Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma
We present a case of a 59-year-old man who arrived to the emergency department with abdominal pain and bruising after coughing. Point of care ultrasound (POCUS) was used to make the diagnosis of rectus sheath hematoma (RSH). This diagnosis was made within minutes of arrival to the ED and subsequent...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
CINQUILL Medical Publishers Inc.
2023-11-01
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Series: | POCUS Journal |
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Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/16500 |
_version_ | 1797448648158609408 |
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author | William Noel Brian B. Donahue |
author_facet | William Noel Brian B. Donahue |
author_sort | William Noel |
collection | DOAJ |
description |
We present a case of a 59-year-old man who arrived to the emergency department with abdominal pain and bruising after coughing. Point of care ultrasound (POCUS) was used to make the diagnosis of rectus sheath hematoma (RSH). This diagnosis was made within minutes of arrival to the ED and subsequently confirmed on computed tomography (CT) of the abdomen. As abdominal ultrasound is a technically straightforward imaging technique which includes a sensitivity that rises about 90%, its utilization to identify rectus sheath hematoma can reduce the rate of CT imaging and time to diagnosis for this pathology.
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first_indexed | 2024-03-09T14:14:28Z |
format | Article |
id | doaj.art-1cc5b8ffa4934c8eb500e30969998a8b |
institution | Directory Open Access Journal |
issn | 2369-8543 |
language | English |
last_indexed | 2024-03-09T14:14:28Z |
publishDate | 2023-11-01 |
publisher | CINQUILL Medical Publishers Inc. |
record_format | Article |
series | POCUS Journal |
spelling | doaj.art-1cc5b8ffa4934c8eb500e30969998a8b2023-11-29T05:00:08ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432023-11-018210.24908/pocus.v8i2.16500Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath HematomaWilliam Noel0https://orcid.org/0000-0001-9503-6847Brian B. Donahuehttps://orcid.org/0009-0009-2202-092XAscension Resurrection Medical Center We present a case of a 59-year-old man who arrived to the emergency department with abdominal pain and bruising after coughing. Point of care ultrasound (POCUS) was used to make the diagnosis of rectus sheath hematoma (RSH). This diagnosis was made within minutes of arrival to the ED and subsequently confirmed on computed tomography (CT) of the abdomen. As abdominal ultrasound is a technically straightforward imaging technique which includes a sensitivity that rises about 90%, its utilization to identify rectus sheath hematoma can reduce the rate of CT imaging and time to diagnosis for this pathology. https://ojs.library.queensu.ca/index.php/pocus/article/view/16500Rectus Sheath HematomaAnticoagulationCoughUltrasound |
spellingShingle | William Noel Brian B. Donahue Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma POCUS Journal Rectus Sheath Hematoma Anticoagulation Cough Ultrasound |
title | Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma |
title_full | Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma |
title_fullStr | Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma |
title_full_unstemmed | Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma |
title_short | Cough Causing Abdominal Pain? A Rapid POCUS Diagnosis of Rectus Sheath Hematoma |
title_sort | cough causing abdominal pain a rapid pocus diagnosis of rectus sheath hematoma |
topic | Rectus Sheath Hematoma Anticoagulation Cough Ultrasound |
url | https://ojs.library.queensu.ca/index.php/pocus/article/view/16500 |
work_keys_str_mv | AT williamnoel coughcausingabdominalpainarapidpocusdiagnosisofrectussheathhematoma AT brianbdonahue coughcausingabdominalpainarapidpocusdiagnosisofrectussheathhematoma |