Point of care ultrasound diagnostic: a case report of a hepatic abscess
DOI:
https://doi.org/10.51481/amc.v63i3.1205Keywords:
Hepatic abscess, diagnostic imaging, ultrasonography, anti-bacterial agents, internal medicineAbstract
Point of care Ultrasound is a diagnostic tool that has gained relevance in the hospital and outpatient setting, as it is a non-invasive study that allows direct correlation of clinical findings and the signs and symptoms that the patient presents. The objective of this paper is to show its clinical utility evident as applied to a female patient who had persistant bacteremia, in which the site of infection was identified through ultrasound evaluation. We present a clinical case whose diagnosis of hepatic abscess was possible by the use of ecography and shows its usefullness as an extension of specialized medical evaluation by showing a favorable experience of its correct use in a complex case. We present a clinical case in which the diagnosis of a clinically unsuspected liver abscess was obtained using this tool.
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Moore CL, Copel JA. Point-of-Care Ultrasonography. New England Journal of Medicine. 2011;364(8):749-757. doi:10.1056/NEJMra0909487
Abu-Zidan FM, Cevik AA. Diagnostic point-of-care ultrasound (POCUS) for gastrointestinal pathology: State of the art from basics to advanced. World Journal of Emergency Surgery. 2018;13(1):1-14. doi:10.1186/s13017-018-0209-y
Cortellaro F, Ferrari L, Molteni F, Aseni P, Velati M, Guarnieri L, et.al. Accuracy of point of care ultrasound to identify the source of infection in septic patients: a prospective study. Internal and Emergency Medicine. 2017;56(2):114-122. doi:10.1007/s11739-016-1470-2
Ma IWY, Arishenkoff S, Wiseman J, Desy J, Ailon J, Martin L, et al. Internal Medicine Point-of-Care Ultrasound Curriculum: Consensus Recommendations from the Canadian Internal Medicine Ultrasound (CIMUS) Group. J Gen Intern Med. 2017;32(9):1052-1057. doi:10.1007/s11606-017-4071-5
Smallwood N, Dachsel M. Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine? Clin Med (Lond). 2018;18(3):219-224. doi:10.7861/clinmedicine.18-3-219
Iradukunda D, Lee J, Kim DJ. Unexpected source of fever: Liver abscess on point-of-care ultrasound. Canadian Journal of Emergency Medicine. 2018;20(5):802-803. doi:10.1017/cem.2018.408
Bitar ZI, Zaalouk TM, Maadarani OS, Elshabasy RD. It Is Always Early with Point-of-Care Ultrasound. Case Rep Crit Care. 2020;2020:9431496. doi:10.1155/2020/9431496
Umgelter A, Wagner K, Gaa J, Stock K, Huber W, Reindl W. Pneumobilia caused by a clostridial liver abscess: rapid diagnosis by bedside sonography in the intensive care unit. J Ultrasound Med. 2007;26(9):1267-1269. doi:10.7863/jum.2007.26.9.1267
Lardiére-deguelte S, Ragot E, Amroun K, Piardi T, Dokmak S, Bruno O, et al. Hepatic abscess : Diagnosis and management. Journal of Visceral Surgery. 2015;152(4):231-243. doi:10.1016/j.jviscsurg.2015.01.013
Chia DWJ, Kuan W Sen, Ho WH, Sim TB, Chua MT. Early predictors for the diagnosis of liver abscess in the emergency department. Internal and Emergency Medicine. 2019;(0123456789). doi:10.1007/s11739-019-02061-z
Rhodes A, Evans LE, Alhazzani W, Levy M, Antonelli M, Ferrer R, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Crit Care Med. 2017;45(3):486-552. doi:10.1097/CCM.0000000000002255
Pontet J, Yic C, Díaz-Gómez JL, Rodriguez P, Sviridenko I, Mendez D, et al. Impact of an ultrasound-driven diagnostic protocol at early intensive-care stay: a randomized-controlled trial. The Ultrasound Journal. 2019;11(1). doi:10.1186/s13089-019-0139-2
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