A Brisk and Life-Saving Diagnosis of Pericardial Effusion as the Cause for Recurrent Dyspnea

Point of care ultrasound (POCUS) is a reliable diagnostic tool for the evaluation of a patient with dyspnea. This case provides an example of an acutely dyspneic patient in which standard evaluation failed to elucidate the true etiology of the patient’s dyspnea. The patient was initially diagnosed...

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Main Authors: Jacob Sundberg, Ankit Mehta
Format: Article
Language:English
Published: CINQUILL Medical Publishers Inc. 2022-04-01
Series:POCUS Journal
Subjects:
Online Access:https://ojs.library.queensu.ca/index.php/pocus/article/view/15162
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author Jacob Sundberg
Ankit Mehta
author_facet Jacob Sundberg
Ankit Mehta
author_sort Jacob Sundberg
collection DOAJ
description Point of care ultrasound (POCUS) is a reliable diagnostic tool for the evaluation of a patient with dyspnea. This case provides an example of an acutely dyspneic patient in which standard evaluation failed to elucidate the true etiology of the patient’s dyspnea. The patient was initially diagnosed with pneumonia but returned to the emergency department with acute worsening of his symptoms despite empiric antibiotics leading to the presumption of antibiotic failure. POCUS revealed a large pericardial effusion requiring pericardiocentesis ultimately leading to the accurate diagnosis. This case highlights the importance of POCUS in evaluating patients with shortness of breath.
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spelling doaj.art-3903497b135c4ab897936c6efaf501e52022-12-22T03:11:11ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432022-04-017110.24908/pocus.v7i1.15162A Brisk and Life-Saving Diagnosis of Pericardial Effusion as the Cause for Recurrent DyspneaJacob Sundberg0Ankit Mehta1Department of Hospital Medicine, Regions Hospital, Saint Paul, MNDepartment of Hospital Medicine, Regions Hospital, Saint Paul, MN Point of care ultrasound (POCUS) is a reliable diagnostic tool for the evaluation of a patient with dyspnea. This case provides an example of an acutely dyspneic patient in which standard evaluation failed to elucidate the true etiology of the patient’s dyspnea. The patient was initially diagnosed with pneumonia but returned to the emergency department with acute worsening of his symptoms despite empiric antibiotics leading to the presumption of antibiotic failure. POCUS revealed a large pericardial effusion requiring pericardiocentesis ultimately leading to the accurate diagnosis. This case highlights the importance of POCUS in evaluating patients with shortness of breath. https://ojs.library.queensu.ca/index.php/pocus/article/view/15162dyspneaultrasoundpericardial effusiondiagnosis
spellingShingle Jacob Sundberg
Ankit Mehta
A Brisk and Life-Saving Diagnosis of Pericardial Effusion as the Cause for Recurrent Dyspnea
POCUS Journal
dyspnea
ultrasound
pericardial effusion
diagnosis
title A Brisk and Life-Saving Diagnosis of Pericardial Effusion as the Cause for Recurrent Dyspnea
title_full A Brisk and Life-Saving Diagnosis of Pericardial Effusion as the Cause for Recurrent Dyspnea
title_fullStr A Brisk and Life-Saving Diagnosis of Pericardial Effusion as the Cause for Recurrent Dyspnea
title_full_unstemmed A Brisk and Life-Saving Diagnosis of Pericardial Effusion as the Cause for Recurrent Dyspnea
title_short A Brisk and Life-Saving Diagnosis of Pericardial Effusion as the Cause for Recurrent Dyspnea
title_sort brisk and life saving diagnosis of pericardial effusion as the cause for recurrent dyspnea
topic dyspnea
ultrasound
pericardial effusion
diagnosis
url https://ojs.library.queensu.ca/index.php/pocus/article/view/15162
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AT ankitmehta abriskandlifesavingdiagnosisofpericardialeffusionasthecauseforrecurrentdyspnea
AT jacobsundberg briskandlifesavingdiagnosisofpericardialeffusionasthecauseforrecurrentdyspnea
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