Subject(s)
Emergency Service, Hospital , Liver Abscess/diagnostic imaging , Sepsis/diagnosis , Ultrasonography/methods , Aged , Humans , MaleABSTRACT
Ultrasound has recently become an indispensable tool for the family physician, whether exercised in primary care and emergency department; and likewise it has spread to many other specialties: internal medicine, critical care, neurology, pneumology, digestive, etc. and that ultrasound has proven to be a safe diagnostic tool and have great capacity. We firmly believe that ultrasound done to «bedside¼ the patient by the family doctor, can greatly complement the physical examination and greatly improve clinical effectiveness, allowing the browser an immediate view of the anatomy and physiology of certain structures. It is within this context is particularly relevant ultrasonography of the Aorta and large abdominal vessels, made by the family doctor or the emergency itself, which will develop along this chapter.
Subject(s)
Abdomen/blood supply , Abdomen/diagnostic imaging , Family Practice/methods , Point-of-Care Systems , Arteries/diagnostic imaging , Humans , Ultrasonography , Veins/diagnostic imagingABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Heart Arrest , Echocardiography/methods , Pulmonary Embolism , Cardiopulmonary Resuscitation , Atrial Fibrillation , Fibrinolytic Agents/therapeutic useABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Venous Thrombosis/diagnosis , Muscles/injuries , Athletic Injuries/complications , Anticoagulants/therapeutic use , Popliteal VeinSubject(s)
Heart Arrest/diagnostic imaging , Heart Arrest/etiology , Aged , Heart Arrest/physiopathology , Humans , Male , Pulse , UltrasonographyABSTRACT
Periodic paralysis is a rare disorder that causes episodes of severe muscle weakness that can be confused with other diseases, including epilepsy or myasthenia gravis. Hyperkalemic and hypokalemic paralysis are included within these diseases, the latter being divided into periodic paralysis (familial, thyrotoxic or sporadic) and non-periodic paralysis. In this regard, we present a case of familial hypokalemic periodic paralysis in an eighteen year-old female who was diagnosed with epilepsy in childhood, as well as a subclinical hypothyroidism (for which she received replacement therapy) months ago. The diagnosis was made by the anamnesis and the confirmation of hypokalemia.
Subject(s)
Hypokalemia/etiology , Hypokalemic Periodic Paralysis/diagnosis , Adolescent , Female , Humans , Hypokalemia/diagnosis , Hypokalemic Periodic Paralysis/physiopathology , Hypothyroidism/diagnosisABSTRACT
Pulmonary infarction is a parenchymal ischemic lesion that occurs in the context of a pulmonary embolism when arterial blockage deprives perfusion to that area and the adjacent bronchial circulation does not provide the necessary flow. It appears in approximately 40% of pulmonary embolisms. Emergency Physicians are able to diagnose a pulmonary infraction at the patient bedside, in a quick, easy, safe and efficient way with the availability of ultrasound in our Emergency Rooms and Health Centres. The possibility of approaching the aetiology, firstly with a clinical suspicion then adding risk factors, symptoms, clinical and radiological signs and the use of in situ imaging, increases the sensitivity and specificity of the diagnosis.
Subject(s)
Pulmonary Infarction/diagnostic imaging , Emergencies , Humans , Male , Middle Aged , UltrasonographyABSTRACT
El derrame pericárdico (DP) es una entidad que se diagnostica con poca frecuencia en Urgencias. Presentamos este caso, en el que gracias a la adquisición de nuevas técnicas innovadoras por parte de los médicos especialistas en urgencias, la ecocardiografía, se consigue llegar al diagnóstico de DP y cuantificarlo como grave, sin compromiso hemodinámico, en el mismo Servicio de Urgencias. Posteriormente, en planta, se establece el diagnóstico etiológico, al cumplir la paciente 4 criterios diagnósticos de lupus eritematoso sistémico (LES). El LES es una enfermedad autoinmune, inflamatoria, crónica y con afectación multisistémica, de causa desconocida, siendo la pericarditis la afectación cardiaca más frecuente, aunque es raro que se llegue a una situación de taponamiento cardiaco. El curso clínico de esta enfermedad es variable, dependiendo el pronóstico de la gravedad y del tipo de órganos implicados. El tratamiento se basa en el uso de antiinflamatorios no esteroideos(AINE), corticoides, antipalúdicos e inmunosupresores (AU)
Pericardial effusion (Pericardial effusion (PE) is a condition that is rarely diagnosedin the Emergency Department. We present this case inwhich thanks to the new technologies developed by theEmergency Department medical personnel, it was possible toreach the diagnosis of PE using the echocardiography and todetermine its severity, without compromising the hemodynamicswithin the Emergency Department itself.Once the patient had been transferred out of the EmergencyDepartment, the etiological diagnosis was established asthe patient had 4 Systemic Lupus Erythematosus criteria(SLE). SLE is an autoimmune, inflammatory, chronic illnesswith multisystemic effect, of unknown origin. Pericarditis isthe most frequent heart condition (although it is unusual fora cardiac tamponade to develop). The clinical course for thisillness varies, depending on the severity and type of organsinvolved. Treatment is based on the use of NSAIDs, corticoids,antimalarial and immunosuppressive medications (AU)
