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Spontaneous elbow hemarthrosis identified by point-of-care ultrasound
Traumatic or spontaneous hemarthroses are an important cause of joint effusions, and can complicate innate or acquired coagulopathies. The elbow is an unusual location for a spontaneous hemarthrosis; we describe a previously unreported case of warfarin-induced spontaneous elbow hemarthrosis, diagnos...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Emergency Medicine
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385507/ https://www.ncbi.nlm.nih.gov/pubmed/28435904 http://dx.doi.org/10.15441/ceem.16.137 |
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author | Mackenzie, David C. McCorvey, Scott |
author_facet | Mackenzie, David C. McCorvey, Scott |
author_sort | Mackenzie, David C. |
collection | PubMed |
description | Traumatic or spontaneous hemarthroses are an important cause of joint effusions, and can complicate innate or acquired coagulopathies. The elbow is an unusual location for a spontaneous hemarthrosis; we describe a previously unreported case of warfarin-induced spontaneous elbow hemarthrosis, diagnosed by point-of-care ultrasound. On the basis of clinical and ultrasound findings arthrocentesis was deferred, and the patient was successfully treated with warfarin reversal and conservative care. Physical examination is unreliable for the detection of a joint effusion, and misdiagnosis and can lead to unnecessary investigation or resource use. Point-of-care ultrasound allows accurate, prompt, direct visualization of a joint effusion, and non-invasive confirmation of a hemarthrosis. Ultrasound can facilitate accurate diagnosis and characterization of joint effusions to improve the care of patients with coagulopathy. |
format | Online Article Text |
id | pubmed-5385507 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Korean Society of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-53855072017-04-21 Spontaneous elbow hemarthrosis identified by point-of-care ultrasound Mackenzie, David C. McCorvey, Scott Clin Exp Emerg Med Case Report Traumatic or spontaneous hemarthroses are an important cause of joint effusions, and can complicate innate or acquired coagulopathies. The elbow is an unusual location for a spontaneous hemarthrosis; we describe a previously unreported case of warfarin-induced spontaneous elbow hemarthrosis, diagnosed by point-of-care ultrasound. On the basis of clinical and ultrasound findings arthrocentesis was deferred, and the patient was successfully treated with warfarin reversal and conservative care. Physical examination is unreliable for the detection of a joint effusion, and misdiagnosis and can lead to unnecessary investigation or resource use. Point-of-care ultrasound allows accurate, prompt, direct visualization of a joint effusion, and non-invasive confirmation of a hemarthrosis. Ultrasound can facilitate accurate diagnosis and characterization of joint effusions to improve the care of patients with coagulopathy. The Korean Society of Emergency Medicine 2017-03-30 /pmc/articles/PMC5385507/ /pubmed/28435904 http://dx.doi.org/10.15441/ceem.16.137 Text en Copyright © 2017 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Case Report Mackenzie, David C. McCorvey, Scott Spontaneous elbow hemarthrosis identified by point-of-care ultrasound |
title | Spontaneous elbow hemarthrosis identified by point-of-care ultrasound |
title_full | Spontaneous elbow hemarthrosis identified by point-of-care ultrasound |
title_fullStr | Spontaneous elbow hemarthrosis identified by point-of-care ultrasound |
title_full_unstemmed | Spontaneous elbow hemarthrosis identified by point-of-care ultrasound |
title_short | Spontaneous elbow hemarthrosis identified by point-of-care ultrasound |
title_sort | spontaneous elbow hemarthrosis identified by point-of-care ultrasound |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385507/ https://www.ncbi.nlm.nih.gov/pubmed/28435904 http://dx.doi.org/10.15441/ceem.16.137 |
work_keys_str_mv | AT mackenziedavidc spontaneouselbowhemarthrosisidentifiedbypointofcareultrasound AT mccorveyscott spontaneouselbowhemarthrosisidentifiedbypointofcareultrasound |