High-resolution ultrasound of the ankles in Lofgren syndrome: attention to detail may be the key to diagnosis

We report the case of a 40-year-old man presenting at the emergency department with ankle and feet edema due to acute sarcoidosis (Lofgren syndrome). The diagnosis was suggested based on an ultrasound examination showing bilateral asymmetrical tenosynovitis of the flexor tendons with hypervascular subcutaneous cellulitis without any significant ankle and foot joint effusion or synovitis. This case report highlights the crucial role of ultrasound imaging as the first-line diagnostic tool in the investigation of a non-specific clinical condition, when performed by a knowledgeable sonographer with attention to detail. Radiologists performing ultrasound should be aware of the presenting ultrasound pattern of acute soft tissue sarcoidosis, and should include this entity in the differential diagnosis of patients with distal lower extremity swelling, tenosynovitis and hypervascular subcutaneous cellulitis, in order to narrow down the differential diagnosis and facilitate the clinical workup of the patient.

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The radiologic roadmap for treatment of an acute appendicitis patient who tested positive for coronavirus disease 19

BJR|case reports ◽

10.1259/bjrcr.20210102 ◽

2021 ◽

Author(s):

Şeref Barbaros Arik ◽

Elif Gunaydin ◽

Celal İsmail Bİlgiç ◽

İnanç Güvenç

Keyword(s):

Emergency Department ◽

Acute Appendicitis ◽

Standard Treatment ◽

Surgical Intervention ◽

Ultrasound Examination ◽

Bridging Therapy ◽

Emergency Surgical Intervention ◽

Pelvic Ct Scan

Objective: In this study, we aimed to emphasize the role of radiological imaging in determining the treatment of a patient, who tested positive for COVID-19 and diagnosed with acute appendicitis during the pandemic. Methods: A 31-year-old patient presented to the emergency department due to abdominal pain. Ultrasound examination, thoracic and pelvic CT scan were performed. Results: Non-complicated appendicitis can be treated conservatively with antibiotics. Treatment can be maintained by starting with IV antibiotics and bridging therapy with oral antibiotics. Conclusion: This study aims to summarize how radiological follow-up can be used to decide on the suitability of the patient for appropriate medical treatment as an alternative to surgery in a patient, whose gold standard treatment is emergency surgical intervention, which is frequently encountered in the emergency department during the COVID-19 pandemic.

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The role of the ultrasound examination in atypical placental site trophoblastic tumour differential diagnosis and management. A case report

Medical Ultrasonography ◽

10.11152/mu-3149 ◽

2021 ◽

Author(s):

Monica Mihaela Cirstoiu ◽

Maria Sajin ◽

Alexandru Baros ◽

Sorin Vasilescu ◽

Natalia Turcan

Keyword(s):

Differential Diagnosis ◽

Ultrasound Examination ◽

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

Unique Form ◽

Caesarean Scar ◽

Placental Site ◽

Slow Growing ◽

Trophoblastic Tumours

Placental site trophoblastic tumour (PSTT) is a very rare and unique form of gestational trophoblastic tumour, representing about 1-2% of all gestational trophoblastic tumours. Usually, the pattern is a slow growing nodule implicating the endometrium and myometrium, accompanied by abnormal uterine bleeding. Three ultrasound types of PSTT are described, but thereis no specific characteristic for diagnosis. We present the case of a patient with an atypical placental site trophoblastic tumour diagnosed two months after a caesarean scar pregnancy. In the presented case there are several particularities, such as the rapid growth and progression of the tumour, the limitation to the myometrium and the difficulty of the differential diagnosis and approach.

