Point‐of‐care ultrasound in pre‐bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis
Abstract Point‐of‐care ultrasound (POCUS) leads to efficient real‐time diagnosis in a wide range of medical specialties. We describe the use of cardiac, lung and lower limb POCUS to rapidly diagnose massive pulmonary embolism and deep vein thrombosis in a 64‐year‐old patient presenting with acute dy...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-10-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.1029 |
| _version_ | 1818017353771778048 |
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| author | Mohammad Amirul Shahril bin Ahmad Larry Ellee Nyanti Jie Cong Yeoh Chan Tha A Hing Chan Sin Chai Siew Teck Tie |
| author_facet | Mohammad Amirul Shahril bin Ahmad Larry Ellee Nyanti Jie Cong Yeoh Chan Tha A Hing Chan Sin Chai Siew Teck Tie |
| author_sort | Mohammad Amirul Shahril bin Ahmad |
| collection | DOAJ |
| description | Abstract Point‐of‐care ultrasound (POCUS) leads to efficient real‐time diagnosis in a wide range of medical specialties. We describe the use of cardiac, lung and lower limb POCUS to rapidly diagnose massive pulmonary embolism and deep vein thrombosis in a 64‐year‐old patient presenting with acute dyspnea prior to elective bronchoscopy. Left femoral vein thrombus and features of increased right heart pressure on POCUS led to the decision to administer fibrinolytic therapy, with subsequent CT pulmonary angiogram confirming bilateral PE. The use of POCUS allowed for rapid imaging and interpretation leading to a rapid diagnosis of PE, thus fast‐tracking lifesaving anticoagulation, especially in an outpatient setting. |
| first_indexed | 2024-04-14T07:26:00Z |
| format | Article |
| id | doaj.art-e9ede6ecf71247be8d1f68f8ca1f9656 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-04-14T07:26:00Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-e9ede6ecf71247be8d1f68f8ca1f96562022-12-22T02:06:02ZengWileyRespirology Case Reports2051-33802022-10-011010n/an/a10.1002/rcr2.1029Point‐of‐care ultrasound in pre‐bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosisMohammad Amirul Shahril bin Ahmad0Larry Ellee Nyanti1Jie Cong Yeoh2Chan Tha A Hing3Chan Sin Chai4Siew Teck Tie5Division of Respiratory Medicine, Department of Medicine Sarawak General Hospital Kuching MalaysiaDepartment of Medicine, Faculty of Medicine and Health Sciences Universiti Malaysia Sabah Sabah MalaysiaAnaesthesiology and Intensive Care Unit Hospital Kuala Lumpur Kuala Lumpur MalaysiaDivision of Respiratory Medicine, Department of Medicine Sarawak General Hospital Kuching MalaysiaDivision of Respiratory Medicine, Department of Medicine Sarawak General Hospital Kuching MalaysiaDivision of Respiratory Medicine, Department of Medicine Sarawak General Hospital Kuching MalaysiaAbstract Point‐of‐care ultrasound (POCUS) leads to efficient real‐time diagnosis in a wide range of medical specialties. We describe the use of cardiac, lung and lower limb POCUS to rapidly diagnose massive pulmonary embolism and deep vein thrombosis in a 64‐year‐old patient presenting with acute dyspnea prior to elective bronchoscopy. Left femoral vein thrombus and features of increased right heart pressure on POCUS led to the decision to administer fibrinolytic therapy, with subsequent CT pulmonary angiogram confirming bilateral PE. The use of POCUS allowed for rapid imaging and interpretation leading to a rapid diagnosis of PE, thus fast‐tracking lifesaving anticoagulation, especially in an outpatient setting.https://doi.org/10.1002/rcr2.1029bronchoscopydeep vein thrombosisPOCUSpoint‐of‐care ultrasoundpulmonary embolism |
| spellingShingle | Mohammad Amirul Shahril bin Ahmad Larry Ellee Nyanti Jie Cong Yeoh Chan Tha A Hing Chan Sin Chai Siew Teck Tie Point‐of‐care ultrasound in pre‐bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis Respirology Case Reports bronchoscopy deep vein thrombosis POCUS point‐of‐care ultrasound pulmonary embolism |
| title | Point‐of‐care ultrasound in pre‐bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis |
| title_full | Point‐of‐care ultrasound in pre‐bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis |
| title_fullStr | Point‐of‐care ultrasound in pre‐bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis |
| title_full_unstemmed | Point‐of‐care ultrasound in pre‐bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis |
| title_short | Point‐of‐care ultrasound in pre‐bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis |
| title_sort | point of care ultrasound in pre bronchoscopy assessment of acute dyspnea a case of concurrent massive pulmonary embolism and deep vein thrombosis |
| topic | bronchoscopy deep vein thrombosis POCUS point‐of‐care ultrasound pulmonary embolism |
| url | https://doi.org/10.1002/rcr2.1029 |
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