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VOL. 9, ISSUE 4 (2023)
Importance of cardiac point-of-care ultrasound in the pediatric emergency department. case report
Authors
Abdullah Mohammed Kamel, Abdullah Y Akkam, Rafaa Hassan Fathi, Asma Abdullatif Alzaid, Seham Abdu Alhajoori
Abstract
Cardiac point-of-care ultrasound (POCUS) can
rapidly assess function and identify systolic heart failure (HF), an
often-missed diagnosis. POCUS has the potential to expedite medical
intervention, improving overall outcomes. There have been limited studies
describing pediatric emergency center (EC) utilization of cardiac POCUS and its
effect on outcomes in pediatric patients. Objective. To report a
case of 9 Years old girl, medically free before who presented to the Emergency
department with progressive generalized swelling of the face, lower limb, lower
back, and genitalia associated with orthopnea and fatigability The case was
reported with severe decrease left ventricle systolic function, LVEF 10% with
dilated left atrium and left ventricle with mild mitral and tricuspid
regurgitation. Estimated RVSP of 30 mmHg. No LVOTO and no RVOTO. There is
multiple thrombosis, the biggest thrombus measured 8 x 8 CM. Patient. This
case was presented to the ED at the age of 9 years in heart failure.
Electrocardiography shows arrhythmia with Premature ventricular contraction and
non-sustain ventricular tachycardia. Echocardiogram was done that showed left
ventricle systolic function, LVEF 10% with dilated left atrium, and left
ventricle with mild mitral and tricuspid regurgitation. Estimated RVSP of 30
mmHg. No LVOTO and no RVOTO. There is multiple thrombosis. Conclusions
and Outcome. There is Limited literature on the use of point-of-care
ultrasound especially cardiac in an emergency setting which is considered a
cornerstone in the diagnosis and management of critical conditions we would
like to guide the emergency physician to use point-care ultrasound as routine
in suspecting cardiac cases. This case report was done to emphasize point care
ultrasound in the emergency department for any critical case to help improve
patient survival rate and decrease the mortality rate. Also, extend our scope
of thinking regarding intracardiac thrombosis in the pediatric age group that
presented with heart failure.
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Pages:16-18
How to cite this article:
Abdullah Mohammed Kamel, Abdullah Y Akkam, Rafaa Hassan Fathi, Asma Abdullatif Alzaid, Seham Abdu Alhajoori "Importance of cardiac point-of-care ultrasound in the pediatric emergency department. case report". International Journal of Medical and Health Research, Vol 9, Issue 4, 2023, Pages 16-18
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