What is it about?

POCUS is a new technique that utilizes the ultrasonography to evaluate the acute patient. Our case brings a young male with sudden dispnyea, were along a complete story and physical examination we made a point of care assessment. The POCUS evaluation allowed us to identify a blood thrombus in a lower limb vein and a left lung consolidation. This information associated with the clinical history, physical exam and laboratory findings, led us to believe before a pulmonary angioTC exam was done that the patient had a pulmonary embolism.

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Why is it important?

This case proves that POCUS may have a place in the diagnostic algorithm of pulmonary embolism, specially when pulmonary angioTC is not available or contra-indicated.

Perspectives

This article is very gratifying to our group (POCUS Braga) because it represents our everyday work in trying to implementation the POCUS methodology in the evaluation of the critical patient in the emergency department. We hope that this article encourages more physicians to learn and apply the POCUS in theirs everyday practice, as a way to improve their diagnostic accuracy.

Rafael Silva
Centro Hospitalar e Universitário de Coimbra

Read the Original

This page is a summary of: Triple POCUS: A New Approach to an Old Problem, European Journal of Case Reports in Internal Medicine, August 2018, SMC Media,
DOI: 10.12890/2018_000938.
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