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Clin Pract Cases Emerg Med · May 2020
Case ReportsEarly Multi-organ Point-of-Care Ultrasound Evaluation of Respiratory Distress During SARS-CoV-2 Outbreak: Case Report.
- Robert Farrow, Graham Becherer-Bailey, Daniel Mantuani, and Arun Nagdev.
- Highland Hospital / Alameda Health System, Department of Emergency Medicine, Oakland, California.
- Clin Pract Cases Emerg Med. 2020 May 1; 4 (2): 129-133.
IntroductionCoronavirus disease 2019 (COVID-19) is caused by the virus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Several case series from Italy and China have highlighted the lung ultrasound findings of this disease process and may demonstrate its clinical utility during the current pandemic.Case ReportWe present a case of a COVID-19 patient who presented to the emergency department twice within a 24-hour period with rapidly progressing illness. A multi-organ point-of-care ultrasound (POCUS) evaluation was used on the return visit and assisted clinical decision-making.DiscussionA multi-organ POCUS exam allows for quick assessment of acute dyspnea in the emergency department. As the lung involvement of COVID-19 is primarily a peripheral process it is readily identifiable via lung ultrasound. We believe that when applied efficiently and safely a POCUS exam can reduce clinical uncertainty and potentially limit the use of other imaging modalities when treating patients with COVID-19.ConclusionThis case highlights the utility of an early multiorgan point-of-care assessment for patients presenting with moderate respiratory distress during the severe SARS-CoV-2 pandemic.Copyright: © 2020 Farrow et al.
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