Diagnosis of Megaureter by Point-of-Care Ultrasound

MacKenzie, David; Sajed, Dana; Noble, Vicki E.

doi:10.1016/j.jemermed.2013.08.039

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…US is the first imaging modality in non-complicated renal colic. It may help guide clinical suspicion and the need for further imaging in patients with less typical signs and symptoms [ 40 , 41 , 42 ]. The presence of hydronephrosis and urether dilation, along with the presence of renal and ureteral stones, represent the US signs of renal colic.…”

Section: Black: Us Featuresmentioning

confidence: 99%

The “Black Pattern”, a Simplified Ultrasound Approach to Non-Traumatic Abdominal Emergencies

Tamburrini¹,

Consoli

Garrone

et al. 2022

Tomography

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Background: A key issue in abdominal US is the assessment of fluid, which is usually anechoic, thus appearing “black”. Our approach focuses on searching for fluid in non-traumatic patients, providing a new, simplified method for point-of-care US (POCUS). Objective: Fluid assessment is based on a three-step analysis that we can thus summarize. 1. Look for black where it should not be. This means searching for effusions or collections. 2. Check if black is too much. This means evaluating anatomical landmarks where fluid should normally be present but may be abnormally abundant. 3. Look for black that is not clearly black. This means evaluating fluid aspects, whether wholly anechoic or not (suggesting heterogeneous or corpusculated fluid). Discussion: Using this simple method focused on US fluid presence and appearance should help clinicians to make a timely diagnosis. Although our simplified, systematic algorithm of POCUS may identify abnormalities; this usually entails a second-level imaging. An accurate knowledge of the physio–pathological and anatomical ultrasound bases remains essential in applying this algorithm. Conclusion: The black pattern approach in non -traumatic emergencies may be applied to a broad spectrum of abnormalities. It may represent a valuable aid for emergency physicians, especially if inexperienced, involved in a variety of non-traumatic scenarios. It may also be a simple and effective teaching aid for US beginners.

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Section: Black: Us Featuresmentioning

confidence: 99%

The “Black Pattern”, a Simplified Ultrasound Approach to Non-Traumatic Abdominal Emergencies

Tamburrini¹,

Consoli

Garrone

et al. 2022

Tomography

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Amoxicillin

2014

Reactions Weekly

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S Amoxicillin Anaphylaxis: case reportA 32-year-old man experienced anaphylaxis following therapy with amoxicillin.The man was treated with amoxicillin [route, indication and dosage not stated]. One hour after the first dose, he developed dyspnoea, tongue swelling and rash. He presented to an emergency department under a suspicion of allergic reaction. Tests revealed BP 82/50 mmHg, pulse 87 beats/minute, respiratory rate 20 breaths/minute, temperature 36.3°C and pulse oximetry 97%. His physical examinations were consistent with mild tongue swelling, diffuse urticaria and erythema.The man received epinephrine, and his condition improved. Additionally, he received saline, diphenhydramine and methylprednisolone. He responded well to the corrective therapy for anaphylaxis.Author comment: "A 32-year-old man presented to the ED after a suspected allergic reaction to amoxicillin." Mackenzie DC, et al. Diagnosis of megaureter by point-of-care ultrasound. Journal of Emergency Medicine 47: e1-e3, No. 1, Jul 2014. Available from: URL: http://

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Diagnosis of Megaureter by Point-of-Care Ultrasound

Cited by 2 publications

References 8 publications

The “Black Pattern”, a Simplified Ultrasound Approach to Non-Traumatic Abdominal Emergencies

The “Black Pattern”, a Simplified Ultrasound Approach to Non-Traumatic Abdominal Emergencies

Amoxicillin

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