keyword
https://read.qxmd.com/read/37252619/b-mode-ultrasound-and-contrast-enhanced-ultrasound-for-evaluation-of-pneumonia-a-pictorial-essay
#21
REVIEW
Ehsan Safai Zadeh, Amjad Alhyari, Johannes Kroenig, Christian Görg, Corinna Trenker, Christoph F Dietrich, Hajo Findeisen
Due to their often peripheral pleural-based location, pneumonias can be visualised by B-mode ultrasound. Therefore, sonography can be used as an alternative imaging modality to chest X-ray in suspected cases of pneumonia. Depending on the clinical background of the patient, and various underlying pathological mechanisms, a heterogeneous pattern of pneumonia is seen in both B-mode lung ultrasound and contrast-enhanced ultrasound. Here, we describe the spectrum of sonographic manifestations of pneumonic/inflammatory consolidation on B-mode lung ultrasound and contrast-enhanced ultrasound...
May 2023: Australasian Journal of Ultrasound in Medicine
https://read.qxmd.com/read/37171252/are-chest-radiographs-or-ultrasound-more-accurate-in-predicting-a-pneumothorax-or-need-for-a-thoracostomy-tube-in-trauma-patients
#22
JOURNAL ARTICLE
Joseph P DeLoach, Rebecca J Reif, Westin A Smedley, Garrett N Klutts, Avi Bhavaraju, Terry H Collins, Kyle J Kalkwarf
BACKGROUND: Historically, chest radiographs (CXR) have been used to quickly diagnose pneumothorax (PTX) and hemothorax in trauma patients. Over the last 2 decades, chest ultrasound (CUS) as part of Extended Focused Assessment with Sonography in Trauma (eFAST) has also become accepted as a modality for the early diagnosis of PTX in trauma patients. METHODS: We queried our institution's trauma databases for all trauma team activations from 2021 for patients with eFAST results...
May 12, 2023: American Surgeon
https://read.qxmd.com/read/37152330/sonographic-features-of-a-tuberculous-cold-abscess-a-case-report-and-literature-review
#23
Amir Alzarrad, Salman Naeem, Serena Rovida
The use of point of care ultrasound (POCUS) to aid diagnosis of tuberculosis has been investigated in countries where concomitant endemic prevalence of HIV increases the incidence of extrapulmonary tuberculosis (EPTB). In such cases, using a focused assessment with sonography for HIV-associated tuberculosis (FASH) scan has found to be immensely advantageous as a rapid diagnostic tool in low resource settings where other imaging modalities are scarce. The prevalence of EPTB in immunocompetent patients in industrialised countries is growing...
2023: POCUS J
https://read.qxmd.com/read/37125216/reliability-of-a-novel-automated-ultrasound-technology-for-body-composition-assessment-and-comparisons-with-dual-energy-x-ray-absorptiometry
#24
JOURNAL ARTICLE
Adam P Bradley, Lukus Klawitter, Emma Carver, Zach Johnson, Ryan McGrath, Sherri Stastny, Bryan Christensen, Kyle J Hackney
Body composition tools vary in reliability, portability, and accessibility. The purpose of this study was to evaluate test-retest reliability of MuscleSound® (MS) and dual-energy x-ray absorptiometry (DXA) for both two compartment (region) and three compartment (tissue) models. A secondary aim was to compare body composition values produced by both devices. Fifty participants ( n = 25 male, n = 25 female) aged 18-39 years completed two body composition assessments, twice in a single session. Participants arrived at the lab after a 12-hour fast...
2023: International Journal of Exercise Science
https://read.qxmd.com/read/36937618/comparative-study-of-national-emergency-x-radiography-utilization-study-nexus-chest-algorithm-and-extended-focused-assessment-with-sonography-for-trauma-e-fast-in-the-early-detection-of-blunt-chest-injuries-in-polytrauma-patients
#25
JOURNAL ARTICLE
Yasmin Z Attia, Nashwa M Abd Elgeleel, Hazem M El-Hariri, Gouda M Ellabban, Maged El-Setouhy, Jon Mark Hirshon, Adel H Elbaih, Mohamed El-Shinawi
INTRODUCTION: Chest imaging plays a prominent role in the assessment of patients with blunt trauma. Selection of the right approach at the right time is fundamental in the management of patients with blunt chest trauma. [1] A reliable, economic, bedside, and rapidly accomplished screening test can be pivotal. [2]. OBJECTIVE: The aim of this study was to compare the accuracy of extended- focused assessment with sonography for trauma (E-FAST) to that of the National Emergency X-Radiography Utilisation Study (NEXUS) chest algorithm in detecting blunt chest injuries...
