Acute abdomen is a medical emergency, in which there is sudden and severe pain in abdomen of recent onset with accompanying signs and symptoms that focus on an abdominal involvement. It can represent a wide sp...
Authors: Maria Antonietta Mazzei, Susanna Guerrini, Nevada Cioffi Squitieri, Lucio Cagini, Luca Macarini, Francesco Coppolino, Melchiore Giganti and Luca Volterrani
Acute vascular emergencies can arise from direct traumatic injury to the vessel or be spontaneous (non-traumatic).
Authors: Eugenio Annibale Genovese, Paolo Fonio, Chiara Floridi, Monica Macchi, Anna Maccaferri, Antonio Amato Stabile Ianora, Lucio Cagini and Gianpaolo Carrafiello
In the assessment of polytrauma patient, an accurate diagnostic study protocol with high sensitivity and specificity is necessary. Computed Tomography (CT) is the standard reference in the emergency for evalua...
Authors: Lucio Cagini, Sabrina Gravante, Corrado Maria Malaspina, Elviro Cesarano, Melchiorre Giganti, Alberto Rebonato, Paolo Fonio and Michele Scialpi
Intestinal ischemia is an abdominal emergency that accounts for approximately 2% of gastrointestinal illnesses. It represents a complex of diseases caused by impaired blood perfusion to the small and/or large ...
Authors: A Reginelli, EA Genovese, S Cappabianca, F Iacobellis, D Berritto, P Fonio, F Coppolino and R Grassi
Acute diverticulitis (AD) results from inflammation of a colonic diverticulum. It is the most common cause of acute left lower-quadrant pain in adults and represents a common reason for acute hospitalization, ...
Authors: Maria Antonietta Mazzei, Nevada Cioffi Squitieri, Susanna Guerrini, Amato Antonio Stabile Ianora, Lucio Cagini, Luca Macarini, Melchiore Giganti and Luca Volterrani
The purpose of this study was to determine whether the color Doppler twinkling sign could be considered as an additional diagnostic feature of small renal lithiasis (_5mm).
Authors: Gianfranco Vallone, Giuseppina Napolitano, Paolo Fonio, Gabriele Antinolfi, Antonio Romeo, Luca Macarini, Eugenio Annibale Genovese and Luca Brunese
To evaluate the accuracy of ultrasonography in the diagnosis of acute calculous cholecystitis in comparison with other imaging modalities.
Authors: Antonio Pinto, Alfonso Reginelli, Lucio Cagini, Francesco Coppolino, Antonio Amato Stabile Ianora, Renata Bracale, Melchiore Giganti and Luigia Romano
In emergency settings, verification of endotracheal tube (ETT) location is important for critically ill patients. Ignorance of oesophageal intubation can be disastrous. Many methods are used for verification o...
Authors: Osman Adi, Tan Wan Chuan and Manikam Rishya
Physician-performed focused ultrasonography is a rapidly growing field with numerous clinical applications. Focused ultrasound is a clinically useful tool with relevant applications across most specialties. Ul...
Authors: David P Bahner, Eric J Adkins, Daralee Hughes, Michael Barrie, Creagh T Boulger and Nelson A Royall
Point-of-care ultrasound (POC-US) use is increasingly common as equipment costs decrease and availability increases. Despite the utility of POC-US in trained hands, there are many situations wherein patients c...
Authors: Nancy Biegler, Paul B McBeth, Corina Tiruta, Douglas R Hamilton, Zhengwen Xiao, Innes Crawford, Martha Tevez-Molina, Nat Miletic, Chad G Ball, Linping Pian and Andrew W Kirkpatrick
Current recommendations of stroke treatment favour a moderately elevated blood pressure in the acute phase, based on the concept of an improved cerebral perfusion. Here, cerebral blood flow was assessed in a c...
Authors: Jonathan List, Jens E Röhl, Florian Doepp, José M Valdueza and Stephan J Schreiber
A 73-year-old man with a past medical history of myelodysplastic syndrome and recent chemotherapy presented to the emergency department with a 1-week history of progressively increasing left thigh pain and swe...
Infective endocarditis is a challenging diagnosis that is rarely made in the emergency department. As the use of focused emergency ultrasound expands into more applications, including advanced echocardiography...
Authors: Dina Seif, Andrew Meeks, Thomas Mailhot and Phillips Perera
A 45-year-old woman presented to the emergency department with a 2-day history of severe left shoulder pain made worse with movement. Emergency department (ED) bedside point-of-care static and dynamic ultrasou...
Authors: David C Riley, Martha Kaufman, Theresa M Ward, Yesenia Acevedo, Rodney Guerra and Adenike Folorunsho
Authors: Herbert Missaka, F Leão, LH Cantarelli, PV Dallava, JEE Almeida, PC Figueiredo, F Nogueira, S Divan-Filho, RS Lannes, FM Vila-Da-Mota, DS Usiglio, G Soriano, LF Jabour and LC Oliveira
Patient reported menstrual history, physician clinical evaluation, and ultrasonography are used to determine gestational age in the pregnant female. Previous studies have shown that pregnancy dating by last me...
Authors: Turandot Saul, Resa E Lewiss and Marina Del Rios Rivera
Ultrasound can rapidly identify abnormal signs, which in high prevalence settings, are highly suggestive of extra-pulmonary tuberculosis (EPTB). Unfortunately experienced sonographers are often scarce in these...
Authors: Tom Heller, Claudia Wallrauch, Sam Goblirsch and Enrico Brunetti
No single historical, physical, laboratory, or imaging finding is both sensitive and specific for the diagnosis of pelvic inflammatory disease (PID). Cervical motion tenderness (CMT), when present, is classica...
Authors: Resa E Lewiss, Turandot Saul and Katja Goldflam
Ultrasound is being used increasingly to diagnose pathological free fluid accumulation at the bedside. In addition to the detection of peritoneal and pericardial fluid, point-of-care ultrasound allows rapid be...
Authors: Paul Atkinson, James Milne, Osama Loubani and Glenn Verheul
Ultrasound measurement of dynamic changes in inferior vena cava (IVC) diameter can be used to assess intravascular volume status in critically ill patients, but published studies vary in accuracy as well as re...
Authors: David J Blehar, Dana Resop, Benjamin Chin, Matthew Dayno and Romolo Gaspari
This is a case report of a superficial penile hematoma that was difficult to distinguish clinically from a penile fracture. Such cases occur with relative frequency, and because definitive treatment is an urge...
