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Southern Medical Journal

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https://www.readbyqxmd.com/read/29978233/shaping-the-future-of-point-of-care-ultrasound-in-medical-education
#1
Jeanette Mladenovic, Mary Claire O'Brien, Richard Hoppman
No abstract text is available yet for this article.
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978232/point-of-care-ultrasound-needs-assessment-curriculum-design-and-curriculum-assessment-in-a-large-academic-internal-medicine-residency-program
#2
James E Anstey, Trevor P Jensen, Nima Afshar
OBJECTIVES: Internal medicine (IM) residency point-of-care ultrasound (POCUS) curricula are being developed but often are limited in scope or components. In this article, we discuss the demonstration of a need for POCUS training in our large academic IM residency program; the development of a longitudinal curriculum; and the impact of the curriculum on POCUS knowledge, use, and confidence. METHODS: In 2014, we designed a cross-sectional POCUS survey and knowledge test for all IM residents at the University of California, San Francisco...
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978231/point-of-care-ultrasound-for-internal-medicine-an-international-perspective
#3
Irene W Y Ma, Chiara Cogliati, Frank H Bosch, Ana Claudia Tonelli de Oliveira, Vincenzo Arienti, Michiel J Blans, Barry Chan, Anjali Bhagra
No abstract text is available yet for this article.
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978230/point-of-care-ultrasound-as-part-of-a-short-term-medical-mission-to-rural-nicaragua
#4
Keith R Barron, Joseph C Lai, Lacey P MenkinSmith, Jennifer S Lee, Mark E Humphrey, Jeffrey W Hall
OBJECTIVES: The lack of access to diagnostic imaging in resource-limited settings (RLSs) poses a worldwide problem. Advances in ultrasound (US) imaging technology bridge this gap, particularly when examinations are performed by physicians and integrated into the patient encounter, termed point-of-care ultrasound (POCUS). Because the number of physicians participating in short-term medical missions (STMMs) is increasing, the authors sought to characterize how the use of POCUS would affect care delivered as part of a 1-week outreach trip in rural Nicaragua...
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978229/point-of-care-ultrasound-in-resource-limited-settings-common-applications
#5
Matthew Fentress, Thomas F Heyne, Keith R Barron, Neil Jayasekera
Point-of-care ultrasound (POCUS) is used increasingly in resource-limited settings (RLSs), particularly as inexpensive ultrasound machines and evidence-based protocols become more available. POCUS often is the only imaging modality available in such settings, and it has the potential to significantly affect patient care. This article discusses four case-based reviews of POCUS in RLSs for several common diseases: pediatric pneumonia; extrapulmonary tuberculosis; ectopic pregnancy; and tropical parasitic diseases, including echinococcus, schistosomiasis, and amebiasis...
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978228/-old-dogs-can-learn-ultrasound
#6
Mark H Greenberg, Janice Boughton, Gregg M Talente
No abstract text is available yet for this article.
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978227/a-late-career-internist-and-point-of-care-ultrasound-in-a-primary-care-clinic
#7
Terry K Rosborough, David M Tierney
Supplemental digital content is available in the text.
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978226/point-of-care-sinus-ultrasound-impact-within-a-large-internal-medicine-clinic-and-review-of-technique
#8
David M Tierney, Joshua S Becker, Bryan D Post, Terry K Rosborough
Outpatient diagnosis of acute bacterial sinusitis, using only traditional physical examination and clinical criteria, results in the overuse of antibiotics in patients with upper respiratory complaints. Point-of-care maxillary sinus ultrasound is easy to learn and quick to perform in a primary care clinic. The technique can reduce antibiotic prescribing by reassuring both patients and providers of the absence of fluid in the sinus, the hallmark of maxillary sinusitis. A review of the literature, description of technique, and results of sinus ultrasound implementation in a large internal medicine clinic are included...
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978225/point-of-care-ultrasound-applications-in-the-outpatient-clinic
#9
Michael Wagner, Joy Shen-Wagner, Kang X Zhang, Timothy Flynn, Kevin Bergman
Although the use of point-of-care ultrasound (POCUS) is well established in the emergency department (ED) and intensive care unit, the use of POCUS in the outpatient clinic setting is still emerging. General practitioners and specialists alike have increasing access to smaller and less expensive US devices that can assist in making timely diagnoses, guiding procedures, and monitoring patients. In this case-based review, we highlight some of the literature on simple-to-apply POCUS applications relevant to ambulatory medicine...
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978224/a-patient-s-perspective-pairing-the-stethoscope-with-pocus-to-evaluate-acute-dyspnea-in-the-clinic
#10
Joy Shen-Wagner, Michael Wagner, Anthony Hughes
Supplemental digital content is available in the text.
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978223/point-of-care-ultrasound-improves-shared-diagnostic-understanding-between-patients-and-providers
#11
Benji K Mathews, Paula E Miller, Andrew P J Olson
OBJECTIVES: Point-of-care ultrasound (POCUS) has become an integral part of the physical examination. The effect on shared understanding of adding POCUS to the traditional examination is unknown, yet this is an often-described benefit of POCUS. The primary aim of this study was to determine whether the use of POCUS improves shared understanding between providers and patients about patients' diagnoses. METHODS: This was a prospective controlled trial involving a convenience sample of hospitalized adults...
