Article Tags: Internal Medicine

Implementation and Assessment of a Curriculum for Renal Point of Care Ultrasound (POCUS) Training

Yoshiko Ishisaka, Hong Yu Wang, Hayato Mitaka, Elliot  Charen, Paru Patrawalla – Renal ultrasound is a non-invasive method to assess for obstructive acute kidney injury (AKI). Point of care ultrasound (POCUS) has been shown to be a good screening tool for obstructive AKI, and with formal training, has high sensitivity and specificity. We aimed to evaluate the effectiveness and feasibility of integrating a novel renal POCUS curriculum into an existing two-week nephrology rotation for internal medicine residents.

Terson Syndrome Diagnosed by Ocular Point of Care Ultrasound on the Medical Floor 

Mark Johnson, MRCP MBBCh BSc – In acute care environments, accurately assessing complications of intracranial pathology can be challenging. Ocular complications in acute intracranial disease are not consistently evaluated despite their high morbidity. We report on a case of monocular diplopia in a 63-year-old man with subacute traumatic brain injury with localized subarachnoid hemorrhage.

Handheld Lung Ultrasound to Detect COVID-19 Pneumonia in Inpatients: A Prospective Cohort Study

Thomas F. Heyne; Kay Negishi; Daniel S. Choi; Ahad A. Al Saud; Lucas X. Marinacci; Patrick Y. Smithedajkul; Lily R. Devaraj; Brent P. Little; Dexter P. Mendoza; Efren J. Flores; Milena Petranovic; Steven P. Toal; Hamid Shokoohi; Andrew S. Liteplo; Benjamin P. Geisler – Even as newer viral variants have proven less deadly than the initial waves, Coronavirus Disease 2019 (COVID-19) continues to affect our world. Although critical to mitigate the spread of disease, rapid and accurate diagnosis of COVID-19 can be challenging.

Association of Internal Medicine Point of Care Ultrasound (POCUS) with Length of Stay, Hospitalization Costs, and Formal Imaging: a Prospective Cohort Study

David M. Tierney; Terry K. Rosborough; Lynn M. Sipsey; Kai Hanson; Claire S. Smith; Lori L. Boland; Robert Miner – Point of care ultrasound (POCUS) use has rapidly expanded among internal medicine (IM) physicians in practice and residency training programs. Many benefits have been established; however, studies demonstrating the impact of POCUS on system metrics are few and mostly limited to the emergency department or intensive care setting. The study objective was to evaluate the impact of inpatient POCUS on patient outcomes and hospitalization metrics.

Impact of Point-of-Care Ultrasound in Medical Decision Making: Informing the Development of an Internal Medicine Global Health POCUS Curriculum  

Michelle Fleshner, MD MPH; Steve Fox, MD; Thomas Robertson, MD; Ayako Wendy Fujita, MD; Divya Bhamidipati, MD; Thuy Bui MD – Point-of-care Ultrasound (POCUS) is particularly useful in low-middle income countries (LMICs) where advanced imaging modalities and diagnostics are often unavailable. However, its use among Internal Medicine (IM) practitioners is limited and without standard curricula. This study describes POCUS scans performed by U.S. IM residents rotating in LMICs to provide recommendations for curriculum development.

Developing and Evaluating a Remote Quality Assurance System for Point-of-Care Ultrasound for an Internal Medicine Residency Global Health Track

Steven Fox, MD; Michelle Fleshner, MD MPH; Collin Flanagan, DO; Thomas Robertson, MD; Ayako Wendy Fujita, MD; Divya Bhamidipati, MD; Abdulrahman Sindi, MD; Raghunandan Purushothaman, MD; Thuy Bui, MD – A quality assurance system is vital when using point-of-care ultrasound (POCUS) to ensure safe and effective ultrasound use. There are many barriers to implementing a quality assurance system including need for costly software, faculty time, and extra work to log images.