POCUS Examination of the Mediastinum in Children: A Simplified and Standardized Protocol for Pulmonary Tuberculosis

Isabelle Munyangaju; Lucia Carratala-Castro; Sozinho Acacio; José Miguel Escudero Fernández; Antoni Soriano-Arandes; Maria Espiau; Begoña Santiago Garcia; Alicia Hernanz-Lobo; Ángel M. Lancharro Zapata; Aleix Soler-Garcia; Enrique Ladera; Antoni Noguera-Julian; Angela Manzanares; Daniel Blazquez; Elisa Aguirre Pascual; José Massingue; Jessica Dalsuco; Justina Bramugy; Isabelle Thierry-Chefque Bassat; Danilo Buonsenso; Elisa Lopez-Varela; Xavier Serres-Créixams – This study shows that Mediastinal POCUS, guided by a standardized protocol, represents a safe, affordable, point-of-care, and non-ionizing option for identifying mediastinal lymphadenopathy. Its application holds promise for improving the diagnosis of paediatric tuberculosis, especially in settings with limited access to advanced radiological imaging.

A Case of Pediatric Sternal Fracture Diagnosed by POCUS

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.