scholarly journals Man with sudden upper abdominal pain

2018 ◽  
Vol 26 (2) ◽  
pp. 130-131
Author(s):  
Hung-Lin Hsu ◽  
Wei-Jing Lee
Keyword(s):  
Abdominal Pain ◽  
Epigastric Pain ◽  
Point Of Care ◽  
Systemic Disease ◽  
Poor Response ◽  
Sudden Onset ◽  
Point Of Care Ultrasound ◽  
Endovascular Stent ◽  
Endovascular Stent Placement ◽  
Upper Abdominal

A 52-year-old man without systemic disease presented to the emergency department with sudden-onset epigastric pain for 2 h. He had vomiting for several times without fever, diarrhea, or recent abdominal trauma. Point-of-care ultrasound revealed flap in the superior mesenteric artery. Percutaneous endovascular stent placement was arranged due to refractory upper abdominal pain and poor response to medical treatment.

scholarly journals Bedside Point-of-Care Ultrasound of an Adult with Diffuse Intermittent Abdominal Pain

2020 ◽  
Vol 19 (1) ◽  
pp. 49-51
Author(s):  
Jamaji C Nwanaji-Enwerem ◽  
◽  
Adaira Landry ◽  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Point Of Care ◽  
Sudden Onset ◽  
Point Of Care Ultrasound ◽  
Intermittent Abdominal Pain ◽  
Obesity Status ◽  
History Of ◽  
History Of Obesity ◽  
New Onset

A 29-year-old woman with a history of obesity status post Roux-en-Y gastric bypass greater than five years prior presented to the emergency department with four hours of sudden-onset stabbing left-sided abdominal pain associated with nausea and non-bloody emesis. She denied melaena and hematochezia, but did report two weeks of diarrhoea that was unchanged with this new onset abdominal pain.

Point-of-Care Ultrasound in the Diagnosis of Acute Abdominal Pain

2019 ◽  
pp. 383-401
Author(s):  
Francesca Cortellaro ◽  
Cristiano Perani ◽  
Linda Guarnieri ◽  
Laura Ferrari ◽  
Michela Cazzaniga ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Point Of Care ◽  
Point Of Care Ultrasound

Paediatric ultrasound

2019 ◽  
pp. 217-224
Author(s):  
Jason Fischer ◽  
Lianne McLean
Keyword(s):  
Critical Care ◽  
Abdominal Pain ◽  
Pyloric Stenosis ◽  
Imaging Modality ◽  
Point Of Care ◽  
Adult Patients ◽  
Point Of Care Ultrasound ◽  
Lung Pathology ◽  
Skull Fractures ◽  
Body Habitus

This chapter highlights the increasing use of point-of-care ultrasound (PoCUS) in children. The size and body habitus of infants and children are often ideal for sonographic visualization and make PoCUS an ideal imaging modality for paediatric patients. PoCUS applications that have been traditionally used for adult patients are increasingly being adopted for the care of children. Paediatric-specific applications are also being developed for problems common and unique to paediatrics. Focused abdominal scans for appendicitis, intussusception, and pyloric stenosis are now frequently used in patients presenting with abdominal pain or vomiting. PoCUS can differentiate lung pathology and is helpful in the assessment of suspected skull fractures in non-verbal infants. Ongoing integration of PoCUS into shock, trauma, and triage algorithms support its increasing role in paediatric emergency and critical care.

scholarly journals Upper spinal neurenteric cyst presenting as right upper abdominal pain and sudden onset of lower limb paralysis: A case report

2020 ◽  
Vol 61 (4) ◽  
pp. 453-454
Author(s):  
Shang-Chi Liu ◽  
Yin-Chih Feng ◽  
Chu-Chuan Lin ◽  
Yee-Hsuan Chiou ◽  
Ken-Pen Weng
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Lower Limb ◽  
Sudden Onset ◽  
Neurenteric Cyst ◽  
Lower Limb Paralysis ◽  
Upper Abdominal

scholarly journals Pericarditis masking a localised thoracic aorta dissection: Making a point for point-of-care ultrasound

2020 ◽  
pp. 201010582097866
Author(s):  
Raja Ezman Raja Shariff ◽  
Ahmad Farook ◽  
Chiao Wen Lim ◽  
Sazzli Kasim
Keyword(s):  
Chest Pain ◽  
Aortic Root ◽  
Point Of Care ◽  
Acute Chest Pain ◽  
High Sensitivity ◽  
Sudden Onset ◽  
Initial Assessment ◽  
Point Of Care Ultrasound ◽  
Persistent Symptoms ◽  
Start Up

Early detection of aortic dissection (AD) remains essential due to high mortality rates. We report a case of localised thoracic AD initially misdiagnosed as pericarditis, but subsequently diagnosed through point-of-care ultrasound (POCUS). A 35-year-old gentleman presented with sudden-onset jaw and chest pain. An initial electrocardiogram revealed changes consistent with pericarditis, and high-sensitive troponin levels on admission were not raised. An initial diagnosis of pericarditis was made. However, due to persistent symptoms despite treatment, an urgent POCUS was performed, revealing a prominently dilated aortic root, with evidence of an intimal flap near the coronary cusps. Computed tomography imaging revealed a focal aortic root dissection confined within the sinus of Valsalva, with no involvement of coronary arteries or descending thoracic or abdominal aorta. This case highlights how commonly a misdiagnosis of AD can occur and how concurrent pericarditis can often mask AD. Our report highlights the need for better incorporation of POCUS in the initial assessment of acute chest pain, as studies have shown both high sensitivity and specificity in diagnosing AD, with no additional burden on treatment start-up time and mortality.

My Patient Has No Blood Pressure: Have They Got an Abdominal Aortic Aneurysm? Point-Of-Care Ultrasound of the Abdominal Aorta in Hypotensive Patients

Ultrasound ◽  
2011 ◽  
Vol 19 (4) ◽  
pp. 236-241 ◽  
Author(s):  
Audra Gedmintas ◽  
Matthew Grabove ◽  
Paul Atkinson
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Point Of Care ◽  
Abdominal Mass ◽  
Sudden Onset ◽  
Point Of Care Ultrasound ◽  
Mass Detection ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Threatening Situation

Among patients presenting to the emergency department (ED) with undifferentiated hypotension, how can point-of-care ultrasound (PoCUS) help identify abdominal aortic aneurysm (AAA) as the cause of the hypotension? Many hypotensive patients in the ED are critically ill, with only minutes available to find the cause of the hypotension and treat it before the patient decompensates. While the classic description of the presentation of a ruptured AAA is of collapse with sudden onset abdominal pain and a palpable, pulsatile abdominal mass, detection of AAA by palpation is notoriously unreliable, and many patients are unaware of their underlying condition. This life-threatening situation is made even more difficult by virtue of the fact that the patient is often too unstable to travel for traditional diagnostics such as computed tomography. This article will address the use of PoCUS for the detection of AAA in the evaluation of the hypotensive patient.

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