253 results match your criteria: "Bedside Ultrasonography Abdomen"

Abdominal point-of-care ultrasound is an essential diagnostic tool for internal medicine physicians. It can identify intraperitoneal free fluid, evaluate the liver for size, presence of steatosis, and assessment for possible cirrhosis. Diagnosing cholelithiasis or cholecystitis can expedite care.

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Background Point-of-care ultrasound (PoCUS) is an imaging modality with many inherent benefits, such as increased patient satisfaction, cost savings, and elimination of delays in diagnosis. The popularity of this bedside imaging technique has increased in recent years, and its scope of use for diagnostics and procedures has expanded in many specialties. Research question Can increased implementation of PoCUS within the Geisinger Health System (GHS) reduce the need for other more expensive, time-consuming, and potentially harmful imaging techniques? Methods Investigations were carried out on the uses of PoCUS established in the literature as a bedside diagnostic tool for specific pathologies such as pneumonia, nephrolithiasis, and various fractures.

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Role of Imaging in Diagnosis and Management of COVID-19: Evidence-Based Approaches.

Adv Exp Med Biol

September 2024

Department of Radiology, The Ohio State University Wexner Medical Center, 395 W. 12th Ave, 4th Floor, Columbus, OH, 43210, USA.

Imaging has been demonstrated to play a crucial role in both the diagnosis and management of COVID-19. Depending on resources, pre-test probability, and risk factors for severe disease progression, real-time polymerase chain reaction (RT-PCR) testing may be followed by chest radiography (CXR) or chest computed tomography (CT) to further aid in diagnosis or excluding COVID-19 disease. SARS-CoV-2 has been shown not only to pathologically impact the pulmonary system, but also the cardiovascular, gastrointestinal, and neurological systems to name a few.

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Scanning the aged to minimize missed injury: An Eastern Association for the Surgery of Trauma multicenter study.

J Trauma Acute Care Surg

January 2025

From the Department of Surgery (V.P.H., S.K.K., J.O., J.A.C.), MetroHealth Medical Center; Department of Surgery (S.K.K.), University Hospitals Cleveland Medical Center; Departments of Surgery (V.P.H.), and Population and Quantitative Health Sciences (V.P.H.), Case Western Reserve University School of Medicine; Biostatistics and Data Sciences Group (H.H.), Population Health and Equity Research Institute, MetroHealth Medical Center, Cleveland, Ohio; Department of Surgery (A.R., S.S.S., T.H.T.), Crozer-Chester Medical Center, Upland; Department of Surgery (C.A.B., A.M., B.F.D.), Reading Hospital, West Reading, Pennsylvania; Department of Surgery (G.A.B., P.P., T.B.S.P.), NYU Langone Hospital-Long Island, Mineola, New York; Department of Surgery (S.M., T.C., J.B.), Conemaugh Memorial Medical Center, Johnstown, Pennsylvania; Trauma Administration (L.E.J., J.M.W., C.S.N.), Ascension St. Vincent Hospital, Indianapolis, Indiana; Department of Surgery (P.O.U., K.T., C.P.), WakeMed Health and Hospitals, Raleigh, North Carolina; Department of Surgery (J.M.V., T.J.C., E.J.K.), Creighton University Medical Center - Bergan Mercy, Omaha, Nebraska; Department of Surgery (L.M.K., S.M.M., D.A.), Yale School of Medicine, New Haven, Connecticut; Department of Surgery (C.M., N.D., R.B.), Spartanburg Medical Center, Spartanburg, South Carolina; Department of Surgery (A.E., S.D., E.V.), OhioHealth Grant Medical Center, Columbus, Ohio; Department of Surgery (M.C.W., J.K.D., E.W.), Loma Linda University Medical Center, Loma Linda, California; Department of Trauma and Acute Care Surgery (M.L.M., B.P., K.H.), Kettering Health Main Campus, Kettering, Ohio; Department of Surgery (T.E., J.W.), Cooper University Hospital, Camden, New Jersey; Department of Surgery (J.H., K.L.), Ascension Via Christi Saint Francis, Wichita, Kansas; Department of Trauma Surgery (K.P.C., M.L.H.), Essentia Health-St. Mary's Medical Center; Essentia Institute of Rural Health (M.L.H.), Essentia Health, Duluth, Minnesota; Department of Surgery (J.N., E.T.-L.), University of California, Irvine Medical Center, Orange; and Department of Surgery (J.C., C.J.H.), Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California.

Background: Despite the high incidence of blunt trauma in older adults, there is a lack of evidence-based guidance for computed tomography (CT) imaging in this population. We aimed to identify an algorithm to guide use of a pan-scan (head/cervical spine [C-spine]/torso) or a selective scan (head/C-spine ± torso). We hypothesized that a patient's initial history and examination could be used to guide imaging.