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The relevance of ultrasound examination of the foot and ankle in patients with rheumatoid arthritis – a review of the literature

Medical Ultrasonography ◽

10.11152/mu-1967 ◽

2019 ◽

Vol 21 (2) ◽

pp. 175 ◽

Cited By ~ 2

Author(s):

Oana Șerban ◽

Maria Bădărînză ◽

Daniela Fodor

Keyword(s):

Rheumatoid Arthritis ◽

Ultrasound Examination ◽

Joint Damage ◽

The Other ◽

Foot And Ankle ◽

Review Of The Literature ◽

The Us ◽

Ankle And Foot

Rheumatoid arthritis (RA) is an inflammatory disease characterized by symmetrical involvement of the joints and tendons, especially of the hands and wrists, but also of the feet and ankles from the very beginning of the disease. For the patient, the foot and ankle involvement is equally important as the other joints, since it affects the functionality of the feet and the quality of life of the patients. It is already known that subclinical involvement of the ankles and feet occurs even in patients that are considered in clinical remission, thus they do not need for changes of therapy, but still might benefit from it. In spite of this, theclinicians do not give enough care to the ankle and foot in RA patients, especially if asymptomatic, resulting future deformities, joint damage and feet disability. In order to show the importance of the feet and ankles in RA patients and to demonstrate the indispensable role of ultrasonography (US) for that purpose, at the same time displaying the US abnormalities that should draw our attention, we performed this review of the literature.

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Role of Lung Ultrasound in the Management of Patients with Suspected SARS-Cov-2 Infection in the Emergency Department

10.21203/rs.3.rs-471145/v1 ◽

2021 ◽

Author(s):

Andrea Boccatonda ◽

Alice Grignaschi ◽

Antonella Lanotte ◽

Fabrizio Giostra ◽

Cosima Schiavone ◽

...

Keyword(s):

Emergency Department ◽

Lung Ultrasound ◽

Ultrasound Examination ◽

Hospitalization Rate ◽

Clinical Severity ◽

A Value ◽

Ultrasound Study ◽

Increased Risk ◽

Level Method

Abstract Background: the LUS score has been proposed as an optimal scheme for the ultrasound study of the patient with suspected / confirmed COVID-19 pneumonia. The aim of our study was to evaluate the use of lung ultrasound as a diagnostic tool for diagnosing SARS-CoV-2 pneumonia, and to examine the validity of LUS score for the diagnosis of COVID-19 pneumonia, and to correlate with hospitalization rate and 30-days mortality.Material & methods: a retrospective analysis was performed on all patients who were referred to the General Emergency Department of the S. Orsola-Malpighi Hospital from April 2020 to May 2020 for symptoms suspected for SARS-CoV-2 infection. The ultrasound examination was based on a common execution scheme called LUS score, as previously described.Results & Conclusions: LUS score correlates with the degree of clinical severity and respiratory failure (P/F ratio, Delta (A-a), Delta (A-a) increase). COVID-19 patients with a LUS score > 7 require the use of oxygen support; a value > 10 is associated with an increased risk of oro-tracheal intubation. The LUS score presents higher values in hospitalized patients, increasing according to the degree of care intensity. COVID-19 died patients were characterized by a mean LUS score of 11 at presentation to the emergency department. A LUS score value > 7.5 displays a sensitivity of 83% and specificity of 89% against 30-days mortality in COVID-19 patients. Lung ultrasound seems to be an optimal first level method for pneumonia detection in patients with suspected SARS-CoV-2 infection.

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Ultrasound examination of the salivary glands in Sjogren’s disease

Rheumatology Science and Practice ◽

10.47360/1995-4484-2021-442-449 ◽

2021 ◽

Vol 59 (4) ◽

pp. 442-449

Author(s):

A. V. Torgashina

Keyword(s):

Differential Diagnosis ◽

Salivary Glands ◽

Ultrasound Examination ◽

Basic Data ◽

Sjögren’S Disease ◽

Ultrasound Parameters ◽

Diagnosis Of Diseases

The article discusses the importance of ultrasound examination of the salivary glands in Sjogren’s disease for the diagnosis, as well as for assessing the activity of the disease. The characteristics of the main ultrasound changes in the salivary glands and the pathogenetic reasons of these changes are given. The results of studies of the dynamics of changes in ultrasound parameters both in patients not receiving treatment and in the presence of various methods of therapy are presented. The paper also provides basic data on the role of ultrasound in the differential diagnosis of diseases involving the salivary glands.

