Point-of-care ultrasound in Management for Dyspneic Uremic Patients: a case report
Journal
Point-of-care ultrasound in Management for Dyspneic Uremic Patients: a case report
Journal Volume
20
Journal Issue
1
Date Issued
2019
Author(s)
Wang P.-H.
Abstract
Background: Point-of-Care Ultrasound (PoCUS) is considered as an extension of clinicians' patient care and can be integrated into daily clinical practice. Dyspnea is a common presentation in uremic patients. With the aids of PoCUS and integrated assessments of lung, heart and inferior vena cava (IVC), the etiology of dyspnea in uremic patients can be determined earlier. Case presentation: A 67-year-old woman presented with progressive shortness of breath and bilateral legs edema for 3 weeks. The laboratory data revealed marked elevated level of serum creatinine and blood urea. A large amount of pericardial effusion was timely detected by PoCUS. Uremic pericarditis was suspected. Emergent hemodialysis was initiated and her symptoms improved. Conclusions: PoCUS is a noninvasive and cost-effective imaging modality and it has been popular in the emergency department (ED). In uremic patients presenting with dyspnea, the integration of PoCUS into traditional physical examinations help emergency physicians narrow down the differential diagnoses. ? 2019 The Author(s).
SDGs
Other Subjects
albumin; creatinine; urea; aged; albumin blood level; appetite; arterial gas; Article; case report; chronic kidney failure; clinical article; crackle; creatinine blood level; diabetes mellitus; dyspnea; echocardiography; electrocardiogram; female; follow up; hemodialysis; human; inferior cava vein; laboratory test; leg edema; lung auscultation; medical history; metabolic acidosis; pericardial effusion; pericarditis; point of care ultrasound; proteinuria; pruritus; thorax radiography; urea blood level; uremia; urinalysis; complication; diagnostic imaging; disease management; dyspnea; electrocardiography; interventional ultrasonography; point of care system; procedures; uremia; Aged; Disease Management; Dyspnea; Electrocardiography; Female; Humans; Point-of-Care Systems; Ultrasonography, Interventional; Uremia
Type
journal article