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Article Synopsis
  • - The use of ultrasound in intensive care has rapidly increased and is now vital for managing critically ill patients.
  • - Abdominal ultrasound, though established in other medical fields, is gaining recognition for its importance in intensive care, especially for diagnosing various conditions.
  • - The primary bedside application of abdominal ultrasound is detecting free fluid in trauma cases, but it also aids in diagnosing abdominal pain, hypovolemia, anuria, and assists in certain medical procedures.
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Hematopoietic hormones such as granulocyte-colony stimulating factors are commonly used prevent neutropenia in patients undergoing chemotherapy and to prepare patients for bone marrow donations. In rare cases, splenic injury can result from exposure to this medication. We present the case of a 30-year-old man who presented to the emergency department the day after a bone marrow donation procedure complaining of severe, acute onset left upper quadrant abdominal pain, radiating to the shoulder.

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Rationale: Uterine inversion is a rare medical condition that is categorized as puerperal and nonpuerperal. Repositioning of uterine involution can be done manually or surgically, the latter of which involves abdominal manipulation and disruption of the integrity of the uterine wall, which can lead to complications for the patient in subsequent pregnancies, such as uterine rupture.

Patient Concerns: We report a case of acute puerperal uterine inversion that was manually repositioned transvaginally.

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Acute abdomen in pediatric radiology.

Rofo

May 2024

Department of Pediatric Radiology Olgahospital, Klinikum Stuttgart Olgahospital Frauenklinik, Stuttgart, Germany.

Article Synopsis
  • * The review categorizes acute abdomen causes into three age groups: newborns, infants/toddlers, and school-age children, highlighting different congenital and acquired conditions relevant to each group.
  • * Sonography and conventional X-ray are preferred imaging methods for younger children due to lower radiation exposure and ease of use, while MRI is used for specific cases, emphasizing the need for close collaboration between clinicians and radiologists.
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A 67-year-old female patient presented with abdominal pain with a recent diagnosis of paroxysmal atrial fibrillation. Computed tomography (CT) of the abdomen demonstrated a filling defect concerning for an aortic thrombus. Point of care ultrasound (POCUS) confirmed a mobile thrombus in the proximal abdominal aorta in close proximity to several major arterial branches, leading to urgent surgical consultation due to a concern for mesenteric and end-organ ischemia.

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X-ray scatter in projection radiography.

Radiat Prot Dosimetry

February 2024

Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, 90220 Oulu, Finland.

Projection radiography is the most common radiological modality, and radiation safety of it concerns both radiation workers and the public. We measured and generated a series of scattered radiation maps for projection radiography and estimated effective doses of the supporting person during exposure. Measured adult patient protocols included chest posterior-anterior, chest lateral, pelvis anterior-posterior (AP), abdomen AP and bedside chest AP.

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Feasibility and Safety of 5G-Based Telerobotic Abdominal Ultrasonography.

J Ultrasound Med

February 2024

Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.

Objective: Telemedicine can offer services to remote patients regardless of the distance. Fifth-generation (5G) mobile networks may make telemedicine practical because of their low latency. This study aimed to evaluate the feasibility and safety of a novel 5G robot-assisted remote abdominal ultrasound (AUS) telemedicine technology in clinical applications in distant locations.

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The effect of breathing on the in vivo mechanical characterization of linea alba by ultrasound shearwave elastography.

Comput Biol Med

December 2023

Arts et Métiers Institute of Technology, Institut de Biomécanique Humaine Georges Charpak, Université Sorbonne Paris Nord, Paris, France.

Article Synopsis
  • The research focuses on a new protocol using ultrasound shearwave elastography (SWE) to assess the stiffness of the linea alba in patients with abdominal wall hernias, aiming to improve surgical planning.
  • The study involved 15 healthy adults where shear wave speed (SWS) was measured during normal breathing and abdominal inflation, revealing that inflation significantly increases SWS.
  • The proposed method showed better reproducibility than previous studies, suggesting it could be clinically useful; however, further research with larger groups is needed to explore abdominal wall properties more thoroughly.
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An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta.

J Vis Exp

September 2023

Department of Emergency Medicine, University of Illinois College of Medicine, University of Illinois Hospital.

Disorders of the abdominal aorta, including aneurysms and dissection, have potentially high rates of morbidity and mortality. While computed tomography (CT) is the current gold standard to image the abdominal aorta, the process of obtaining a CT may be time-consuming, requires the use of intravenous contrast dye, and involves exposure to ionizing radiation. Point-of-care Ultrasound (POCUS) can be performed at the bedside and has excellent sensitivity and specificity for the diagnosis of abdominal aortic aneurysm and excellent specificity for the diagnosis of abdominal aortic dissection.

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Article Synopsis
  • Point-of-Care Ultrasound (POCUS) is a bedside imaging technique used by clinicians for quick diagnosis and monitoring of patients, often in emergency and inpatient settings.
  • It enhances physical exams by providing real-time information, helping identify acute conditions like shock and respiratory issues, while also evaluating cardiac function and lung health.
  • POCUS is valuable for assessing venous status, diagnosing abdominal fluid, detecting kidney congestion, and guiding invasive procedures, offering immediate feedback and the ability to perform repeat scans as necessary.
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Objectives: The objectives of the study were to compare the demographic characteristics, presenting complaints, timeliness of diagnosis, and treatments given to all patients diagnosed with obstructive hemivagina ipsilateral renal agenesis (OHVIRA) between the adolescent group (age 10-19) and the adult group (age 20 and above) and to propose a feasible screening test consisting of routine bedside ultrasound to detect renal anomalies in addition to pelvic ultrasound during the assessment of females with gynecologic complications in resource-limited settings.

