Shedding light on a hidden source of septic shock with POCUS

A 77-year old male was admitted in the emergency department for septic shock, yet no clear source of infection was noted upon physical examination and a portable chest x-ray. Due to his unstable condition, bedside ultrasound was performed. A heterogeneous mass in the liver was noted, hence a tentat...

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Main Authors: Miguel Lourenço Varela, Rita Martins Fernandes, Maria Luísa Melão, Javier Moreno, Cristina Granja
Format: Article
Language:English
Published: CINQUILL Medical Publishers Inc. 2019-11-01
Series:POCUS Journal
Online Access:https://ojs.library.queensu.ca/index.php/pocus/article/view/13689
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author Miguel Lourenço Varela
Rita Martins Fernandes
Maria Luísa Melão
Javier Moreno
Cristina Granja
author_facet Miguel Lourenço Varela
Rita Martins Fernandes
Maria Luísa Melão
Javier Moreno
Cristina Granja
author_sort Miguel Lourenço Varela
collection DOAJ
description A 77-year old male was admitted in the emergency department for septic shock, yet no clear source of infection was noted upon physical examination and a portable chest x-ray. Due to his unstable condition, bedside ultrasound was performed. A heterogeneous mass in the liver was noted, hence a tentative diagnosis of liver abscess was made. This was latter confirmed by abdominal computed tomography. This case highlights that point-of-care ultrasound, when performed by expert physicians, can significantly decrease time to diagnosis for septic patients. 
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spelling doaj.art-9bb55f544602478bbed4ad236b3888fa2022-12-22T04:28:50ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432019-11-014210.24908/pocus.v4i2.13689Shedding light on a hidden source of septic shock with POCUSMiguel Lourenço Varela0Rita Martins Fernandes1Maria Luísa Melão2Javier Moreno3Cristina Granja4Intensive Care Medicine 1, Hospital de Faro, Centro Hospitalar Universitário do AlgarveInternal Medicine 3, Hospital de Faro, Centro Hospitalar Universitário do AlgarveIntensive Care Medicine 1, Hospital de Faro, Centro Hospitalar Universitário do AlgarveIntensive Care Medicine 1, Hospital de Faro, Centro Hospitalar Universitário do AlgarveIntensive Care Medicine 1, Hospital de Faro, Centro Hospitalar Universitário do Algarve; CINTESIS – Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal; Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal A 77-year old male was admitted in the emergency department for septic shock, yet no clear source of infection was noted upon physical examination and a portable chest x-ray. Due to his unstable condition, bedside ultrasound was performed. A heterogeneous mass in the liver was noted, hence a tentative diagnosis of liver abscess was made. This was latter confirmed by abdominal computed tomography. This case highlights that point-of-care ultrasound, when performed by expert physicians, can significantly decrease time to diagnosis for septic patients.  https://ojs.library.queensu.ca/index.php/pocus/article/view/13689
spellingShingle Miguel Lourenço Varela
Rita Martins Fernandes
Maria Luísa Melão
Javier Moreno
Cristina Granja
Shedding light on a hidden source of septic shock with POCUS
POCUS Journal
title Shedding light on a hidden source of septic shock with POCUS
title_full Shedding light on a hidden source of septic shock with POCUS
title_fullStr Shedding light on a hidden source of septic shock with POCUS
title_full_unstemmed Shedding light on a hidden source of septic shock with POCUS
title_short Shedding light on a hidden source of septic shock with POCUS
title_sort shedding light on a hidden source of septic shock with pocus
url https://ojs.library.queensu.ca/index.php/pocus/article/view/13689
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