La ecografía primero: ¿Por qué, cómo y cuándo?

Lung Ultrasound as a Triage Method in Primary Care for Patients with Suspected SARS-CoV-2 Pneumonia

“…There were also differences between the pathological ultrasound findings and the pathological chest X-ray findings. In addition, as mentioned in previous studies [ 17 , 21 , 26 , 31 , 32 , 33 , 34 ], lung ultrasound has proven to be highly sensitive (greater than 90%), which supports the hypothesis that performing an outpatient lung ultrasound can be useful for triaging patients on the basis of severity into mild, moderate and severe pneumonias and, therefore, for better patient control from the beginning, without subjecting patients to ionizing radiation, which is an enormous advantage for certain populations, such as pregnant women and children [ 16 , 33 ], and avoiding the need of going to the hospital for those who present clinical stability [ 20 ]. In this way, it was possible to monitor a large percentage of patients with mild–moderate COVID-19 pneumonia on an outpatient basis at the time of maximum hospital collapse.…”

“…Among the limitations of the study was the sample size because only ultrasounds performed during the first wave of the pandemic that met the aforementioned inclusion criteria, performed during the months of March to June 2020, were selected. Lung ultrasound, although having a steep learning curve [ 16 , 21 ], is an operator-dependent technique [ 16 , 31 , 37 ]; therefore, the interpretation of the results depended on the training and experience of the clinician who performed it. Third, the ultrasound examinations were performed at a time of maximum health system collapse, when the option to perform PCR on all patients in the study was not possible; therefore, not all ultrasound scans could be compared with the diagnostic standard, i.e., PCR test results.…”

“…At the beginning of the pandemic, because of the lack of knowledge about disease management and the saturation of hospital services, both in wards and in ICUs, the involvement of primary care was prioritized to regulate and channel the transfer of patients to hospitals and to actively collaborate in the management (diagnosis, classification and follow-up until discharge) of patients who could be treated on an outpatient basis [ 16 ].…”

Tumor glómico de presentación subungueal en pulgar y uso de ecografía en su diagnóstico. Reporte de caso y revisión de bibliografía

“…Lo expuesto anteriormente resalta la importancia de la presentación de este caso. 4,5,6 El objetivo de este trabajo es exponer un caso que presentó la complicación anteriormente descrita y realizar una revisión de la bibliografía.…”

No es COVID-19 todo lo que reluce

“…Sin embargo, no se debe inferir una valoración diagnóstica de la exploración ecográfica debiendo esta última ir siempre de la mano de la clínica y de otras herramientas diagnósticas, y ser un apoyo a las mismas 5 .…”