June 2023: African Journal of Emergency Medicine Revue
https://read.qxmd.com/read/36934279/management-control-and-decision-making-in-unexpected-recurrent-venous-thromboembolism-in-covid-19-a-case-report
#26
JOURNAL ARTICLE
Reza Zolfaghari Emameh, Jalal Heshmatnia
BACKGROUND: Coronavirus disease 2019 was spread worldwide, as a pandemic, from December 2019. Venous thromboembolism events can inflict patients with coronavirus disease 2019 during the hospitalization or convalescent period. Therefore, monitoring of these patients, in terms of venous thromboembolism events signs and symptoms, and timely management of antithrombotic agents are of great importance. CASE REPORT: A 45-year-old Iranian man, who is the first author of this case report, was infected by severe acute respiratory syndrome coronavirus 2 and displayed the typical signs and symptoms of coronavirus disease 2019...
March 19, 2023: Journal of Medical Case Reports
https://read.qxmd.com/read/36895863/resuscitation-of-traumatic-maternal-cardiac-arrest-a-case-report-and-summary-of-recommendations-from-obstetric-life-support%C3%A2
#27
Viviana de Assis, Andrea D Shields, Alaina Johansson, Diane I Shumbusho, Brian M York
Traumatic maternal cardiac arrest (MCA) is a challenging scenario for the healthcare team. Expanding the focused assessment with sonography for trauma (FAST) and modifying cardiopulmonary resuscitation (CPR) is necessary. Critical components in the resuscitation of reproductive-age women with traumatic cardiac arrest are highlighted using recommendations from Obstetric Life Support™. A morbidly obese female presented to the Emergency Department (ED) with ongoing CPR and massive hemorrhage from two gunshot wounds to the chest...
April 2023: Trauma Case Reports
https://read.qxmd.com/read/36882339/improvement-of-teamwork-nontechnical-skills-through-polytrauma-simulation-cases-using-the-communication-and-teamwork-skills-cats-assessment-tool
#28
JOURNAL ARTICLE
Núria Alegret, Mireia Usart, Anna Valle, Alberto R De la Flor, Laura Subirana, Ricard Valero
OBJECTIVE: To assess acquisition of nontechnical skills (NTS) through clinical simulation cases by healthcare personnel who participated in a Crisis Resource Management (CRM) training program for the initial care of polytraumatisms. DESIGN: Pre-and postintervention study. SETTING: Acute-care teaching hospital in Sabadell, Barcelona (Spain). PARTICIPANTS: Healthcare personnel that composed teamworks providing initial care to polytraumatized patients attended 12-hour simulation training using a SimMan 3G manikin and performed exercises corresponding to 3 clinical scenarios...
March 5, 2023: Journal of Surgical Education
https://read.qxmd.com/read/36849110/-chest-tube-in-thoracic-trauma-recommendations-of-the-interdisciplinary-thoracic-trauma-task-group-of-the-german-society-for-thoracic-surgery-dgt-and-the-german-trauma-society-dgu
#29
JOURNAL ARTICLE
Lars Becker, Stefan Schulz-Drost, Christof Schreyer, Sebastian Lindner
For unstable patients with chest trauma, the chest tube is the method of choice for the treatment of a relevant pneumothorax or haemothorax. In the case of a tension pneumothorax, needle decompression with a cannula of at least 5 cm length should be performed, directly followed by the insertion of a chest tube. The evaluation of the patient should be performed primarily with a clinical examination, a chest X-ray and sonography, but the gold standard of diagnostic testing is computed tomography (CT).A small-bore chest tube (e...
February 2023: Zentralblatt Für Chirurgie
https://read.qxmd.com/read/36845804/evisceration-of-intestines-with-diaphragmatic-laceration-and-gastric-perforation-secondary-to-trauma-by-rhinoceros-attack-and-its-management-a-case-report
#30
JOURNAL ARTICLE
Sabin Karki, Melina Shrestha, Sunil Basukala, Suman Maharjan, Sabin Banmala, Anil Hona, Narayan Thapa, Bikash B Thapa
UNLABELLED: Injuries from animal attack are one of the major public health problems at present scenario globally. Proper documentation is required for the study of different types of injuries caused by animal attacks so that early intervention can be done during life-threatening conditions. CASE PRESENTATION: A 36-year-old male presented with an alleged history of attack by two rhinoceros sustaining injuries over the abdomen, chest, shoulder and thigh. CLINICAL FINDINGS AND INVESTIGATIONS: There was a lacerated abdomen with evisceration of the stomach, small intestine, transverse colon and omentum and a lacerated wound over the left lateral thigh and left buttock along with the right shoulder...
