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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
African Federation for Emergency Medicine
2016
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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. |
format | Online Article Text |
id | pubmed-6233237 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | African Federation for Emergency Medicine |
record_format | MEDLINE/PubMed |
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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