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Ricardo Augusto Slaibi Conti, Ian Mandeville Oppenheim
OBJECTIVE: We report a patient with low-pressure cardiac tamponade masquerading as sepsis and as the initial presentation of malignancy. A quick diagnosis was done by the intensivist performing a bedside ultrasound. BACKGROUND: The diagnosis of low-pressure cardiac tamponade is a challenge because the classic physical signs of cardiac tamponade can be absent. It is made even more challenging when the vital sign changes and physical examination findings mimic severe sepsis...
2014: Journal of Community Hospital Internal Medicine Perspectives
Jae-Kwan Song
Acute aortic syndrome is a relatively recent clinical entity. Non-invasive imaging methods, such as computed tomography and transesophageal echocardiography, have contributed significantly to the diagnosis of variant forms of classic aortic dissection, which have become important disease entities in acute aortic syndrome. Imaging findings may result in risk stratification and application of different treatment options, providing a rational approach to achieve a better outcome of this syndrome. This review will focus on the imaging characteristics of two important variant forms of classic aortic dissection, intramural hematoma and incomplete dissection, and the role of imaging methods in the evaluation of differences in the hemodynamic status of false lumens that contributes to patient prognosis...
September 2014: Journal of Cardiology
Concetta Pirozzi, Fabio G Numis, Antonio Pagano, Paolo Melillo, Roberto Copetti, Fernando Schiraldi
BACKGROUND: Dyspnea is one of the most frequent complaints in the Emergency Department. Thoracic ultrasound should help to differentiate cardiogenic from non-cardiogenic causes of dyspnea. We evaluated whether the diagnostic accuracy can be improved by adding a point-of-care-ultrasonography (POC-US) to routine exams and if an early use of this technique produces any advantage. METHODS: One hundred sixty-eight patients were enrolled and randomized in two groups: Group 1 received an immediate POC-US in addition to routine laboratory and instrumental tests; group 2 received an ultrasound scan within 1 h from the admission to the Emergency Department...
2014: Critical Ultrasound Journal
Oron Frenkel, Christine Riguzzi, Arun Nagdev
Stratifying risk of patients with acute coronary syndrome (ACS) in the emergency department (ED) remains a frequent challenge. When ST-elevation criteria are absent, current recommendations rely upon insensitive and time-intensive methods such as the electrocardiogram and cardiac enzyme testing. Here, we report on a series of cases, where emergency physicians used a simplified model for identifying regional wall motion abnormalities by point-of-care echocardiography in patients presenting with chest pain to the ED...
June 2014: American Journal of Emergency Medicine
Dorota Sobczyk, Pawel Andruszkiewicz
No abstract text is available yet for this article.
September 2014: European Journal of Anaesthesiology
Elyse Lavine, Sebastian D Siadecki, Resa E Lewiss, Sarah E Frasure, Turandot Saul
Cardiac amyloidosis is a disease process of abnormal amyloid fibril deposition in cardiac muscle that can be diagnosed by specific electrocardiographic and echocardiographic findings. We present the case of a patient with a history of cardiac amyloidosis who presented to the emergency department (ED) with shortness of breath, and was diagnosed with a large pericardial effusion by ultrasonography. The patient's myocardium exhibited a granular, "sparkling" appearance with increased echogenicity, typical for cardiac amyloidosis...
March 2014: Medical Ultrasonography
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