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POCUS Journal
ISSN 2369-8543 · CINQUILL Medical Publishers Inc. · 320 articles in the index
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Journal Article
VExUS in Mechanical Circulatory Support: Unveiling the Role of Doppler Ultrasound in Assessing Venous Congestion
Persistent congestion in decompensated heart failure predicts poor outcomes. The Venous Excess Ultrasound (VExUS) score, which integrates hepatic, portal, and intrarenal Doppler waveforms, provides a dynamic, noninvasive measure of venous congestion and outperforms right atrial pressure alone. Its…
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Journal Article
Creation of an Open-Access Lung POCUS Image Database for Deep Learning and Neural Network Applications
Background: Lung point of care ultrasound (POCUS) offers advantages over traditional imaging for diagnosing pulmonary conditions, with superior accuracy compared to chest X-ray and lower cost compared to computed tomography. Despite these benefits, widespread adoption is limited by operator…
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Journal Article
Dental Abscess on POCUS: A Retrospective Case Series Analysis
Background: Point of care ultrasound (POCUS) has proven utility in confirming the diagnosis of skin and soft tissue abscesses. We studied the characteristics of 50 dental abscess on pediatric POCUS examinations and their outcomes. Methods: This was a convenience sample of cases collected in the…
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Journal Article
Current Use and Barriers to POCUS in Women’s Health: A National Survey of Veterans Affairs Medical Centers
Background: Point of care ultrasound (POCUS) has become an invaluable tool in healthcare across multiple disciplines. For the past 30 years, obstetricians and gynecologists in many hospitals have had access to ultrasound equipment and commonly utilize it in labor and delivery suites and emergency…
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Journal Article
Diagnosis of a Right Congenital Diaphragmatic Hernia in a Neonate with POCUS
Point of care ultrasound (POCUS) can be used to diagnose neonatal lung diseases, especially in the setting of a newborn with significant respiratory distress. A neonate was born at 38.4 weeks gestational age to a 36-year-old Gravida 5 Para 3013 woman with prenatal concerns for fetal cardiothoracic…
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Journal Article
Hepatocellular Carcinoma Masquerading as Heart Failure: When POCUS “Incidentally” Detects Cancer
Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death worldwide, and cardiovascular involvement can occur in advanced cases. An 84-year-old man with subacute dyspnea on exertion and pedal edema was referred to the cardiologist for suspected heart failure. Point of care…
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Journal Article
Post-Myocardial Infarction Left Ventricular Free Wall Rupture Diagnosed by POCUS
Background: ST segment elevation myocardial infarction (STEMI) is a common cause of death and disability in the United States. A rare, though highly morbid complication of STEMI is a rupture of the left ventricular free wall. Prompt recognition and action by emergency physicians is essential. This…
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Journal Article
Modified Venous Excess Ultrasound (mVExUS) in the Prediction of Ventilator Weaning Failure: a Cohort Study
Background: Ventilator weaning failure is a significant challenge in critically ill patients, and venous congestion has emerged as a potentially modifiable factor influencing weaning outcomes. This study aimed to investigate the association between venous congestion identified by the modified…
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Journal Article
Pyogenic Pericarditis Leading to Cardiac Arrest: a Case Report Highlighting POCUS-Guided Pericardiocentesis
A 44-year-old man with a history of intravenous drug use presented to the emergency department in cardiac arrest. Point of care ultrasound (POCUS) revealed a pericardial effusion with tamponade physiology. Initial landmark-guided pericardiocentesis returned blood but failed to confirm guidewire…
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Journal Article
POCUS in Differentiating Etiology of Acute Scrotum
Point of care ultrasound (POCUS) is a helpful tool for supporting the development of a differential diagnosis for testicular and scrotal pain. It can aid in the diagnosis of critical conditions such as Fournier’s Gangrene and testicular torsion. In this case, we describe a 39-year-old man who…
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Journal Article
Diagnosis of Pneumoperitoneum Using POCUS
Point of care ultrasound (POCUS) of the nontraumatic acute abdomen is limited by its low sensitivity for detecting pneumoperitoneum. However, POCUS signs that suggest the presence of free intraperitoneal air have been described in the literature, such as the enhanced peritoneal stripe. We describe…
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Journal Article
Intraocular Neoplasm Suggested by Ocular POCUS Examination
We report the case of a 30-year-old woman with no relevant medical history who presented with a new-onset headache associated with nausea, vomiting, photophobia, phonophobia, and right nasal hemianopsia. Ocular point of care ultrasound (POCUS) examination revealed a hyperechoic lesion adhered to…
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Journal Article
A Pilot Study of Preoperative Submandibular POCUS to Predict Difficult Mask Ventilation
Background: Multiple assessment tools are available to evaluate for difficult mask ventilation. Obstructive sleep apnea (OSA) is a known risk factor. In this observational study, patients were screened using the STOP-BANG questionnaire. Submandibular point of care ultrasound (POCUS) was performed…
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Journal Article
Pulmonization of Liver: The Unexpected Appearance of Lung POCUS Signs in the Abdomen
Point of care ultrasound (POCUS) is an increasingly common tool used in patient evaluation. Rapid interpretation of POCUS findings rely on the operator’s familiarity with POCUS patterns. However, over-reliance on heuristics can result in misdiagnosis. We describe a case involving a patient who…
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Journal Article
POCUS in the Management of Complications with Barbed Polydioxanone (PDO) Threads in Aesthetic Medicine: Case Report
Point of care ultrasound (POCUS) is becoming an essential tool in aesthetic medicine, allowing clinicians to evaluate tissues in real time and respond promptly to complications. We present the case of a 42-year-old woman with diabetes who developed swelling, pain, and purulent drainage shortly…
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Journal Article
Visualizing an Umbilical Venous Catheter in Malposition Using POCUS
Umbilical venous catheters (UVCs) are commonly needed in critically ill infants in the neonatal intensive care unit (NICU). However, there is an increased risk for major adverse events with improper positioning. There is a strong argument for using point of care ultrasound (POCUS) to determine…
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Journal Article
Utilizing Cardiac POCUS for the Diagnosis of Dynamic Mitral Regurgitation
We report a case of an elderly gentleman with recurrent episodes of flash pulmonary edema, initially attributed to hypertensive episodes. Cardiac point of care ultrasound (POCUS) revealed severe mitral regurgitation (MR), a finding underappreciated on transthoracic echocardiography and likely…
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Journal Article
Taking the Next Step in Obstetric Critical Care: Cardiac and Lung POCUS Training for Obstetric Residents
Background: The importance of cardiopulmonary point of care ultrasound (POCUS) for the assessment of the acute obstetric patient is increasingly recognized. Obstetricians are well-versed in ultrasound and may be able to perform POCUS with brief training. Objective: To implement and assess a…
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Journal Article
Cranial POCUS in Neonates and Infants: Structured Evidence Synthesis and Proposal of the KORE Brain POCUS Protocol
Background: Cranial point of care ultrasound (POCUS) is an emerging bedside tool for rapid evaluation of neurological emergencies in neonates and infants. Although widely used in neonatal intensive care, its application in emergency and critical care remains heterogeneous and lacks standardized…
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Journal Article
POCUS to Evaluate for Achilles Tendon Involvement in Ankle Lacerations
Achilles tendon injury is uncommon in children but is often caused by direct trauma to the posterior ankle. The diagnosis of Achilles tendon involvement after injury may be inadequate when based solely on physical examination findings. There is limited literature describing the identification of…