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基层医疗中的影像:痛风的床旁超声检查

Images in Primary Care Medicine: Point-of-Care Ultrasound in Gout.

作者信息

Espejo Dennis, Dearing Elizabeth, Ogle Kathleen Y, Portela Maria, Boniface Keith S

机构信息

Family Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

出版信息

Cureus. 2021 May 18;13(5):e15096. doi: 10.7759/cureus.15096.

Abstract

Gout is the most common crystal arthropathy and is frequently diagnosed and managed by primary care physicians. Point-of-care ultrasound (POCUS) is a valuable tool to aid in the diagnosis of gout via the identification of the double contour sign, aggregates of crystals, tophi, and erosions. In addition, POCUS can aid in the management of gout by recognizing early signs of gout, monitoring the effectiveness of urate-lowering therapy, and guiding aspiration and corticosteroid injection.

摘要

痛风是最常见的晶体性关节病,初级保健医生经常对其进行诊断和管理。床旁超声(POCUS)是一种有价值的工具,可通过识别双轮廓征、晶体聚集体、痛风石和侵蚀来辅助痛风的诊断。此外,床旁超声可通过识别痛风的早期迹象、监测降尿酸治疗的效果以及指导穿刺和皮质类固醇注射来辅助痛风的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8d3/8211301/ce272e9f3ab9/cureus-0013-00000015096-i01.jpg

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