◽

Cited By ~ 1

Author(s):

Stephanie Cha ◽

Allan Gottschalk ◽

Erik Su ◽

Adam Schiavi ◽

Adam Dodson ◽

...

Keyword(s):

Life Support ◽

Point Of Care ◽

Advanced Cardiac Life Support ◽

Simulation Based ◽

Point Of Care Ultrasonography

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Emergency Department Point‐of‐Care Ultrasonography Can Reduce Length of Stay in Pediatric Appendicitis

Journal of Ultrasound in Medicine ◽

10.1002/jum.15675 ◽

2021 ◽

Author(s):

Kathryn Kasmire ◽

Joshua Davis

Keyword(s):

Emergency Department ◽

Length Of Stay ◽

Point Of Care ◽

Point Of Care Ultrasonography

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Utilisation of musculoskeletal ultrasonography for the evaluation of septic arthritis in a patient presenting to the emergency department with fever during the era of COVID-19

BMJ Case Reports ◽

10.1136/bcr-2021-242370 ◽

2021 ◽

Vol 14 (4) ◽

pp. e242370

Author(s):

Jiodany Perez ◽

Stefani Sorensen ◽

Michael Rosselli

Keyword(s):

Emergency Department ◽

Septic Arthritis ◽

Glenohumeral Joint ◽

Imaging Modality ◽

Point Of Care ◽

Significant Morbidity ◽

Anchoring Bias ◽

Septic Bursitis ◽

Musculoskeletal Ultrasonography ◽

Point Of Care Ultrasonography

Prompt recognition and treatment of septic arthritis are crucial to prevent significant morbidity and mortality in affected patients. During the current COVID-19 pandemic, anchoring bias may make an already challenging diagnosis like septic arthritis more difficult to diagnose quickly and efficiently. Musculoskeletal (MSK) point of care ultrasonography (POCUS) is an imaging modality that can be used to quickly and efficiently obtain objective findings that may help a clinician establish the diagnosis of septic arthritis. We report a case where MSK POCUS was a key element in establishing the diagnosis of glenohumeral joint septic arthritis and subdeltoid septic bursitis for a patient that presented to the emergency department with a fever during the era of the COVID-19 pandemic.

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Point of Care Ultrasonography for Objective Assessment of Heart Failure: Integration of Cardiac, Vascular, and Extravascular Determinants of Volume Status

Cardiorenal Medicine ◽

10.1159/000510732 ◽

2021 ◽

pp. 1-13

Author(s):

Abhilash Koratala ◽

Amir Kazory

Keyword(s):

Heart Failure ◽

Point Of Care ◽

Objective Assessment ◽

Prognostic Significance ◽

Volume Status ◽

Lung Water ◽

Ultrasound Evaluation ◽

Reliable Assessment ◽

Poor Outcomes ◽

Point Of Care Ultrasonography

Background: Lingering congestion portends poor outcomes in patients with heart failure (HF) and is a key target in their management. Studies have shown that physical exam has low yield in this setting and conventional methods for more precise assessment and monitoring of volume status (e.g., body weight, natriuretic peptides, and chest radiography) have significant inherent shortcomings. Summary: Point of care ultrasonography (POCUS) is a noninvasive versatile bedside diagnostic tool that enhances the sensitivity of conventional physical examination to gauge congestion in these patients. It also aids in monitoring the efficacy of decongestive therapy and bears prognostic significance. In this narrative review, we discuss the role of focused sonographic assessment of the heart, venous system, and extravascular lung water/ascites (i.e., the pump, pipes, and the leaks) in objective assessment of fluid volume status. Key Messages: Since each of the discussed components of POCUS has its limitations, a combinational ultrasound evaluation guided by the main clinical features would be the key to reliable assessment and effective management of congestion in patients with HF.

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Non-Invasive Intracranial Pressure Evaluation in an Emergency Room – Point-of-Care Ultrasonography

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0036-1594301 ◽

2016 ◽

Vol 38 (04) ◽

pp. 279-283

Author(s):

Daniel Damiani ◽

Durval Damiani

Keyword(s):

Intracranial Pressure ◽

Randomized Trials ◽

Point Of Care ◽

Current Data ◽

Point Of Care Ultrasound ◽

Medical Specialties ◽

Non Invasive ◽

Nerve Sheath ◽

Invasive Method ◽

Point Of Care Ultrasonography

AbstractPoint-of-care ultrasound is modifying conducts in emergency care. The various medical specialties, in addition to traditional indications in cases of multiple trauma, are using this technique for rapid diagnosis at the bedside without patient mobilization and without radiation. Point-of-care ultrasound in neurocritical patients, through its transorbital window, can estimate the intracranial pressure by a non-invasive method. Through the measurement of the diameter of the optic nerve sheath 3 mm posterior to the retina, the intracranial pressure is estimated if the value of the diameter is > 5 mm, as it has been verified in other studies. The present article describes the most current data on this topic, and it also highlights the need for more multicentric and randomized trials to determine the correct cut-off points that represent the high sensibility and specificity of the method.

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