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To Drain or not to Drain? Point-of-care Ultrasound to Investigate an Axillary Mass: Case Report

INTRODUCTION: Point-of-care ultrasound (POCUS) has great sensitivity in the diagnosis of abscesses and swollen lymph nodes. Many studies outline the characteristics that distinguish abscesses from lymph nodes on POCUS. CASE REPORT: We present a case from the emergency department in which a patient p...

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Autores principales: Patel, Kishan, Khan, Zara, Costumbrado, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197739/
https://www.ncbi.nlm.nih.gov/pubmed/35701361
http://dx.doi.org/10.5811/cpcem.2022.2.53357
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author Patel, Kishan
Khan, Zara
Costumbrado, John
author_facet Patel, Kishan
Khan, Zara
Costumbrado, John
author_sort Patel, Kishan
collection PubMed
description INTRODUCTION: Point-of-care ultrasound (POCUS) has great sensitivity in the diagnosis of abscesses and swollen lymph nodes. Many studies outline the characteristics that distinguish abscesses from lymph nodes on POCUS. CASE REPORT: We present a case from the emergency department in which a patient presented with a potential abscess but was found to have a malignant lymph node on imaging. CONCLUSION: Point-of-care ultrasound can be used to differentiate an abscess from a swollen lymph node. Abscesses are generally anechoic or hypoechoic with septae, sediment or gas contents, and they lack internal vascularity. Benign lymph nodes are echogenic with hypoechoic cortex with hilar vascularity.
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spelling pubmed-91977392022-06-30 To Drain or not to Drain? Point-of-care Ultrasound to Investigate an Axillary Mass: Case Report Patel, Kishan Khan, Zara Costumbrado, John Clin Pract Cases Emerg Med Case Report INTRODUCTION: Point-of-care ultrasound (POCUS) has great sensitivity in the diagnosis of abscesses and swollen lymph nodes. Many studies outline the characteristics that distinguish abscesses from lymph nodes on POCUS. CASE REPORT: We present a case from the emergency department in which a patient presented with a potential abscess but was found to have a malignant lymph node on imaging. CONCLUSION: Point-of-care ultrasound can be used to differentiate an abscess from a swollen lymph node. Abscesses are generally anechoic or hypoechoic with septae, sediment or gas contents, and they lack internal vascularity. Benign lymph nodes are echogenic with hypoechoic cortex with hilar vascularity. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022-04-18 /pmc/articles/PMC9197739/ /pubmed/35701361 http://dx.doi.org/10.5811/cpcem.2022.2.53357 Text en © 2022 Patel. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Case Report
Patel, Kishan
Khan, Zara
Costumbrado, John
To Drain or not to Drain? Point-of-care Ultrasound to Investigate an Axillary Mass: Case Report
title To Drain or not to Drain? Point-of-care Ultrasound to Investigate an Axillary Mass: Case Report
title_full To Drain or not to Drain? Point-of-care Ultrasound to Investigate an Axillary Mass: Case Report
title_fullStr To Drain or not to Drain? Point-of-care Ultrasound to Investigate an Axillary Mass: Case Report
title_full_unstemmed To Drain or not to Drain? Point-of-care Ultrasound to Investigate an Axillary Mass: Case Report
title_short To Drain or not to Drain? Point-of-care Ultrasound to Investigate an Axillary Mass: Case Report
title_sort to drain or not to drain? point-of-care ultrasound to investigate an axillary mass: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197739/
https://www.ncbi.nlm.nih.gov/pubmed/35701361
http://dx.doi.org/10.5811/cpcem.2022.2.53357
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