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Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a rural Ugandan Hospital

INTRODUCTION: Point-of-care ultrasound (POCUS) in resource-limited areas has demonstrated utility in the hands of physicians and may be useful for non-physician providers to learn as well. CASE REPORT: An 11 year old male presented with abdominal pain and diffuse abdominal tenderness to a remote Eme...

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Autores principales: Chanler-Berat, Jordan, Birungi, Alfunsi, Dreifuss, Brad, Mbiine, Ronald
Formato: Online Artículo Texto
Lenguaje:English
Publicado: African Federation for Emergency Medicine 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233237/
https://www.ncbi.nlm.nih.gov/pubmed/30456063
http://dx.doi.org/10.1016/j.afjem.2015.09.004
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author Chanler-Berat, Jordan
Birungi, Alfunsi
Dreifuss, Brad
Mbiine, Ronald
author_facet Chanler-Berat, Jordan
Birungi, Alfunsi
Dreifuss, Brad
Mbiine, Ronald
author_sort Chanler-Berat, Jordan
collection PubMed
description INTRODUCTION: Point-of-care ultrasound (POCUS) in resource-limited areas has demonstrated utility in the hands of physicians and may be useful for non-physician providers to learn as well. CASE REPORT: An 11 year old male presented with abdominal pain and diffuse abdominal tenderness to a remote Emergency Centre (EC). An Emergency Care Practitioner, a non-physician emergency care provider with limited ultrasound training, used bedside ultrasonography and alerted the on-call surgeon of complex intraperitoneal fluid representing perforated typhoid, which expedited the patient’s care. DISCUSSION: There is scant literature involving cases of non-physician use of POCUS, particularly in the emergency care setting. This case demonstrates the potential benefits of training these providers in POCUS.
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spelling pubmed-62332372018-11-19 Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a rural Ugandan Hospital Chanler-Berat, Jordan Birungi, Alfunsi Dreifuss, Brad Mbiine, Ronald Afr J Emerg Med Case Report INTRODUCTION: Point-of-care ultrasound (POCUS) in resource-limited areas has demonstrated utility in the hands of physicians and may be useful for non-physician providers to learn as well. CASE REPORT: An 11 year old male presented with abdominal pain and diffuse abdominal tenderness to a remote Emergency Centre (EC). An Emergency Care Practitioner, a non-physician emergency care provider with limited ultrasound training, used bedside ultrasonography and alerted the on-call surgeon of complex intraperitoneal fluid representing perforated typhoid, which expedited the patient’s care. DISCUSSION: There is scant literature involving cases of non-physician use of POCUS, particularly in the emergency care setting. This case demonstrates the potential benefits of training these providers in POCUS. African Federation for Emergency Medicine 2016-03 2016-01-04 /pmc/articles/PMC6233237/ /pubmed/30456063 http://dx.doi.org/10.1016/j.afjem.2015.09.004 Text en © 2015 African Federation for Emergency Medicine. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Chanler-Berat, Jordan
Birungi, Alfunsi
Dreifuss, Brad
Mbiine, Ronald
Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a rural Ugandan Hospital
title Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a rural Ugandan Hospital
title_full Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a rural Ugandan Hospital
title_fullStr Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a rural Ugandan Hospital
title_full_unstemmed Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a rural Ugandan Hospital
title_short Typhoid intestinal perforation: Point-of-care ultrasound as a diagnostic tool in a rural Ugandan Hospital
title_sort typhoid intestinal perforation: point-of-care ultrasound as a diagnostic tool in a rural ugandan hospital
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233237/
https://www.ncbi.nlm.nih.gov/pubmed/30456063
http://dx.doi.org/10.1016/j.afjem.2015.09.004
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