Impact of ultrasound on management for dyspnea presentations in a Rwandan emergency department

AbstractBackgroundThe complexity of diagnosis for critically ill dyspnea presentations in the emergency department remains a challenge. Accurate and rapid recognition of associated life-threatening conditions is paramount for timely treatment. Point-of-care ultrasound (POCUS) has been shown to impact the diagnosis of dyspnea presentations in resource-rich settings, and may be of greater diagnostic benefit in resource-limited settings.MethodsWe prospectively enrolled a convenience sample of 100 patients presenting with dyspnea in the Emergency Department at University Teaching Hospital of Kigali (UTH-K) in Rwanda. After a traditional history and physical exam, the primary treating team listed their 3 main diagnoses and ranked their confidence accuracy in the leading diagnosis on a Likert scale (1 –5). Multi-organ ultrasound scans performed by a separate physician sonographer assessed the heart, lungs, inferior vena cava, and evaluated for lower extremity deep vein thrombosis or features of disseminated tuberculosis. The sonographer reviewed the findings with the treating team, who then lis ted 3 diagnoses post-ultrasound and ranked their confidence accuracy in the leading diagnosis on a Likert scale (1–5). The hospital diagnosis at discharge was used as the standard in determining the accuracy of the pre- and post-ultrasound diagnoses.ResultsOf the 99 patients included in analysis, 57.6% (n = 57) were male, with a mean age of 45 years. Most of th...
Source: Critical Ultrasound Journal - Category: Radiology Source Type: research

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Publication date: Available online 6 July 2020Source: Journal of Cancer PolicyAuthor(s): Tim Eden, Elizabeth Burns, Piera Freccero, Lorna Renner, Vivian Paintsil, Mae Dolendo, Trisha Scanlan, Aye Aye Khaing, Martha Pina, Afiqul Islam, Catherine Chunda-Liyoka, Francine Kouya, Elizabeth Molyneux
Source: Journal of Cancer Policy - Category: Cancer & Oncology Source Type: research
Authors: Smolka S, Desai MY, Achenbach S Abstract The ISCHEMIA trial investigated two major principles in the therapy of coronary artery disease (CAD), i.e., symptom relief and improvement of prognosis. Specifically, it was designed to answer the question of whether, after ruling out left main stenosis, a routine interventional strategy in addition to optimal medical therapy can improve clinical outcome. Overall, this hypothesis could not be confirmed. Nevertheless, the trial yields interesting new aspects in the field of cardiac imaging. As a noninvasive diagnostic approach for individuals with suspected...
Source: Herz - Category: Cardiology Tags: Herz Source Type: research
Authors: Scherrer-Crosbie M PMID: 32628647 [PubMed - as supplied by publisher]
Source: Clinical Advances in Hematology and Oncology - Category: Cancer & Oncology Tags: Clin Adv Hematol Oncol Source Type: research
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Authors: López-Mora DA, Carrió I PMID: 32620354 [PubMed - as supplied by publisher]
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Source: International Journal of Hyperthermia - Category: Internal Medicine Tags: Int J Hyperthermia Source Type: research
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Source: Journal of Atherosclerosis and Thrombosis - Category: Cardiology Tags: J Atheroscler Thromb Source Type: research
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Source: Disease Markers - Category: Laboratory Medicine Tags: Dis Markers Source Type: research
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