Point of care ultrasound: The Fifth Pillar of Physical Examination

Authors

  • Rubén Lobato Cano Internal Medicine Service of the Virgen de las Nieves University Hospital in Granada.
  • Inés Pitto Roblés Internal Medicine Service of the Virgen de las Nieves University Hospital in Granada
  • Francisco Javier Guerrero Martínez Internal Medicine Service of the Virgen de las Nieves University Hospital in Granada
  • Serafín López Palmero Internal Medicine Service of the Torrecárdenas University Hospital in Almería
  • Lorena González Camacho Cardiology Service of the Virgen de las Nieves University Hospital in Granada

DOI:

https://doi.org/10.37615/retic.v4n1a12

Keywords:

Echocardioscopy, sepsis, infective endocarditis.

Abstract

Point-of-care ultrasound as an extension of the physical examination has become a fundamental complement in the evaluation, follow-up and treatment of our patients. The education and training of physicians is necessary to be able to use it properly. We present the case of an 86-year-old woman initially admitted for sepsis of probable biliary origin. After an exhaustive reassessment, clinical signs of a probable endovascular infectious focus were found. A bedside echocardiography showed a mobile vegetation in the native aortic valve. The transthoracic echocardiography confirmed the diagnosis of endocarditis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Pérez de Isla L, Díaz Sanchez S, Pagola J, Carcía de Casasola Sánchez G, López Fernández T, Sanchez Barrancos IM, Martínez Sanchez P et al. Documento de consenso de SEMI, SEMFYC, SEN y SEC sobre ecocardioscopia en España. Rev Esp Cardiol. 2018; 71(11): 935–940. doi: https://doi.org/10.1016/j.recesp.2018.05.027

Garcia Fernandez MA. ¿Es posible entrenar a no cardiólogos para realizar ecocardiografía? Rev Esp Cardiol. 2014; 67(3): 168-70. doi: https://doi.org/10.1016/j.recesp.2013.07.011

Barret PM, Tool EJ. To truly look inside. Lancet. 2016; 387: 1268-9. doi: https://doi.org/10.1016/s0140-6736(16)30027-7

Narula J, Chandrasshekhar Y, Braunwald E. Time to Add a Fifth Pillar to Bedside Physical Examination. JAMA cardio. 2018; 3(4); 346-50. doi: https://doi.org/10.1001/jamacardio.2018.0001.

Chambers HF, Bayer AS. Native-Valve Infective Endocarditis. N Engl J Med 2020; 383: 567-76. doi: https://doi.org/10.1056/NEJMcp2000400.

Downloads

Published

2021-04-30

How to Cite

1.
Lobato Cano R, Pitto Roblés I, Guerrero Martínez FJ, López Palmero S, González Camacho L. Point of care ultrasound: The Fifth Pillar of Physical Examination. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2021 Apr. 30 [cited 2024 Jul. 3];4(1):34-6. Available from: https://imagenretic.org/RevEcocarPract/article/view/342

Issue

Vol. 4 No. 1 (2021): Journal of Practical Echocardiography and Other Cardiac Imaging Techniques

Section

CLINICAL CASES

License

Copyright (c) 2021 Rubén Lobato Cano, Inés Pitto Roblés, Francisco Javier Guerrero Martínez, Serafín López Palmero, Lorena González Camacho

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:

  • Attribution: you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests that the licensor endorses you or your use.
  • Non-commercial: you may not use the material for commercial purposes.
  • No Derivatives: if you remix, transform or build upon the material, you may not distribute the modified material.
  • No Additional Restrictions: you may not apply legal terms or technological measures that legally restrict others from doing anything permitted by the license.
Crossref
Scopus
Google Scholar
Europe PMC