Hiding in Plain Sight: A Case of Perinephric Abscess Diagnosed by POCUS

An 87 year old male with obstructive uropathy was initially diagnosed with acute kidney injury (AKI), a new renal mass and hydronephrosis. When transferred to a facility with a hospital medicine POCUS program, the renal mass was correctly identified as a perinephric abscess, which was percutaneously...

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Detalles Bibliográficos
Autores principales: Haughey, David, Truong, Tai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2020
Materias:
Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979943/
https://www.ncbi.nlm.nih.gov/pubmed/36896437
http://dx.doi.org/10.24908/pocus.v5i2.14430
Descripción
Sumario:An 87 year old male with obstructive uropathy was initially diagnosed with acute kidney injury (AKI), a new renal mass and hydronephrosis. When transferred to a facility with a hospital medicine POCUS program, the renal mass was correctly identified as a perinephric abscess, which was percutaneously drained leading to resolution of AKI and the underlying infection. Renal POCUS is readily taught via brief educational interventions and empowers providers to identify common (hydronephrosis) and uncommon (perinephric abscess) renal pathology at the bedside.

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