Episode 3- Point of care ultrasound for gluteal abscess, really?! скачать в хорошем качестве

Episode 3- Point of care ultrasound for gluteal abscess, really?!

How can point of care ultrasound be useful when the patient has an obvious gluteal or other anatomical abscesses? Have you ever been unsure if that large, indurated area is just cellulitis or abscess but decided to cut anyway, only to get nothing out? Then this is your episode! It isn't always easy to clinically distinguish the two diagnoses and, even if you are sure it's an abscess, it can be hard to know where the best place to incise is without being able to see into the tissue. Abscesses can develop in close approximation to large vascular structures and there can also be abscess mimics (lymph nodes). The abscess may also be hiding in induration, making it difficult to incise the correct location. POCUS can be used at the bedside in the Emergency Department to change your management. In this episode of Soundwaves From the Community learn the tips and tricks to help you better manage the soft tissue infections in your patients and drain the best location every time. Take home points: -Use color flow doppler to avoid vascular structures -Interrogate to find the largest area of purulent material and pus -Use color flow doppler in the neck, axilla, and groin to avoid incising a lymph node Article cited: Gaspari, R., Dayno, M., Briones, J. et al. Comparison of computerized tomography and ultrasound for diagnosing soft tissue abscesses. Crit Ultrasound J 4, 5 (2012). https://rdcu.be/b35T2