Point-of-care ultrasound in pre-bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis
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 pri...
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| Format: | Article |
| Language: | English English |
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Wiley-Blackwell Publishing Ltd
2022
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| Online Access: | https://eprints.ums.edu.my/id/eprint/34481/1/ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/34481/2/FULLTEXT.pdf |
| _version_ | 1796911600173580288 |
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| author | Mohammad Amirul Shahril Ahmad Larry Ellee Nyanti Jie Cong Yeoh Hing, Chan Tha A Chai, Chan Sin Tie, Siew Teck |
| author_facet | Mohammad Amirul Shahril Ahmad Larry Ellee Nyanti Jie Cong Yeoh Hing, Chan Tha A Chai, Chan Sin Tie, Siew Teck |
| author_sort | Mohammad Amirul Shahril Ahmad |
| collection | UMS |
| description | 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 | 2024-03-06T03:21:03Z |
| format | Article |
| id | ums.eprints-34481 |
| institution | Universiti Malaysia Sabah |
| language | English English |
| last_indexed | 2024-03-06T03:21:03Z |
| publishDate | 2022 |
| publisher | Wiley-Blackwell Publishing Ltd |
| record_format | dspace |
| spelling | ums.eprints-344812022-10-20T00:25:14Z https://eprints.ums.edu.my/id/eprint/34481/ Point-of-care ultrasound in pre-bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis Mohammad Amirul Shahril Ahmad Larry Ellee Nyanti Jie Cong Yeoh Hing, Chan Tha A Chai, Chan Sin Tie, Siew Teck RC71-78.7 Examination. Diagnosis Including radiography 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. Wiley-Blackwell Publishing Ltd 2022-09-07 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/34481/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/34481/2/FULLTEXT.pdf Mohammad Amirul Shahril Ahmad and Larry Ellee Nyanti and Jie Cong Yeoh and Hing, Chan Tha A and Chai, Chan Sin and Tie, Siew Teck (2022) 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, 10. ISSN 2051-3380 https://onlinelibrary.wiley.com/doi/10.1002/rcr2.1029 https://doi.org/10.1002/rcr2.1029 https://doi.org/10.1002/rcr2.1029 |
| spellingShingle | RC71-78.7 Examination. Diagnosis Including radiography Mohammad Amirul Shahril Ahmad Larry Ellee Nyanti Jie Cong Yeoh Hing, Chan Tha A Chai, Chan Sin Tie, Siew Teck Point-of-care ultrasound in pre-bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis |
| 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 | RC71-78.7 Examination. Diagnosis Including radiography |
| url | https://eprints.ums.edu.my/id/eprint/34481/1/ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/34481/2/FULLTEXT.pdf |
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