February 2023: Annals of Medicine and Surgery
https://read.qxmd.com/read/36754698/effect-of-the-extended-focused-assessment-with-sonography-for-trauma-on-the-screening-performance-of-the-national-emergency-x-radiography-utilization-study-chest-decision-instrument
#31
JOURNAL ARTICLE
Madeline M Grade, Paul F Ehlers, Aaron E Kornblith, William R Mower, Ali S Raja, Jessica Schleifer, Andrew Liteplo, Robert M Rodriguez
STUDY OBJECTIVE: Developed to decrease unnecessary thoracic computed tomography use in adult blunt trauma patients, the National Emergency X-Radiography Utilization Study (NEXUS) Chest clinical decision instrument does not include the extended Focused Assessment with Sonography in Trauma (eFAST). We assessed whether eFAST improves the NEXUS Chest clinical decision instrument's diagnostic performance and may replace the chest radiograph (CXR) as a predictor variable. METHODS: We performed a secondary analysis of prospective data from 8 Level I trauma centers from 2011-2014...
April 2023: Annals of Emergency Medicine
https://read.qxmd.com/read/36607371/hypermetabolic-subserosal-uterine-leiomyoma-with-synchronous-atypical-multiple-myeloma-mimicking-ovarian-malignancy-with-multiple-bone-metastases-on-18f-fdg-pet-ct
#32
JOURNAL ARTICLE
Xilan Yao, Weiting Liu, Xiaohong Ou
Subserosal cystic myoma with intense FDG uptake can resemble malignant cystic ovarian tumor and may lead to a false-positive diagnosis. A 49-year-old woman presented with chest pain for 4 months, and the initial chest CT showed multiple bone lesions. 18F-FDG PET/CT revealed not only multiple osteolytic lesions with FDG uptake but also a highly FDG-avid mass abutting the right side of the uterus. Ovarian malignancy with multiple bone metastases was considered initially. Subsequent biopsy confirmed multiple myeloma, and a subserosal uterine myoma was diagnosed by transvaginal sonography...
February 1, 2023: Clinical Nuclear Medicine
https://read.qxmd.com/read/36604236/a-case-of-descending-necrotizing-mediastinitis-complicated-by-internal-jugular-thrombosis-in-a-setting-of-mrsa-bacteremia
#33
Michael Keith Simmons, Jeffrey Francis, Veronika Stefanishina, Joshua Rosenberg, Tatiana Havryliuk, Benjamin Farrell
BACKGROUND: Acute Descending Necrotizing Mediastinitis is a rare but serious illness that carries a high mortality rate. It is not commonly part of the Emergency Physician's differential diagnoses for the chief complaint of chest pain when there has been no recent instrumentation to the area. Because the disease is so uncommon, there is a relative paucity of reports of the illness. CASE REPORT: We report the case of a 58-year-old male with a past medical history of HIV and history of intravenous drug use (IVDU) who presented to the Emergency Department with anterior chest pain for several days in addition to 3 days of fever and chills...
March 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36596037/manifestation-of-an-undifferentiated-uterine-sarcoma-in-a-51-years-old-patient-and-its-prognosis-a-case-report
#34
JOURNAL ARTICLE
Miloš Pantelić, Ljiljana Gvozdenovic, Milana Panjković, Marko Stojić, Dragan Stajić, Aleksandra Petrić, Sonja Pop Trajković, Milan Trenkić, Dušan Simić, Lazar Živadinović, Aleksandar Živadinović
INTRODUCTION: Undifferentiated uterine sarcoma is a rare histological subtype of uterine sarcoma. This study aimed to summarize the clinical and pathological presentation of this case. CASE REPORT: A 51-years-old patient was admitted to the clinic because of severe pain in the lower abdomen, and scanty bleeding from the genitals. Gynecological examination revealed an enlarged uterus. Conventional and Doppler transvaginal sonography detected a tumorously altered uterus with a maximum diameter of 20 cm a tumefaction with unclear borders and a diameter of 10 cm, with hyperechoic and hypoechoic fields within the tumefaction, presenting pathological vascularization and reduced values of the (Pulsatile index  ≤ 1) and (Resistance index  ≤ 0...
December 30, 2022: Medicine (Baltimore)
https://read.qxmd.com/read/36595970/granular-cell-tumor-of-the-vulva-case-report-and-systematic-review-of-the-literature
#35
JOURNAL ARTICLE
Guang-Yao Lin, Yan Liu, Tao Ye, Xin-Yu Lu, Jie Gao, Yong-Zhou Wang
RATIONALE: Granular cell tumor (GCT) of the vulva is an exceptionally rare female genital tract tumor. The majority of these are benign and there are no standardized surgical techniques for the special site to reduce tension of the wound. PATIENT CONCERNS: A 47-years-old Chinese woman experienced a nodule on her right vulva with itch sometimes in late 2018. DIAGNOSES: Magnetic resonance imaging showed a high possibility of vulvar cancer. While Chest X-ray, abdominal sonography, and cystoscopy examination were unremarkable...
