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  • Emergency Ultrasound (EUS) 教學 - 急診超音波在感染控制之應用 - 講義

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    juice119
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    This document discusses the use of emergency ultrasound (EUS) in infection control and management of sepsis. It provides an overview of how EUS can be used to identify potential infection sources and guide therapeutic procedures in various body systems including the lungs, chest, kidneys, gallbladder, liver, pancreas, spleen, abdomen, and soft tissues. Examples of specific infections that can be imaged include pneumonia, lung abscess, pyonephrosis, cholecystitis, liver abscess, splenic abscess, diverticulitis, and soft tissue abscesses. The role of EUS is highlighted in diagnosing lesions, assisting procedures, and guiding therapy in the evaluation and treatment of sepsis.

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    Emergency Ultrasound (EUS)教學_急診超音波在感染控制之應用_講義

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    This document discusses the use of emergency ultrasound (EUS) in infection control and management of sepsis. It provides an overview of how EUS can be used to identify potential infection sources and guide therapeutic procedures in various body systems including the lungs, chest, kidneys, gallbladder, liver, pancreas, spleen, abdomen, and soft tissues. Examples of specific infections that can be imaged include pneumonia, lung abscess, pyonephrosis, cholecystitis, liver abscess, splenic abscess, diverticulitis, and soft tissue abscesses. The role of EUS is highlighted in diagnosing lesions, assisting procedures, and guiding therapy in the evaluation and treatment of sepsis.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    427 views97 pages

    Emergency Ultrasound (EUS) 教學 - 急診超音波在感染控制之應用 - 講義

    Uploaded by

    juice119
    This document discusses the use of emergency ultrasound (EUS) in infection control and management of sepsis. It provides an overview of how EUS can be used to identify potential infection sources and guide therapeutic procedures in various body systems including the lungs, chest, kidneys, gallbladder, liver, pancreas, spleen, abdomen, and soft tissues. Examples of specific infections that can be imaged include pneumonia, lung abscess, pyonephrosis, cholecystitis, liver abscess, splenic abscess, diverticulitis, and soft tissue abscesses. The role of EUS is highlighted in diagnosing lesions, assisting procedures, and guiding therapy in the evaluation and treatment of sepsis.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 97

    Emergency Ultrasound (EUS)

    Scenario
    49 Your impression ?? Next step ?? Role of EUS ??

    2008 ACEP EUS scope of practice

    Whole-Body approach at the bedside

    Fever of Unknown Sonographic Origin (FUSO)

    EUS application (abdomen)

    Role of US in infection control


    Identify infection sources Guide therapeutic procedures

    Sepsis workup
    Lung and pleural spaces Genitourinary system Intra-abdominal infection
    Solid organs Hollow organs Peritoneal cavity

    Skin and soft-tissue

    Chest

    Normal US appearance of the chest

    Bat / Lung sliding / Seashore sign

    Pleural effusion

    Basic US patterns of PLE

    Purulent Pleurisy

    Simple PLE

    Empyema

    Alveolar consolidation

    Pneumonia

    Necrotizing Pneumonia

    Fluid-bronchogram

    Pyopneumothorax

    Air-bronchogram

    Lung abscess

    Lung and chest wall abscess

    X-ray

    Back scan for consolidation

    Dynamic air-bronchogram

    Necrotizing pneumonia

    Lung abscess

    Fungal infection

    Hydronephrosis

    Pyonephrosis

    Renal abscess

    Pyonephrosis

    Infected cyst

    Renal abscess

    Gas within kidney

    Psoas muscle abscess

    Fourniers gangrene

    BTI

    CBD stone with obstruction

    GB stone

    Acute cholecystitis

    Cardiac gallbladder and acute acalculous cholecystitis

    Acute calculous cholecystitis

    GB empyema

    Liver abscess

    Infected hepatic cyst

    Liver abscess

    Subphrenic area

    miss

    Gas: comet-tail artifact

    Liver abscess ?

    Subphrenic abscess

    Complicated pancreatitis

    Spleen

    If A B is >20 cm2, splenomegaly is considered.

    Splenic abscess

    Abscess & Gas

    Paracentesis

    Clear ascites

    Postoperative peritonitis

    Dirty ascites

    Pneumoperitoneum

    Fever with AMS

    Pseudomembranous colitis

    Colitis

    Diverticulitis with abscess

    Retrocecal appendicitis rupture

    Post-appendectomy fever

    Post-LC fever

    Epigastric pain with fever

    Skin and soft tissue


    18 y/o M, Rt leg cellulitis

    Thigh abscess

    Soft tissue abscess

    Gas-forming abscess

    Urachal cyst infection

    Thigh abscess

    Padding

    43M with fever and right hip pain

    Localize & Assist aspiration

    Fever with left inguinal pain

    56M with left inguinal pain and fever

    73M, NF, Aeromonas hydrophila

    78M, NF (KP)

    Infected Thrombophlebitis

    Floating Thrombosis

    Right subclavian thrombosis

    Maxillary Sinusitis

    Intracranial hypertension in bacterial meningitis

    62M with fever and septic shock

    Right eye redness

    Vegetation

    Clinical Decision Making 57 y/o M, HR 119, BP 69/34, SpO2 82%

    Take Home Message Recognize four patterns

    Gas Fluid Solid Movement

    EUS for Sepsis Integrated Application


    Diagnose lesion Assist procedure Guide therapy

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