Archives

Assessment of the association between lung POCUS findings during preoperative assessment and cardiopulmonary outcomes in patients undergoing major abdominal surgery: a pilot study protocol

Leonidas Palaiodimos; Sriram Sunil Kumar; Perminder Gulani ; Maisha Maliha; Adam Mylonakis; Lori Lemberg; Mindaugas Pranevicius; Robert T. Faillace; Ilias I. Siembos; Benjamin Galen; Dimitrios Schizas – This study attempted to determine whether the addition of lung POCUS can be used to better stratify the risk for postoperative complications.

POCUS Diagnosis of Bacterial Lymphadenitis Later Determined to be Cat Scratch Disease: A Unique Presentation and Review

Alec P. Tolentino; Stanley Wojtas,; Camille D. Audette; Erin J. Meyer; Zachary W. Binder – This study presents a case of a teenage male evaluated in the pediatric emergency department for acute bilateral inguinal swelling, in which POCUS identified lymphadenopathy and guided the evaluation of a presumed infectious process, ultimately determined to be caused by cat scratch disease.

The SHARP Exam: A Standardized POCUS Approach to Undifferentiated Acute Right Lower Quadrant Abdominal Pain in Young Women

Michael Halperin; Maia Winkel; Ashley Aiken; Nora McNulty; Michelle Montenegro; Nicole Leonard Shiu; Trevor Dixon; Alyssia McEwan; William Murk; Ariella Gartenberg – This study presents The SHARP Exam, a novel point of care ultrasound (POCUS) protocol designed to aid in the evaluation of undifferentiated, acute, right-sided, lower abdominal pain in women of child-bearing age. The SHARP Exam is both an acronym ([S]ono [H]er [A]bdomen for [R]ight-sided [P]ain) and a diagnostic tool for emergency physicians to focus on specific pathology ([S]ize of ovary, [H]ydronephrosis, [A]ppendicitis, [R]ight upper quadrant free fluid, [P]regnancy).

POCUS for Detection of Esophageal and Gastric Foreign Bodies

Daniella Lamour; Jacqueline Jean-Gilles; David Kinas; Edward Lopez; Robert A. Farrow – This case series presents three distinct instances of foreign body ingestion, where POCUS enhanced patient outcomes and disposition. This series includes evidence on use of POCUS for an obstructed esophageal foreign body and two gastric foreign bodies in a stable patient and unstable altered patient suspected of medication overdose

Giant Pyonephrosis Diagnosed Using POCUS in a Resource-Limited Setting

Roody Menager; Rebecca St Louis; Anst Gelin; Flawendjee Djaweelentz Jacques – This case discusses a 36-year-old man presented to the ED with dyspnea, fever, abdominal pain, and abdominal distention in the area where an intra-abdominal tumor was reported. After ultrasound-guided aspiration, pyonephrosis was diagnosed. In the absence of other capable specialists, the emergency physician performed a percutaneous nephrostomy procedure, and eight liters of pus were removed.

Peritoneal Volume Influence on POCUS Volume Assessment in Patients Undergoing Peritoneal Dialysis

María Muñiz Rincón; Diego Barbieri, MD; Virginia López de la Manzanara; Elena Ruiz Ferreras; Arianne Aiffil Meneses; Carlos Fernández Fernández; Cristina Riaza Ortiz; Rómulo Loayza López; Jose Antonio Herrero Calvo; Ana I. Sanchez-Fructuoso
 – This study investigates variations in fluid overload using point of care ultrasound (POCUS). It assesses patients undergoing peritoneal dialysis (PD) with full and drained peritoneum and their correlation with clinical parameters.

Performance of POCUS for Pregnancy Evaluation using a Non-Piezoelectric Ultrasound Device in the Emergency Department

Hae I. Yun, Brandon M. Wubben – This study demonstrates that POCUS using a non-piezoelectric ultrasound device was able to accurately rule in first trimester IUP in the emergency department at relatively low hCG levels, with no false positive IUPs identified. During the second and third trimesters, POCUS consistently detected fetal heart motion and had good accuracy for gestational age measurements compared to OB-US.

When Omental Infarction Imitates Appendicitis: Advancing Diagnosis with POCUS

David J. McCreary; Iain Fraser; Nigel Chan – This is the first documented case of POCUS being utilised in the evaluation of a child with omental infarction. While the patient’s diagnosis was less common than initially suspected, POCUS played a crucial role in guiding timely and effective patient care, highlighting its value in clinical decision-making However, there are indications of lower POCUS sensitivity to fluid overload with a full peritoneum.