Erick Joel Rendón-Ramírez, Andrés Mauricio Morales-García, Adrián Rendón-Pérez, Homero Nañez-Terreros, Ricardo Cesar Solis, Alexandra Daniela Magaña-García, Samantha Medrano-Juárez, Jose Francisco Caloca-Estrada, Roberto Mercado-Longoria, Jorge Eduardo Leija-Herrera, José M. Porcel – To analyze the association between pleural effusion detected by chest point of care ultrasound (POCUS) and clinical outcomes in patients with septic shock admitted to an intensive care unit (ICU).
Priyanka Modi, Sanjeev Bhoi – Earlier studies have proved deteriorating Glasgow Coma Scale (GCS) as a marker of raised intracranial pressure (ICP). Low GCS is associated with abnormal pupillary parameters. Currently, many studies have proved that ultrasound provides a feasible and objective assessment of pupillary light reflex. However, literature is lacking to evaluate objective pupillary parameters to predict GCS of the patients by point of care ultrasound (POCUS).
Kevin M. Piro, Patricia A. Carney, Christopher J. Smith – Point of care ultrasound (POCUS) is a complex psychomotor skill that requires scaffolded support for skill acquisition. However, the effect of spaced curricular elements on learner POCUS behaviors are not clearly understood.
Michael Janjigian, Anne Dembitzer, Isaac Holmes, Caroline Srisarajivakul-Klein, Khemraj Hardowar, Harald Sauthoff – The availability of faculty proficient in point of care ultrasound (POCUS) has emerged as a barrier to the ongoing expansion of POCUS across the field of internal medicine. We sought to examine the faculty graduates of our institutional POCUS program to identify characteristics associated with long-term proficiency to inform curricula and guide institutional support.
Ambika Shivarajpur, DO; Brian Kohen, MD – Point of care ultrasound (POCUS) is a useful modality to initially identify a molar pregnancy. In this case, we describe a 51-year-old perimenopausal woman who presented to the emergency department (ED) with vaginal bleeding. A transvaginal POCUS was performed, revealing findings concerning for a molar pregnancy. These findings led to prompt diagnosis and treatment.
Andrew Moore, DO; Ali Mrad, MD; Leonard Riley, MD; Sonia M. Castillo MD – The tissue diagnosis and staging of all types of lung cancer is foundational for prognosis and establishing the optimal treatment plan. In order to appropriately stage lung cancer, the highest stage should be established using the 8th edition TNM criteria, where tumor size (T), nodal involvement (N), and metastasis (M) are all taken into account. Establishing a tissue diagnosis may involve the use of CT guided biopsy, navigational bronchoscopy, endobronchial biopsy, endobronchial ultrasound, percutaneous lymph node biopsy and/or excisional biopsy of supraclavicular nodes.
Andrew R. Helber, MD; Margaret Provencher, MD; Christy Moore, BS; Nova Panebianco, MD – The differential diagnosis for abdominal or pelvic pain in women of child-bearing age that present to the emergency department is broad. A rare cause of abdominal and pelvic pain is hematometra, or a collection of blood products within the uterus. While blood is normally expelled through menses, this process is disrupted in some patients due to congenital or acquired abnormalities.
Abhilash Koratala, MD; Mohamed Ibrahim, MD; Sirisha Gudlawar, MD – Venous Excess Ultrasound (VExUS) is a valuable bedside tool for nephrologists within a multi-organ point of care ultrasound (POCUS) framework. VExUS can address limitations of conventional physical examination in identifying hemodynamic congestion and monitoring treatment efficacy. A 53-year-old man with heart failure and end-stage kidney disease on hemodialysis presented with elevated liver function tests.
Marwa L. Ali, MD; Sean Beckman, DO; Stephen Alerhand, MD – A pseudoaneurysm results from a tear in a vessel wall. This leads to extravasation of blood into adjacent tissue and eventual formation of a fibrous sac that maintains continuity with the lumen. These vascular injuries very rarely occur in deeper vessels of the face (e.g. maxillary artery) due to protection from structures like the bony mandible and parotid gland. If left untreated, these pseudoaneurysms can lead to infection, thromboembolism, hemorrhage, and compression of surrounding structures such as facial nerve branches
Zahraa Y. Alqallaf, Ossama S. Maadarani, FRCP; Mohamed E. Elhabibi, MD; Mohamad Abdelfatah, MD; Zouheir I. Bitar, FRCP EDIC EDEC – Point of care ultrasound (POCUS) can make an expedited diagnosis, which might lead to early correct management. POCUS should be used in a systemic and integrated approach to evaluate multiple organs in patients with sepsis and septic shock. We present a rare case of sepsis due to nontyphoidal Salmonella endocarditis with splenic abscess in which a multiorgan POCUS examination led to expedited treatment.