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Point‐of‐care ultrasound in pre‐bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis

Point‐of‐care ultrasound (POCUS) leads to efficient real‐time diagnosis in a wide range of medical specialties. We describe the use of cardiac, lung and lower limb POCUS to rapidly diagnose massive pulmonary embolism and deep vein thrombosis in a 64‐year‐old patient presenting with acute dyspnea pri...

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Detalles Bibliográficos
Autores principales: Ahmad, Mohammad Amirul Shahril bin, Nyanti, Larry Ellee, Yeoh, Jie Cong, A Hing, Chan Tha, Chai, Chan Sin, Tie, Siew Teck
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9452440/
https://www.ncbi.nlm.nih.gov/pubmed/36090018
http://dx.doi.org/10.1002/rcr2.1029
Descripción
Sumario:Point‐of‐care ultrasound (POCUS) leads to efficient real‐time diagnosis in a wide range of medical specialties. We describe the use of cardiac, lung and lower limb POCUS to rapidly diagnose massive pulmonary embolism and deep vein thrombosis in a 64‐year‐old patient presenting with acute dyspnea prior to elective bronchoscopy. Left femoral vein thrombus and features of increased right heart pressure on POCUS led to the decision to administer fibrinolytic therapy, with subsequent CT pulmonary angiogram confirming bilateral PE. The use of POCUS allowed for rapid imaging and interpretation leading to a rapid diagnosis of PE, thus fast‐tracking lifesaving anticoagulation, especially in an outpatient setting.