Orbital Mass Detected with POCUS
A previously healthy 46-year-old female patient presented to the Emergency Department (ED) with a primary complaint of binocular diplopia worsening over the past 48 hours. Physical exam revealed minor left inferior lid ecchymosis and was significant for proptosis (Figure 1a). There was no pain on e...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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CINQUILL Medical Publishers Inc.
2020-07-01
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| Series: | POCUS Journal |
| Subjects: | |
| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/14222 |
| _version_ | 1798036983129309184 |
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| author | Daniel Rusiecki Andrew Helt Kathryn McCabe Colin Bell |
| author_facet | Daniel Rusiecki Andrew Helt Kathryn McCabe Colin Bell |
| author_sort | Daniel Rusiecki |
| collection | DOAJ |
| description |
A previously healthy 46-year-old female patient presented to the Emergency Department (ED) with a primary complaint of binocular diplopia worsening over the past 48 hours. Physical exam revealed minor left inferior lid ecchymosis and was significant for proptosis (Figure 1a). There was no pain on extraocular movements, erythema of either lid, induration, chemosis, ophthalmoplegia, relative afferent pupillary defect, or other features of orbital cellulitis. Point of care ultrasound (POCUS) of the globe and orbit was performed and demonstrated a hypoechoic mass within the left lateral rectus muscle (Figure 1b; online Video S1). The patient had orbital CT and MRI imaging revealing, “Two enhancing masses within the left orbit adjacent to or arising from the left lateral rectus muscle causing mild medial displacement of the left optic nerve and mild left proptosis. No evidence of extra orbital extension or perineural spread. Imaging findings nonspecific…”
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| first_indexed | 2024-04-11T21:20:27Z |
| format | Article |
| id | doaj.art-7b7ede80aded486abc47696c48796a1f |
| institution | Directory Open Access Journal |
| issn | 2369-8543 |
| language | English |
| last_indexed | 2024-04-11T21:20:27Z |
| publishDate | 2020-07-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj.art-7b7ede80aded486abc47696c48796a1f2022-12-22T04:02:39ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432020-07-015110.24908/pocus.v5i1.14222Orbital Mass Detected with POCUSDaniel Rusiecki0Andrew Helt1Kathryn McCabe2Colin Bell3School of Medicine Queen’s University Kingston, Ontario CanadaDepartment of Emergency Medicine, Kingston Health Sciences Centre and Queen’s University, Kingston, Ontario, CanadaDenver Health Medical Centre, Department of Emergency Medicine, Denver, Colorado, United States of AmericaDepartment of Emergency Medicine, Kingston Health Sciences Centre and Queen’s University, Kingston, Ontario, Canada A previously healthy 46-year-old female patient presented to the Emergency Department (ED) with a primary complaint of binocular diplopia worsening over the past 48 hours. Physical exam revealed minor left inferior lid ecchymosis and was significant for proptosis (Figure 1a). There was no pain on extraocular movements, erythema of either lid, induration, chemosis, ophthalmoplegia, relative afferent pupillary defect, or other features of orbital cellulitis. Point of care ultrasound (POCUS) of the globe and orbit was performed and demonstrated a hypoechoic mass within the left lateral rectus muscle (Figure 1b; online Video S1). The patient had orbital CT and MRI imaging revealing, “Two enhancing masses within the left orbit adjacent to or arising from the left lateral rectus muscle causing mild medial displacement of the left optic nerve and mild left proptosis. No evidence of extra orbital extension or perineural spread. Imaging findings nonspecific…” https://ojs.library.queensu.ca/index.php/pocus/article/view/14222POCUSUltrasonographyDiagnosis OphthalmologyOrbital Diseases |
| spellingShingle | Daniel Rusiecki Andrew Helt Kathryn McCabe Colin Bell Orbital Mass Detected with POCUS POCUS Journal POCUS Ultrasonography Diagnosis Ophthalmology Orbital Diseases |
| title | Orbital Mass Detected with POCUS |
| title_full | Orbital Mass Detected with POCUS |
| title_fullStr | Orbital Mass Detected with POCUS |
| title_full_unstemmed | Orbital Mass Detected with POCUS |
| title_short | Orbital Mass Detected with POCUS |
| title_sort | orbital mass detected with pocus |
| topic | POCUS Ultrasonography Diagnosis Ophthalmology Orbital Diseases |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/14222 |
| work_keys_str_mv | AT danielrusiecki orbitalmassdetectedwithpocus AT andrewhelt orbitalmassdetectedwithpocus AT kathrynmccabe orbitalmassdetectedwithpocus AT colinbell orbitalmassdetectedwithpocus |