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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2022
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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. |
format | Online Article Text |
id | pubmed-9197739 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
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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