scholarly journals 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

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.

My Patient is Short of Breath: Have They Got a Pneumothorax?

Ultrasound ◽  
2011 ◽  
Vol 19 (4) ◽  
pp. 230-235 ◽  
Author(s):  
David Lewis
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Diagnostic Test ◽  
Chest Radiograph ◽  
Chest Radiography ◽  
Care Setting ◽  
Imaging Modality ◽  
Point Of Care ◽  
First Line ◽  
Resuscitation Room

Clinical diagnosis of pneumothorax in the emergency department (ED) resuscitation room can be difficult and in certain circumstances chest radiography is either impractical or the delay is unacceptable. The diagnosis must also be considered in other clinical areas such as critical care, theatres, respiratory units and acute medical units. Erect chest radiography is the standard first-line diagnostic test for pneumothorax in the ED, but the sensitivity is low (59–81%). For many patients in ED, critical care and theatre, an erect chest radiograph is not possible as the patient must remain supine. The sensitivity for a supine chest radiograph has been reported as being 45–75%. Ultrasound has been shown to be more sensitive than chest radiography in the diagnosis of pneumothorax in certain settings. This paper outlines the evidence for ultrasound in the diagnosis of pneumothorax in the point of care setting; it describes the technique and discusses the clinical application of this imaging modality.

scholarly journals Point of care ultrasonography in the pediatric emergency department

2018 ◽  
Vol 44 (1) ◽  
Author(s):  
Julien Le Coz ◽  
Silvia Orlandini ◽  
Luigi Titomanlio ◽  
Victoria Elisa Rinaldi
Keyword(s):  
Emergency Department ◽  
Point Of Care ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Point Of Care Ultrasonography
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