Bambrick Chad, Khader Dalia, Mead Therese
Central Michigan University College of Medicine, Department of Emergency Medicine, Saginaw, MI.
J Educ Teach Emerg Med. 2021 Oct 15;6(4):V12-V14. doi: 10.21980/J8206G. eCollection 2021 Oct.
Point-of-care ultrasound is often used as first line imaging for the evaluation of flank pain in the emergency department and can potentially expedite diagnosis or decrease the use of abdominal CT scans, preventing unnecessary radiation exposure. This is a case report of a 77-year-old female who presented with acute flank pain. Point-of-care ultrasound revealed the absence of a ureteral jet on the right side, supporting the diagnosis of ureteral obstruction, which was confirmed on computed tomography. This case report aims to demonstrate the value of identification of ureteral jets when using point-of-care ultrasound to diagnose ureteral obstruction. Knowledge of more subtle and specific ultrasound findings such as this can help expedite more precise diagnoses.
Ureteral obstruction, ureteral jets, hydronephrosis, renal colic, renal calculi, point-of-care ultrasound, flank pain.
即时超声检查常用于急诊科评估胁腹痛的一线成像,有可能加快诊断速度或减少腹部CT扫描的使用,从而避免不必要的辐射暴露。本文报告一例77岁女性急性胁腹痛病例。即时超声检查显示右侧输尿管无喷射现象,支持输尿管梗阻的诊断,计算机断层扫描证实了这一诊断。本病例报告旨在证明在使用即时超声检查诊断输尿管梗阻时识别输尿管喷射现象的价值。了解此类更细微、更具特异性的超声检查结果有助于加快更精确的诊断。
输尿管梗阻、输尿管喷射、肾积水、肾绞痛、肾结石、即时超声检查、胁腹痛