دورية أكاديمية

Point-of-care Ultrasound to Evaluate Breast Pathology in the Emergency Department.

التفاصيل البيبلوغرافية
العنوان: Point-of-care Ultrasound to Evaluate Breast Pathology in the Emergency Department.
المؤلفون: Acuña J; The University of Arizona, Department of Emergency Medicine, Tucson, Arizona., Pierre CM; The University of Arizona, Department of Emergency Medicine, Tucson, Arizona., Sorenson J; The University of Arizona, College of Medicine, Tucson, Arizona., Adhikari S; The University of Arizona, Department of Emergency Medicine, Tucson, Arizona.
المصدر: The western journal of emergency medicine [West J Emerg Med] 2021 Jan 29; Vol. 22 (2), pp. 284-290. Date of Electronic Publication: 2021 Jan 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Department of Emergency Medicine, University of California, Irvine Country of Publication: United States NLM ID: 101476450 Publication Model: Electronic Cited Medium: Internet ISSN: 1936-9018 (Electronic) Linking ISSN: 1936900X NLM ISO Abbreviation: West J Emerg Med Subsets: MEDLINE
أسماء مطبوعة: Publication: <2011>- : Irvine, CA : Department of Emergency Medicine, University of California, Irvine
Original Publication: Orange, CA : California Chapter of the American Academy of Emergency Medicine
مواضيع طبية MeSH: Breast Diseases*/classification , Breast Diseases*/diagnosis , Breast Diseases*/epidemiology , Ultrasonography, Mammary*/methods , Ultrasonography, Mammary*/statistics & numerical data, Breast/*diagnostic imaging , Emergency Service, Hospital/*statistics & numerical data , Point-of-Care Testing/*statistics & numerical data, Adult ; Arizona/epidemiology ; Clinical Decision-Making/methods ; Female ; Humans ; Male ; Retrospective Studies
مستخلص: Introduction: As physician-performed point-of-care ultrasound (POCUS) becomes more prevalent in the evaluation of patients presenting with various complaints in the emergency department (ED), one application that is significantly less used is breast ultrasound. This study evaluates the utility of POCUS for the assessment of patients with breast complaints who present to the ED and the impact of POCUS on medical decision-making and patient management in the ED.
Methods: This was a retrospective review of ED patients presenting with breast symptoms who received a POCUS examination. An ED POCUS database was reviewed for breast POCUS examinations. We then reviewed electronic health records for demographic characteristics, history, physical examination findings, ED course, additional imaging studies, and impact of the POCUS study on patient care and disposition.
Results: We included a total of 40 subjects (36 females, 4 males) in the final analysis. Most common presenting symptoms were breast pain (57.5%) and a palpable mass (37.5%). "Cobblestoning," ie, dense bumpy appearance, was the most common finding on breast POCUS, seen in 50% of the patients. Simple fluid collections were found in 37.5% of patients.
Conclusion: Our study findings illustrate the utility of POCUS in the evaluation of a variety of breast complaints in the ED.
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تواريخ الأحداث: Date Created: 20210415 Date Completed: 20210625 Latest Revision: 20220402
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC7972395
DOI: 10.5811/westjem.2020.10.48008
PMID: 33856313
قاعدة البيانات: MEDLINE