Showing 23 results for "Abdominal"


A POCUS Protocol for Renal Colic

Saving Time and $$$ (but not CTs)

By Michael Prats on 03/02/20 05:00 AM

We know that point of care ultrasound can be used to find evidence of urinary obstruction in patients with renal colic from a kidney stone. However, it is not clear how to put this into practice. Who should get an ultrasound? Who needs further testing after ultrasound? This article poses one protocol to see if it can help save time and money in the emergency department. https://www.ultrasoundgel.org/87 https://pubmed.ncbi.nlm.nih.gov/31661942


Small Bowel Obstruction (#2)

Revisiting The Accuracy of POCUS

By Michael Prats on 10/15/19 06:00 AM

POCUS can be used to visualize small bowel obstruction (SBO) fairly easily. It has proven itself superior to xrays and has some advantages over CT, which for most people is the standard for diagnosis. Although initial work was quite promising, there were no large studies done confirming the accuracy of ultrasound for this purpose. In this podcast we examine the latest study (plus discuss a bonus similar one) that reveals maybe this is not as good as we thought! https://www.ncbi.nlm.nih.gov/pubmed/30762916


Unselected Patients

The Prevalence of Pathology in the ED

By Michael Prats, MD on 04/29/19 06:00 AM

We use ultrasound a lot. Sometimes we find things that are not clearly related to the reason the patient came in. The prevalence of these incidental findings relates to the usefulness of the diagnostic test. These authors take the bull by the horns, randomly whole-body-POCUS scanning emergency department patients to see what sort of findings might pop up. But should disease prevalence change our use of the tool? https://www.ncbi.nlm.nih.gov/pubmed/30587153


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