POCUS Journal Volume 04, Issue 03, released April 2019
by Jeff Ames, MD; Steven Montague, MD –
A 59-year-old man, with known alcohol-induced liver cirrhosis and diuretic refractory ascites, was seen in General Internal Medicine clinic for a therapeutic paracentesis. The tense large volume ascites caused abdominal pain, which had been previously relieved with paracentesis on several occasions. In preparation for paracentesis, routine POCUS was performed to landmark for the procedure.
by Marco Badinella Martini, MD; Antonello Iacobucci, MD –
An 87-year-old man with a history of type 2 diabetes and severe Alzheimer disease was admitted to the emergency department with a lesion of the perineum for two days. The patient appeared agitated and not collaborating on the visit. His vital signs were normal. Physical examination revealed an edematous, suppurative, and foul-smelling perineal-scrotal lesion, with possible subcutaneous emphysema.
by Nicholas Grubic, BScH; Barry Chan, MD –
The use of point-of-care thoracic (lung) ultrasound is an integral part of clinical practice that has shown diagnostic accuracy to help guide clinical decision making for pleural interventions.
by Joaquín Valle Alonso; F Javier Fonseca del Pozo; Eric Van der Bergh; Harriet Kinderman –
Baker’s cyst is a closed collection of fluid that forms in the posterior aspect of the knee. Usually, it appears as a non-painful inflammation in the popliteal fossa. In adults, its aetiology is secondary to problems that cause distension of the knee joint. It is often associated with rheumatoid arthritis and osteoarthritis. Occasionally, the cyst may become oversized and rupture with the consequent leakage of synovial fluid into adjacent tissues, presenting a clinical course similar to acute thrombophlebitis.
by Muhammad Khidir, Mb Bch BAO; Nur Hanisah, Mb Bch BAO; Farah Alwi, Dr EmMed; Al-Hilmi Saim, MMed –
Acute aortic dissection and aneurysm are lethal vascular emergencies and may present with various clinical presentations including neurological manifestation. Thus, the diagnosis of aortic dissection and aneurysm can be challenging as it may mimic other disorders whereby misdiagnosis can be fatal. In district general hospitals where advanced radiological modalities are not widely available, Point of Care Ultrasound (POCUS) is a tool to diagnose aortic dissection and aneurysm rapidly and accurately.