Point-of-care ultrasound in pre-bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis

Mohammad Amirul Shahril Ahmad and Larry Ellee Nyanti and Jie Cong Yeoh and Hing, Chan Tha A and Chai, Chan Sin and Tie, Siew Teck (2022) Point-of-care ultrasound in pre-bronchoscopy assessment of acute dyspnea: A case of concurrent massive pulmonary embolism and deep vein thrombosis. Respirology Case Reports, 10. ISSN 2051-3380

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URL: https://onlinelibrary.wiley.com/doi/10.1002/rcr2.1...

Abstract

Point-of-care ultrasound (POCUS) leads to efficient real-time diagnosis in a wide range of medical specialties. We describe the use of cardiac, lung and lower limb POCUS to rapidly diagnose massive pulmonary embolism and deep vein thrombosis in a 64-year-old patient presenting with acute dyspnea prior to elective bronchoscopy. Left femoral vein thrombus and features of increased right heart pressure on POCUS led to the decision to administer fibrinolytic therapy, with subsequent CT pulmonary angiogram confirming bilateral PE. The use of POCUS allowed for rapid imaging and interpretation leading to a rapid diagnosis of PE, thus fast-tracking lifesaving anticoagulation, especially in an outpatient setting.

Item Type:	Article
Keyword:	Bronchoscopy , Deep vein thrombosis , POCUS , Point-of-care ultrasound , Pulmonary embolism
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC71-78.7 Examination. Diagnosis Including radiography
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	20 Oct 2022 08:25
Last Modified:	20 Oct 2022 08:25
URI:	https://eprints.ums.edu.my/id/eprint/34481

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