The University of Arizona, Department of Emergency Medicine, Tucson, Arizona.
The University of Arizona, College of Medicine, Tucson, Arizona.
West J Emerg Med. 2021 Jan 29;22(2):284-290. doi: 10.5811/westjem.2020.10.48008.
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.
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.
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.
Our study findings illustrate the utility of POCUS in the evaluation of a variety of breast complaints in the ED.
随着医生在急诊科（ED）对各种症状的患者进行床边即时超声检查（POCUS）变得越来越普遍，一种应用得明显较少的技术是乳房超声检查。本研究评估了 POCUS 在评估因乳房症状就诊于 ED 的患者中的应用价值，以及 POCUS 对 ED 中医疗决策和患者管理的影响。
这是一项对接受 POCUS 检查的因乳房症状就诊于 ED 的患者进行的回顾性研究。对 ED 的 POCUS 数据库进行了回顾，以查找乳房 POCUS 检查。然后，我们查阅了电子病历，以了解患者的人口统计学特征、病史、体检结果、ED 病程、其他影像学检查以及 POCUS 检查对患者治疗和处置的影响。
我们最终分析中总共纳入了 40 名患者（36 名女性，4 名男性）。最常见的症状是乳房疼痛（57.5%）和可触及的肿块（37.5%）。“鹅卵石征”，即密集不平的外观，是乳房 POCUS 最常见的表现，在 50%的患者中可见。37.5%的患者发现单纯性积液。
我们的研究结果表明，POCUS 在 ED 中评估各种乳房症状具有一定的应用价值。
