scholarly journals Iatrogenic Aortic Dissection Presenting With Leg Pain Diagnosed With Point-of-care Ultrasound

2019 ◽  
Vol 3 (4) ◽  
pp. 376-379
Author(s):  
Matthew Friedman ◽  
Armin Gollogly ◽  
Enrique Pena ◽  
Jennifer Johnson ◽  
Tina Dulani
Keyword(s):  
Emergency Department ◽  
Aortic Dissection ◽  
Point Of Care ◽  
Rare Complication ◽  
Leg Pain ◽  
Point Of Care Ultrasound ◽  
Vein Thrombosis ◽  
Iatrogenic Aortic Dissection ◽  
Cardiac Catheterizations ◽  
Deep Vein

Iatrogenic aortic dissection (IAD) status-post-cardiac catheterization is a rare complication often isolated to the proximal aorta. This is a case of IAD isolated to the distal aorta in a 41-year-old female who presented to the emergency department with right leg pain after undergoing three cardiac catheterizations. The diagnosis of IAD was made upon discovery of an intimal flap in the distal aorta and femoral artery while performing a point-of-care ultrasound to evaluate for deep vein thrombosis.

scholarly journals Left lower extremity swelling with a normal Doppler study

2020 ◽  
pp. 102490792094128
Author(s):  
Jonathan Chun-Hei Cheung ◽  
Chi Hung Koo ◽  
Koon Ngai Lam
Keyword(s):  
Emergency Department ◽  
Deep Vein Thrombosis ◽  
Lower Extremity ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Vein Thrombosis ◽  
Left Lower Extremity ◽  
Doppler Study ◽  
Deep Vein ◽  
Paraplegic Patient

A 65-year-old paraplegic patient just discharged from the medical ward 2 days ago with a negative left lower extremity Doppler study for deep vein thrombosis. He presented to the emergency department for deteriorating lower extremity swelling. Point-of-care ultrasound helped to swiftly arrive at the diagnosis and facilitate prompt management.

Comparison of the Accuracy of Emergency Department-Performed Point-of-Care-Ultrasound (POCUS) in the Diagnosis of Lower-Extremity Deep Vein Thrombosis

2018 ◽  
Vol 54 (5) ◽  
pp. 656-664 ◽  
Author(s):  
Jorge Pedraza García ◽  
Joaquín Valle Alonso ◽  
Pedro Ceballos García ◽  
Francisca Rico Rodríguez ◽  
Miguel Ángel Aguayo López ◽  
...  
Keyword(s):  
Emergency Department ◽  
Deep Vein Thrombosis ◽  
Lower Extremity ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Vein Thrombosis ◽  
Deep Vein

scholarly journals Role of Ultrasound in Neurocritical Care

2020 ◽  
Author(s):  
Rashmi Bhatt ◽  
Puneet Khanna
Keyword(s):  
Neurocritical Care ◽  
Point Of Care ◽  
Circulatory Arrest ◽  
Clinical Findings ◽  
Transcranial Sonography ◽  
Point Of Care Ultrasound ◽  
Vein Thrombosis ◽  
Neurosurgical Patient ◽  
Cerebral Circulatory Arrest ◽  
Deep Vein

AbstractBedside point of care ultrasound has acquired an extremely significant role in diagnosis and management of neurocritical care, just as it has in other specialties. Easy availability and increasing expertise have allowed the intensivists to use it in a wide array of situations, such as confirming clinical findings as well as for interventional and prognostic purposes. At present, the clinical applications of ultrasonography (USG) in a neurosurgical patient include estimation of elevated intracranial pressure (ICP), assessment of cerebral blood flow (CBF) and velocities, diagnosis of intracranial mass lesion and midline shifts, and examination of pupils, apart from the systemic applications. Transcranial sonography has also found use in the diagnosis of the cerebral circulatory arrest. An increasing number of clinicians are now relying on the use of ultrasound in the neurointensive care unit for neurological as well as non-neurological indications. These uses include the diagnosis of shock, respiratory failure, deep vein thrombosis and performing bedside procedures.

scholarly journals Detection of Type B Aortic Dissection in the Emergency Department with Point-of-Care Ultrasound

2019 ◽  
Vol 3 (3) ◽  
pp. 202-207 ◽  
Author(s):  
Emily Earl-Royal ◽  
Phi Nguyen ◽  
Al’ai Alvarez ◽  
Laleh Gharahbaghian
Keyword(s):  
Emergency Department ◽  
Aortic Dissection ◽  
Point Of Care ◽  
Case Reports ◽  
Point Of Care Ultrasound ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Diagnostic Reliability ◽  
Multiple Case ◽  
Stanford Type B

Aortic dissection (AD) is a rare, time-sensitive, and potentially fatal condition that can present with subtle signs requiring timely diagnosis and intervention. Although definitive diagnosis is most accurately made through computed tomography angiography, this can be a time-consuming study and the patient may be unstable, thus preventing the study’s completion. Chest radiography (CXR) signs of AD are classically taught yet have poor diagnostic reliability. Point-of-care ultrasound (POCUS) is increasingly used by emergency physicians for the rapid diagnosis of emergent conditions, with multiple case reports illustrating the sonographic signs of AD. We present a case of Stanford type B AD diagnosed by POCUS in the emergency department in a patient with vague symptoms, normal CXR, and without aorta dilation. A subsequent review of CXR versus sonographic signs of AD is described.

scholarly journals A Case Report on Paget-Schroetter Syndrome Presenting as Acute Localized Rhabdomyolysis

2020 ◽  
Vol 4 (3) ◽  
pp. 358-361
Author(s):  
Jonathan Lee ◽  
Ami Kurzweil ◽  
Shadi Lahham
Keyword(s):  
Case Report ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Axillary Vein ◽  
Vein Thrombosis ◽  
Chiari Type 1 Malformation ◽  
Arm Swelling ◽  
History Of ◽  
Vein Stenosis ◽  
Deep Vein

Introduction: The life- or limb-threatening differential diagnosis for upper extremity swelling can include deep vein thrombosis (DVT), infectious processes, and compartment syndrome. Chronic anatomic abnormalities such as axillary vein stenosis are rarely a consideration in the emergency department. Case Report: We present a 26-year-old female with history of Chiari type 1 malformation who presented with acute left arm swelling. Initial workup, including point-of-care ultrasound, revealed the presence of significant soft tissue swelling without evidence of DVT. Conclusion: Further workup revealed an early, localized rhabdomyolysis secondary to axillary vein stenosis or venous thoracic outlet syndrome, also known as Paget-Schroetter syndrome.

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