Haimowitz Michelle, Gonzalez Laura K
Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York.
Clin Pract Cases Emerg Med. 2022 Feb;6(1):17-20. doi: 10.5811/cpcem.2021.9.53714.
This case report of renal vein thrombosis found on emergency bedside ultrasound illustrates the expanding role of point-of-care ultrasound (POCUS) in rapidly identifying rare renal pathologies.
A 16-year-old female with a complex medical history presenting with right-sided abdominal pain and tenderness was found to have significant renal POCUS findings consistent with renal vein thrombosis.
In the medically complex patient with nonspecific chief complaints, it can be challenging to rapidly narrow a broad differential diagnosis. Point-of-care ultrasound has proven to be an extremely useful tool for this purpose. As emergency physicians become more proficient in the use of ultrasonography, it is likely that POCUS will be used with increasing frequency to identify additional pathology outside its traditional applications.
本病例报告展示了在急诊床边超声检查中发现的肾静脉血栓形成，说明了即时超声检查（POCUS）在快速识别罕见肾脏病变方面日益扩大的作用。
一名有复杂病史的16岁女性，出现右侧腹痛和压痛，经即时超声检查发现有与肾静脉血栓形成相符的显著肾脏检查结果。
对于有复杂病史且主诉不明确的患者，迅速缩小广泛的鉴别诊断范围可能具有挑战性。即时超声检查已被证明是用于此目的的极其有用的工具。随着急诊医生在超声检查使用方面变得更加熟练，即时超声检查很可能会越来越频繁地用于识别其传统应用之外的其他病变。
