Figure 4- - uploaded by Ryu Tofts
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Source publication
A 72-year-old man was brought to the ED after passing melena for 1 day and multiple falls. The patient had recently undergone a lobectomy for non-small cell lung cancer and was recovering in a rehabilitation facility. He had a history of ischemic stroke and was taking an oral direct thrombin inhibitor. At presentation, he was conversant and hemodyn...
Context in source publication
Context 1
... e classic four probe positions for FAST are (1) hepatorenal (Morrison's pouch), (2) epigastrum and pericardial, (3) splenorenal, and (4) the pelvic space (pouch of Douglas) 3 ( Fig 4 ). Th e normal and abnormal appearances of these areas are shown in Video 7 (normal appearance followed by abnormal), along with features such as gut sliding (bowel organs moving against the peritoneal wall, liver, spleen, or bowel), peristalsis of the gut, and presence and absence of fl uid. ...
Citations
Ultrasonography is an essential imaging modality in the ICU used to diagnose and guide the treatment of cardiopulmonary failure. Critical care ultrasonography requires that all image acquisition, image interpretation, and clinical applications of ultrasonography are personally performed by the critical care clinician at the point of care and that the information obtained is combined with the history, physical, and laboratory information. Point-of-care ultrasonography is often compartmentalized such that the clinician will focus on one body system while performing the critical care ultrasonography examination. We suggest a change from this compartmentalized approach to a systematic whole-body ultrasonography approach. The standard whole-body ultrasonography examination includes thoracic, cardiac, limited abdominal, and an evaluation for DVT. Other elements of ultrasonography are used when clinically indicated. Each of these elements is reviewed in this article and are accompanied by a link to pertinent cases from the Ultrasound Corner section of CHEST.
