Spontaneous elbow hemarthrosis identified by point-of-care ultrasound
Clinical and Experimental Emergency Medicine
;
(4): 60-63, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-648365
ABSTRACT
Traumatic or spontaneous hemarthroses are an important cause of joint effusions, and can complicate innate or acquired coagulopathies. The elbow is an unusual location for a spontaneous hemarthrosis; we describe a previously unreported case of warfarin-induced spontaneous elbow hemarthrosis, diagnosed by point-of-care ultrasound. On the basis of clinical and ultrasound findings arthrocentesis was deferred, and the patient was successfully treated with warfarin reversal and conservative care. Physical examination is unreliable for the detection of a joint effusion, and misdiagnosis and can lead to unnecessary investigation or resource use. Point-of-care ultrasound allows accurate, prompt, direct visualization of a joint effusion, and non-invasive confirmation of a hemarthrosis. Ultrasound can facilitate accurate diagnosis and characterization of joint effusions to improve the care of patients with coagulopathy.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Examen Físico
/
Warfarina
/
Ultrasonografía
/
Sistemas de Atención de Punto
/
Diagnóstico
/
Errores Diagnósticos
/
Codo
/
Artrocentesis
/
Hemartrosis
/
Articulaciones
Tipo de estudio:
Estudio diagnóstico
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Clinical and Experimental Emergency Medicine
Año:
2017
Tipo del documento:
Artículo
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