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Echocardiography in acute cardiovascular care. Part 2. Cardiac and lung ultrasound examination

Complex Issues of Cardiovascular Diseases ◽

10.17802/2306-1278-2020-9-3-49-58 ◽

2020 ◽

Vol 9 (3) ◽

pp. 49-58

Author(s):

O. N. Dzhioeva ◽

D. O. Orlov ◽

I. G. Nikitin

Keyword(s):

Differential Diagnosis ◽

Intensive Care ◽

Intensive Care Units ◽

Diagnostic Method ◽

Lung Ultrasound ◽

Ultrasound Examination ◽

Pulmonary Thromboembolism ◽

Clinical Status ◽

Cardiovascular Care

Lung ultrasound is an integral part of echocardiography in emergency conditions. The method allows determining the clinical status of the patient and remains an important differential diagnostic method for examining patients in intensive care units.The second part of the article is devoted to echocardiography as part of the differential diagnosis of dyspnea syndrome. Lung ultrasound for differentiation of interstitial pulmonary syndrome, the role of echocardiography in the diagnosis of pulmonary thromboembolism and verification of valvular pathology are described.

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Could the Use of Antihistamines Have Triggered Reversible Cerebral Vasoconstriction Syndrome? A Case Report

Case Reports in Acute Medicine ◽

10.1159/000517115 ◽

2021 ◽

pp. 50-57

Author(s):

Sara Assadi ◽

Latif Rahman ◽

Mark Kong ◽

Sukaina Asad

Keyword(s):

Emergency Department ◽

Differential Diagnosis ◽

Brain Imaging ◽

Reversible Cerebral Vasoconstriction Syndrome ◽

Magnetic Resonance Angiogram ◽

Medication History ◽

Acute Setting ◽

Cerebral Vasoconstriction ◽

Ct Brain

A 38-year-old woman presented to the emergency department with recurrent severe headaches. Although initial computer tomography (CT) brain imaging was unremarkable, a later CT venogram demonstrated a small subarachnoid haemorrhage. Magnetic resonance angiogram (MRA) brain imaging subsequently confirmed reversible cerebral vasoconstriction syndrome (RCVS). In the acute setting, RCVS rarely falls into a differential diagnosis for headache presentations, as in this case. The radiological variability can make diagnosis of RCVS challenging. However, there are clinical consistencies that can aid physicians into accurately diagnosing RCVS. A thorough history, including a medication history, can help identify potential triggers of RCVS. As in this case, the combination of commonly used drugs, including antihistamines, provides a plausible trigger for RCVS. The direct vasoactive role of antihistamines is unclear, yet there is suggestion for its ability to potentiate the vasoactive action of other drugs. In this case we propose a causal relationship between the use of antihistamine and the development of RCVS.

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Social Representations and Commitment

European Psychologist ◽

10.1027/1016-9040/a000317 ◽

2018 ◽

Vol 23 (3) ◽

pp. 233-249 ◽

Cited By ~ 4

Author(s):

Eric Bonetto ◽

Fabien Girandola ◽

Grégory Lo Monaco

Keyword(s):

Social Representations ◽

Social Representation ◽

Second Line ◽

Review Of The Literature ◽

First Line ◽

Research Perspectives ◽

The Social ◽

Bibliographic Search ◽

English Articles

Abstract. This contribution consists of a critical review of the literature about the articulation of two traditionally separated theoretical fields: social representations and commitment. Besides consulting various works and communications, a bibliographic search was carried out (between February and December, 2016) on various databases using the keywords “commitment” and “social representation,” in the singular and in the plural, in French and in English. Articles published in English or in French, that explicitly made reference to both terms, were included. The relations between commitment and social representations are approached according to two approaches or complementary lines. The first line follows the role of commitment in the representational dynamics: how can commitment transform the representations? This articulation gathers most of the work on the topic. The second line envisages the social representations as determinants of commitment procedures: how can these representations influence the effects of commitment procedures? This literature review will identify unexploited tracks, as well as research perspectives for both areas of research.

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