Takaaki Mori, MD, MRCPCH, MSc; Sung Shin Teng, MBBS, MRCPCH, FAMS – A previously healthy, 4-year-old boy visited our emergency department due to chest pain after a fall from a skate scooter. Physical examination revealed tenderness over the sternal body. Point of care ultrasound (POCUS) of the sternum demonstrated a discontinuation of a hyperechoic structure of the sternal cortex, suggesting a sternal fracture.
Article Categories: Case Report
Use Of POCUS for the Paediatric Patient with an Undifferentiated Upper Limb Injury
David J. McCreary, MBBS MRCPCH PgC US; Alex White, MBBS – A 2-year-old girl presented to the Paediatric Emergency Department following an unwitnessed injury to her left arm while playing at nursery limiting further examination. On assessment she was reluctant to use her left arm and further examination was difficult. In cases of unwitnessed and undifferentiated elbow injuries point of care ultrasound (POCUS) can be used to evaluate for elbow joint effusion, fracture, or radial head subluxation, also known as nursemaid’s elbow.
Missing Inferior Vena Cava on POCUS: A Case of Left-Sided IVC with Azygos Continuation
Ankit Mehta, MD, FACP, SFHM; Kreegan Reierson, MD; Benji Mathews, MD, MBA, SFHM – The merits of utilizing point of care ultrasound (POCUS) in acutely ill patients is leading to a widespread embrace. Assessment of IVC via POCUS as part of a comprehensive multi-organ approach can help guide volume tolerance. Anatomical/developmental variations of IVC can vary widely in prevalence.
Sonographic Features of a Tuberculous Cold Abscess:A Case Report and Literature Review
Figure 3: Axial view of the plain CT thorax showing low density collection in the pectoralis major muscle of the left hemithorax (a) with underlying costochondral junction showing break in cortex (b). – Tuberculosis (TB) remains a global public health concern; most notably in endemic countries where there is a rise in its incidence. Although primary pulmonary involvement accounts for the majority of TB cases, extrapulmonary tuberculosis (EPTB) is rapidly growing in high income countries.
Three Cases of Right Heart Thrombus: Using POCUS for the Diagnosis of Thromboembolism in COVID-19
Sergio Velasco Malagón, MD; Juliana Moreno Ladino, MD; Hector Andres Ruiz, MD – COVID-19 generates a series of challenges, one of them being thrombotic manifestations of the disease. The growing use of POCUS and its wide versatility have expanded its use outside of radiology rooms.
POCUS Finding of Portal Venous Gas: An Unusual Consequence of an Amyloid Dysmotility Related Bezoar
Grace B. DeMarco, MD; Qiuchen Jiang, MD; Ernest A. Fischer, MD MS – A 73-year-old male with a recent finding of pericardial effusion and syncope was evaluated with point of care ultrasound for recurrent effusion. A thickened left ventricle and recurrent pericardial effusion were found.
The Role of Point-of-Care Ultrasound in Pilonidal Sinus Disease
Hadiel Kaiyasah, CABS FACS ESCP; Lamis Abufool, MBBS; Labib Al Ozaibi, CABS ESCP – Pilonidal sinus is a common problem encountered in proctology clinics. It has a wide spectrum of clinical picture ranging from a single asymptomatic pit to a more complex disease with multiple sinuses and secondary openings.
Point-of-Care Ultrasound to Detect Dilated Coronary Sinus in Adults
Zouheir I. Bitar FRCPuk, EDEC; Mohamad Abdelfatah MD; Ossama Sajeh Maadarani, FRCP; Muath Alanbaei, MD; Rashed Juma Al Hamdan, MD – Detecting dilated coronary sinus when assessing patients in an acute emergency with point-of-care ultrasound (POCUS) is important for differential diagnosis, including the detection of persistent left superior vena cava (PLSVC) and right ventricular dysfunction.
Transesophageal Echocardiography Guided Partial Right Atrial Inflow Occlusion – A Case Study
Lucas Barboza, BSc; Rob Tanzola, MD, FRCPC – Deployment of stent-grafts and other endovascular devices is a common technique for various vascular repair procedures. Induced, transient, periods of hypotension are essential to the precise deployment of a device as this minimizes displacement that can result from high pressure aortic flow.
A Non-Resolving “Hematoma” Diagnosed as an Arteriovenous Malformation by POCUS
Michael Freilich, MD; Benjamin Galen, MD; Deborah Schwartz, MD – Point-of-care ultrasound (POCUS) is a useful tool for the evaluation of soft tissue masses. We present the case of a patient with a mass on his forehead initially thought to be a slowly resolving hematoma.