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Table 2 Point-of-care ultrasound findings using Butterfly iQ in African Emergency Department

From: Evaluation of a novel handheld point-of-care ultrasound device in an African emergency department

Age/sex

Presentation

US exams

US findings

44 yo M

Afib RVR, Cardiogenic shock

Cardiac

Calcified left atrial thrombus

3 yo M

Abdominal pain, Fussy, Bloody stool

GI

Intussusception

28 yo F

Submandibular swelling

MSK

Submandibular abscess

25 yo M

Dyspnea on exertion, Hx of PCE

Cardiac, Lung

Large PCE without tamponade, Bilateral pleural effusions

Young Adult M

Leg pain

MSK

Mid-shaft femur fracture with displacement

23 yo F

Abdominal pain, Hx of abdominal mass

GI

Dermoid cyst (recurrent)

78 yo M

Early satiety, Rectal mass on exam

GI

Novel dx of diffuse hepatosplenic lesions concerning for malignancy

28 yo M

Necrotic finger

MSK

Abscess vs necrosis

3 mo M

Acute respiratory failure

Cardiac, Lung

Novel dx of Atrial Septal Defect

114 yo M

Dyspnea

Cardiac, Lung

Novel dx of HFrEF

13 yo F

Novel Afib and hypoxia, Hx of RHD

Cardiac

Massive MR, LA dilation, Small PCE (Consistent with known RHD)

14 yo M

Dyspnea, Anasarca on exam, Hx of RHD and malaria

Cardiac

HFrEF, TR with RA dilation, MR (Consistent with known RHD)

24 yo M

Left flank pain

GI

Splenic lesion (Subcapsular hematoma vs Infiltration)

1 yo M

Hypoxia, fever, sepsis

Lung

Bilateral B-lines

1 yo F

Hypoxia, Hx of Ventricular Septal Defect

Cardiac, Lung

RV Dilation and hypertrophy, Persistent VSD, Bilateral B-lines

74 yo F

Respiratory arrest

Cardiac

Dilated/poorly contractile RV, Full IVC

2 mo F

Failure to thrive

CNS

Hydrocephalus

Young Adult M

Leg pain

MSK

Mid-shaft tibia fracture with displacement

Elderly Adult M

Recent DVT, Dyspnea

Cardiac

Right heart strain

20 yo F

2-week post-partum, Peritonitis on exam

GI

Pelvic free fluid

28 yo M

"Hematemesis" found to be hemoptysis, Hypoxia

Cardiac, Lung, GI

Splenic lesion, Bilateral B-lines, Normal LV Ejection Fraction

Elderly Adult M

Dyspnea, Anasarca on exam, Hypoxia

Cardiac, Lung

Dilated RA and RV, TR, Bilateral B-lines, Pleural effusions, Ascites

23 yo F

Suicide attempt by drowing, Third trimester pregnancy

OB

Normal Fetal heart rate and Fetal movement

7 yo M

Abdominal pain, vomiting

GI

SBO from worm burden

25 yo M

Dyspnea and chest pain with near-syncope, Novel Afib with RVR

Cardiac

Thickened Mitral Valve, Dilated LA, Massive MR (Suspected RHD)

5 yo M

Abdominal distention

GI

Enlarged bladder with mild hydronephrosis

3 yo F

Constipation, Reports of “worms in stool”

GI

SBO, No parasites visualized

85 yo M

RUQ abdominal pain and jaundice

GI

Intrahepatic biliary dilation, RUQ Mass

35 yo F

Chest pain, Hx of Tuberculosis

Lung

Loculated pleural effusion

37 yo M

Abdominal pain, Constipation

GI

SBO, Dilated gallbladder

76 yo M

Hypoxia and sepsis

Lung

Subpleural consolidations and B-lines

19 yo F

Hx of tamponade on outpatient echocardiogram

Cardiac

Large PCE, No tamponade

25 yo M

Hypoxia, Novel Afib with RVR

Cardiac

Massive LA dilation and MR, Thickened anterior mitral valve leaflet (Suspected RHD)

  1. Afib, Atrial fibrillation; CNS, Central Nervous System; Dx, Diagnosis; HFrEF, Heart Failure with Reduced Ejection Fraction; GI, Gastrointestinal/Genitourinary; Hx, History; IVC, Inferior Vena Cava; LA, Left Atrium; MR, Mitral Regurgitation; MSK, Musculoskeletal/Soft tissue; OB, Obstetric; PCE, Pericardial Effusion; RA, Right Atrium; RHD, Rheumatic Heart Disease; RUQ, Right Upper Quadrant; RV, Right Ventricle; RVR, Rapid Ventricular Response; SBO, Small Bowel Obstruction; TR, Tricuspid Regurgitation