By Michael Prats, MD on 09/25/17 02:00 AM
Have you ever stabbed into an abscess only to have nothing come out? Have you missed an abscess because you thought it was just cellulitis? In theory, ultrasound should be able to help us here by finding that magical pocket beneath the skin that is just asking to be drained. Does the literature support this? Is ultrasound superior to the exam alone? This metaanalysis takes a look at the studies that have been done to find out.
By Michael Prats, MD on 09/11/17 02:00 AM
Ultrasound can be helpful for diagnosing acute heart failure - mainly by looking for signs of pulmonary edema and poor systolic heart function. Previous results have shown that ultrasound is accurate for the diagnosis, but maybe you're worried that it takes too long. This article tries to test a simple and fast ultrasound protocol that can maintain accuracy in making the diagnosis.
By Michael Prats, MD on 08/28/17 02:00 AM
Alright, we all know that TAPSE (tricuspid annular plane systolic excursion) is a fun word to say, but the question is whether or not it can be used in the emergency department to help diagnose someone with a pulmonary embolism. The TAPSE is a marker of right heart strain, and we know that PEs can cause right heart strain - so...it seems like a reasonable idea, right? Well this article takes a look to see if this is something that can be done in the ED and whether or not it is accurate for the diagnosis.