December 30, 2022: Medicine (Baltimore)
https://read.qxmd.com/read/36556182/use-of-high-frequency-transducers-in-breast-sonography
#36
REVIEW
Antonio Corvino, Carlo Varelli, Fabio Catalano, Giulio Cocco, Andrea Delli Pizzi, Andrea Boccatonda, Fabio Corvino, Luigi Basile, Orlando Catalano
Sonography companies have recently developed high-frequency transducers (20-30 MHz) to image the skin and small joints. In this pictorial review, we present a number of settings where these probes can be usefully employed to scan the breast. These include skin abnormalities of the breast and axilla; nipple-areolar complex abnormalities; superficial breast parenchyma abnormalities; breast parenchyma abnormalities in subjects with implants; very small female breasts; peripheral areas in breasts of any size; pre-puberal breasts; male breasts; post-mastectomy chest wall; and intraoperative breast sonography...
November 27, 2022: Journal of Personalized Medicine
https://read.qxmd.com/read/36555932/advanced-and-invasive-cardiopulmonary-resuscitation-cpr-techniques-as-an-adjunct-to-advanced-cardiac-life-support
#37
REVIEW
Manuel Obermaier, Stephan Katzenschlager, Othmar Kofler, Frank Weilbacher, Erik Popp
BACKGROUND: Despite numerous promising innovations, the chance of survival from sudden cardiac arrest has remained virtually unchanged for decades. Recently, technological advances have been made, user-friendly portable devices have been developed, and advanced invasive procedures have been described that could improve this unsatisfactory situation. METHODS: A selective literature search in the core databases with a focus on randomized controlled trials and guidelines...
December 9, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/36477480/appropriateness-of-initial-course-of-action-in-the-management-of-blunt-trauma-based-on-a-diagnostic-workup-including-an-extended-ultrasonography-scan
#38
MULTICENTER STUDY
Fanny Planquart, Emmanuel Marcaggi, Raiko Blondonnet, Olivier Clovet, Xavier Bobbia, Bastien Boussat, Julien Pottecher, Tobias Gauss, Laurent Zieleskiewicz, Pierre Bouzat
IMPORTANCE: The extended Focused Assessment With Sonography for Trauma (E-FAST) has become a cornerstone of the diagnostic workup in patients with trauma. The added value of a diagnostic workup including an E-FAST to support decision-making remains unknown. OBJECTIVE: To determine how often an immediate course of action adopted in the resuscitation room based on a diagnostic workup that included an E-FAST and before whole-body computed tomography scanning (WBCT) in patients with blunt trauma was appropriate...
December 1, 2022: JAMA Network Open
https://read.qxmd.com/read/36474381/sternal-fractures-due-to-blunt-chest-trauma
#39
REVIEW
Shi-Min Yuan
The present article aimed to give an overview of sternal fractures and discuss their management and prognoses. The retrieved pertinent publications of 2011-2021 constituted the materials of the present study. The misdiagnosis rate of X-ray was 5.5% and that of sonography was 6.3% for diagnosing the sternal fractures. There were more patients with complicated than with isolated sternal fractures (98.8% vs. 1.2%, p<0.001). Sternal fractures were treated surgically in 59.5%, conservatively in 39.7%, and staged conservatively and surgically in 0...
December 2022: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://read.qxmd.com/read/36456990/efficacy-of-extended-focused-assessment-with-sonography-for-trauma-using-a-portable-handheld-device-for-detecting-hemothorax-in-a-low-resource-setting-a-multicenter-longitudinal-study
#40
MULTICENTER STUDY
Stephen Mbae Kithinji, Herman Lule, Moses Acan, Lauben Kyomukama, Joshua Muhumuza, Patrick Kyamanywa
INTRODUCTION: Chest trauma is one of the most important and commonest injuries that require timely diagnosis, accounting for 25-50% of trauma related deaths globally. Although CT scan is the gold standard for detection of haemothorax, it is only useful in stable patients, and remains unavailable in most hospitals in low income countries. Where available, it is very expensive. Sonography has been reported to have high accuracy and sensitivity in trauma diagnosis but is rarely used in trauma patients in low income settings in part due to lack of the sonography machines and lack of expertise among trauma care providers...
December 1, 2022: BMC Medical Imaging
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