Bedside Echocardiography Diagnosis of Tricuspid Valve Infective Endocarditis in the Emergency Department.

Infective endocarditis (IE) is a rare life-threatening entity that remains difficult to diagnose in the emergency department (ED). Focused cardiac ultrasound (FOCUS) with transthoracic echocardiography (TTE) is an indispensable bedside tool for the emergency physician (EP) to promptly diagnosis and expedite clinical management of IE. This report describes a case in which EP-performed FOCUS led to the early identification of right-sided tricuspid valve IE complicated with septic pulmonary emboli.

Point-of-Care Ultrasound Diagnosis of Pneumoperitoneum in the Emergency Department.

Prompt and accurate diagnostic evaluation of the nontraumatic acute abdomen in the emergency department (ED) is crucial to lessen mortality burden. In patients with perforated viscus and pneumoperitoneum, point-of-care ultrasound (POCUS) can assist the emergency physician (EP) in the rapid bedside diagnosis. This report describes a case in which EP-performed POCUS led to the early detection and timely management of an atypical presentation of pneumoperitoneum.