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978222/pearls-for-an-ultrasound-physical-and-its-routine-use-as-part-of-the-clinical-examination
#12
Michael Wagner, Janice Boughton
At present, there is no consensus on what a routine examination that uses ultrasound (US) should look like. Point-of-care US (POCUS) is poised to be as important a clinical skill as palpation and auscultation; however, the expansive list of potential applications can be intimidating to the beginner. In this article we propose using a PEARLS (Parasternal, Epigastric, Anterior Lung [and/or Apical], Right upper quadrant, Left upper quadrant, and Suprapubic) mnemonic as an approach to a core physical examination augmented with POCUS for routine use...
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978221/point-of-care-ultrasound-in-the-inpatient-setting-a-tale-of-four-patients
#13
Renee K Dversdal, Kevin M Piro, Charles M LoPresti, Noelle M Northcutt, Daniel J Schnobrich
Point of-care ultrasound (POCUS) has become a mainstream bedside tool for clinicians in several specialties and is gaining recognition in hospital medicine. There are many clinical applications in which the inpatient practitioner can use POCUS to improve his or her diagnosis, monitoring, and treatment of patients. POCUS is valuable in many clinical scenarios, including acute renal failure, increasing lower extremity edema, change in inpatient clinical status, and acute dyspnea. The medical literature has demonstrated the ability of nonradiologists to accurately detect conditions, including hydronephrosis; extremes of central venous pressure; deep venous thrombosis; pericardial effusion with tamponade; and several pulmonary pathologic states, including pulmonary edema, pleural effusion, consolidation, and pneumothorax...
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978220/point-of-care-ultrasound-in-established-settings
#14
Dustin Morrow, Julia Cupp, David Schrift, Robert Nathanson, Nilam J Soni
The original and most widely accepted applications for point-of-care ultrasound (POCUS) are in the settings of trauma, shock, and bedside procedures. Trauma was the original setting for the introduction of POCUS and has been standardized under the four-plus view examination called the Focused Assessment with Sonography in Trauma (FAST). This examination was found to be especially practice changing for achieving rapid diagnoses in critically ill patients who are too unstable for the delays and transportation inherent in more advanced imaging with computed tomography...
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978219/point-of-care-ultrasound-at-the-crossroads-of-general-medicine
#15
Michael Wagner
No abstract text is available yet for this article.
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29978218/introduction-to-special-issue-on-point-of-care-ultrasound
#16
G Richard Holt
No abstract text is available yet for this article.
July 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29863229/effects-of-long-term-combination-lt4-and-lt3-therapy-for-improving-hypothyroidism-and-overall-quality-of-life
#17
Anam Tariq, Yijin Wert, Pramil Cheriyath, Renu Joshi
OBJECTIVES: Hypothyroidism results in decreased mood and neurocognition, weight gain, fatigue, and many other undesirable symptoms. The American Association of Clinical Endocrinologists, the American Thyroid Association (ATA), and The Endocrine Society recommend levothyroxine (LT4) monotherapy as the treatment for hypothyroidism; however, after years of monotherapy, some patients continue to experience impaired quality of life. Combination LT4 and synthetic liothyronine (LT3) therapy or the use of desiccated thyroid extract (DTE), has not been suggested for this indication based on short-duration studies with no significant benefits...
June 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29863228/telerheumatology-the-va-experience
#18
Tracy U Nguyen-Oghalai, Kathy Hunter, Michael Lyon
OBJECTIVES: We sought to characterize the correlation between diagnoses made during telerheumatology and face-to-face visits and to document patients' satisfaction with telerheumatology visits. METHODS: This quality assurance study of the use of telerheumatology evaluated new patients referred to a Veterans Affairs rheumatology clinic. Patients were seen at a community clinic by a nurse practitioner with a rheumatologist participating in the encounter via telelink...
June 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29863227/cost-effectiveness-analysis-of-early-vs-late-diagnosis-of-hiv-infected-patients-in-south-carolina
#19
Marlon Rampaul, Babatunde Edun, Monetha Gaskin, Helmut Albrecht, Sharon Weissman
OBJECTIVES: It is anticipated that early diagnosis, linkage to care, initiation of antiretroviral therapy (ART), and retention in care would lead to reduced opportunistic infections, reduction in human immunodeficiency virus-related morbidity and mortality and reduced rates of HIV transmission. This would be expected to lead to a reduction in the lifetime cost of care (LCC). This study analyzed existing data to determine to what extent early-versus-late HIV diagnosis affects LCC. METHODS: The South Carolina Department of Health and Environmental Control electronic HIV/acquired immunodeficiency syndrome reporting system data were used for this study...
June 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29863226/on-improving-medical-students-perceptions-of-older-adults-by-engaging-older-military-veterans-in-recreational-activities
#20
G Richard Holt
No abstract text is available yet for this article.
June 2018: Southern Medical Journal
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