A systematic approach in emergency ultrasound diagnostics (review of clinical cases)

Zotova N. V.
MD, Head, Sonographic Department, Sonographer¹

Taran O. P.
MD, Sonographer¹

An G. F.
MD, Sonographer¹

Savchenko E. N.
MD, Sonographer¹

1 - 1602 Military Clinical Hospital, Ministry of Defense of Russia; Rostov-on-Don, Russian Federation

Zotova Natalya Viktorovna; e-mail: 89185841848aa@gmail.com.

None declared.

There was no sponsorship.

Results of the research presented in this article are based on many years experience of ultrasound examinations at the 1602nd Military Clinical Hospital of the Russian Ministry of Defense. Improvements of diagnoses at the primary stage as well as reductions of the number of diagnostic errors by means of a systematic and multidisciplinary approach to urgent ultrasound examinations are presented. These improvements are needed for accurate and rapid diagnosis of a wide range of diseases on the admission stage at a multiprofile hospital. Such a versatile patient examination allows hospital staff to apply therapeutic measures as quickly as possible. We present an analysis of the structure for a most common pathologies detected during ultrasound examinations for urgent indications as well as an algorithm for conducting urgent ultrasound tests. Demonstrative clinical cases that prove urgent importance for advanced diagnostic search are also discussed. These cases are believed to be important when conducting ultrasound diagnostics for complex and diagnostically «incomprehensible» patients.

ultrasound diagnostics, ultrasound researches, diagnostics for urgent indications, interesting clinical cases, advanced diagnostic search

10.29234/2308-9113-2022-10-3-72-84

1. Shavrina N.V., Yartsev P.A., Lebedev A.G., Levitsky V.D., Drаyer M.N., Tsuleiskiri B.T., Khamidova L.T., Antonyan S.Z. Znachenie ul'trazvukovogo issledovaniya v diagnostike ostroj strangulyacionnoj tonkokishechnoj neprohodimosti. [Value of the ultrasound research in the diagnostic of acute strangulated small bowel obstruction.] Medicinskaya vizualizaciya [Medical Visualization] 2021; 25(3): 31-42, doi: 10.24835/1607-0763-875 (In Russ.)

2. Ikramov A.I., Khalibaeva G.B. Luchevaya diagnostika povrezhdenij mochevogo puzyrya i uretry pri travme taza. [Radiology diagnostics of bladder and urethral injuries in pelvic trauma.] Medicinskaya vizualizaciya [Medical Visualization] 2019; 23(2): 109-118. doi: 10.24835/1607-0763-2019-2-109-118 (In Russ.) 

3. Delorme S., Debu Yu., Yenderka K.-V. Rukovodstvo po ul'trazvukovoj diagnostike. [Guide to ultrasound diagnostics.] Мoscow: MEDpress-inform, 2016. (In Russ.) 

4. Avakyan Sh.G., An G.F., Zotova N.V., Fokina M.A. K voprosu ul'trazvukovoj diagnostiki nekotoryh zabolevanij pri okazanii medicinskoj pomoshchi po neotlozhnym pokazaniyam v praktike vrachej ul'trazvukovoj diagnostiki [On the issue of ultrasound diagnostics of certain diseases with providing health care for emergency indications in practice of ultrasound diagnostics.] Glavnyj vrach Yuga Rossii [Chief Physician of the South of Russia] 2018; 62(3): 20-22. (In Russ.)

5. Matsas A., Marochkov A.V., Kapustin S.V. Ul'trazvukovoe issledovanie v intensivnoj terapii i anesteziologii. 2-e izd. [Ultrasound examination in intensive therapy and anesthesiology. Second edition.] Moscow: MEDpress-inform, 2021. (In Russ.)

6. Penny S.M. Spravochnik po ul'trazvukovomu issledovaniyu organov bryushnoj polosti. Ul'trazvukovaya anatomiya i protokoly issledovanij. [Reference book of ultrasound examination of abdominal organs. Ultrasound anatomy and research protocols.] Moscow: MEDpress-inform, 2022. (In Russ.)

7. Kokoev V.G., Avakyan Sh.G., Kashaev O.A., Bozhenko O.P. K voprosu organizacii neotlozhnyh ul'trazvukovyh issledovanij v usloviyah mnogoprofil'nogo specializirovannogo lechebnogo uchrezhdeniya. [On the issue of the organization of urgent ultrasound examinations in a multidisciplinary specialized medical institution.] Glavnyj vrach Yuga Rossii [Chief Physician of the South of Russia] 2015; 42(1): 45-47. (In Russ.)

8. Mitkov V.V. Prakticheskoe rukovodstvo po ul'trazvukovoj diagnostike. Obshchaya ul'trazvukovaya diagnostika. 3-e izd., pererab. i dop. Practical guide to ultrasound diagnostics. [General ultrasound diagnostics. Third edition, revised and expanded.] Moscow: VIDAR, 2019. (In Russ.)

9. Ma O.J., Blaves M., Mateer J.R. Ul'trazvukovoe issledovanie v neotlozhnoj medicine. [Ultrasound examination in emergency medicine.] Moscow: Prosveshchenie/Binom, 2019. (In Russ.)

10. Bovtyuk N.Yu., Nikolaev N.E., Popkov O.V. Ostryj appendicit. Uchebno-metodicheskoe posobie. [Acute appendicitis. Educational and methodical manual.] Minsk.: BGMU, 2011. (In Russ.)

11. Allahverdov Yu.A. Ul'trazvukovaya diagnostika. Atlas. [Ultrasound diagnostics. Atlas.] Мoscow: VIDAR, 2019. (In Russ.)

12. Stepanova Yu.A., Alimurzaeva M.Z., Ionkin D.A. Ul'trazvukovaya differencial'naya diagnostika kist i kistoznyh opuholej selezenki. [Ultrasonic differential diagnostics of cyst and cystic tumors of the spleen.] Medicinskaya vizualizaciya [Medical Visualization] 2020; 24(3): 63-75, doi: 10.24835/1607-0763-2020-3-63-75 (In Russ.).