Silva, Rafael and Gonçalves, Diana and Cabral, João Pina and Gomes, Bráulio and Teixeira, Jorge and Mariz, José António (2018) Triple POCUS: A New Approach to an Old Problem. European Journal of Case Reports in Internal Medicine, 5 (9). ISSN 2284-2594
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Abstract
Pulmonary embolism (PE) is the most serious and life-threatening clinical presentation of venous thromboembolism, and difficult to diagnose. Triple point-of-care-ultrasonography (POCUS) of the lung, heart and leg veins is a multiorgan approach that may help to evaluate patients suspected of having PE, in combination with existing protocols and computed tomographic pulmonary angiography (CTPA). We present the case of a 26-year-old man with sudden onset of dyspnoea and swelling of the leg with a Well’s score of 9. With CTPA unavailable at the time of presentation, triple POCUS showed subpleural consolidations and a venous thrombus in a popliteal vein. A diagnosis of deep vein thrombosis with PE was made and the appropriate treatment was started immediately. Although triple POCUS has less sensitivity and specificity than CTPA, it could be very useful in some clinical settings.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Point-of-care ultrasonography, pulmonary embolism, deep vein thrombosis, triple POCUS |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Greta Di Blasio |
| Date Deposited: | 11 Jun 2019 10:53 |
| Last Modified: | 11 Jun 2019 10:53 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/18775 |
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