Method And Analysis: We conducted a retrospective cohort analysis of all patients with OHVIRA at our institution, Sabah Women and Children's Hospital, Malaysia, between the 2013 and 2022. Data were collected by reviewing patients' medical notes.

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Focused and Extended Focused Assessment With Sonography for Trauma.

AACN Adv Crit Care

June 2023

Thomas A. Santora is Trauma and Surgical Critical Care Attending, Temple University Hospital, Main Campus, and Professor of Surgery and Interim Chair of the Department of Surgery, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.

Timing is crucial when caring for an injured patient, and the evaluation requires a systematic, rapid, and thorough assessment to identify and treat immediate life-threatening injuries. An integral component of this assessment is the Focused Assessment with Sonography for Trauma (FAST) and the extended FAST (eFAST). These assessments allow for a rapid, noninvasive, portable, accurate, repeatable, and inexpensive means of diagnosing internal injury to the abdomen, chest, and pelvis.

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Point-of-care Ultrasound of the Gastrointestinal Tract.

J Med Ultrasound

March 2023

Department of Medicine, National Centre for Ultrasound in Gastroenterology, Haukeland University Hospital, Bergen, Norway.

The widespread use of portable ultrasound scanners has promoted the concept of point of care ultrasound (POCUS), namely "ultrasound performed bedside and interpreted directly by the clinician." The purpose of this short review is to outline how POCUS can be used in patients with diseases of the gastrointestinal (GI) tract. POCUS is not a replacement for comprehensive ultrasound, but rather allows physicians immediate access to clinical imaging for rapid diagnosis and efficient work-up and treatment of the patients.

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BACKGROUND Acute aortic occlusion (AAO) is a rare emergency with high mortality. The typical clinical presentation is the sudden appearance of pain, paralysis, sensory disturbances, and mottling of the lower extremities. The etiology of AAO can be broadly classified into 3 categories: in situ thrombosis, arterial embolism, and occlusion of grafts.

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Background: Evidence has shown an association between obesity and an increased risk of wound infection after caesarean section. This study was designed to examine if abdominal subcutaneous adiposity impacts upon cutaneous perfusion dynamics.

Methods: Mild cool challenge, followed by real-time video thermography, was developed to map the appearance of abdominal 'hot spots'.

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Mapping peripheral and abdominal sarcopenia acquired in the acute phase of COVID-19 during 7 days of mechanical ventilation.

Sci Rep

March 2023

Department of Physical Therapy, Federal University of Pernambuco (UFPE), 173, Aníbal Fernandes Avenue, Cidade Universitária, Recife, Pernambuco, 50740-560, Brazil.

Article Synopsis
  • The study aimed to examine muscle loss in critically ill COVID-19 patients on mechanical ventilation by measuring muscle thickness and cross-sectional area using ultrasound on Days 1, 3, 5, and 7 post-admission.
  • Analysis of 5460 ultrasound images from 30 patients revealed significant muscle thickness decreases, particularly in the lower limbs and specific abdominal muscles, with the most notable losses occurring between Days 1 to 5.
  • Results indicate that peripheral and abdominal muscle loss is progressive in the first week of mechanical ventilation, with greater losses observed in the quadriceps and rectus femoris muscles.
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US for Evaluation of Acute Abdominal Conditions in Neonates.

Radiographics

February 2023

From the Department of Diagnostic Imaging (E.J.I.C., I.B., M.N.I., E.L., P.S., B.S.) and Neonatal Intensive Care Unit, Department of Pediatrics (C.V.F.), Hospital Sant Joan de Déu, Av Sant Joan de Déu 2, 08950 Esplugues de Llobregat, Spain; Neonatal Intensive Care Unit, Department of Pediatrics, Hospital Germans Trias i Pujol, Badalona, Spain (J.R.F.); and Department of Medical Imaging, University of Toronto, Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada (O.M.N.).

Article Synopsis
  • * Bedside ultrasound (US) can effectively assess serious conditions like necrotizing enterocolitis, malrotation, and complicated hernias in neonates.
  • * High-resolution ultrasound technology enhances the detection of intestinal abnormalities, while color Doppler US aids in assessing bowel vascularity essential for treating these patients.
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Liver Abscess in a Cyanotic Newborn.

J Coll Physicians Surg Pak

December 2022

Department of Paediatrics, Infectious Disease, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

Umbilical venous catheterisation is a common bedside procedure in the neonatal intensive care unit (NICU). Complications including thrombus formation, thromboembolism, vessel perforation, haemorrhage, and central line-associated bloodstream infection can be seen after the procedure. Pyogenic liver abscess is a rare but life-threatening complication of umbilical venous catheterisation.

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Introduction: Abdominal discomfort is one of the most prevalent complaints presented to the emergency department. When making a clinical diagnosis, blunt trauma with substantial visceral injuries requires a high index of suspicion.

Case Presentation: The patient went to the emergency room after experiencing lower abdomen discomfort and a fever for two days.

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