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Related Experiment Video

Updated: Jan 29, 2026

The Application of Point-of-Care Ultrasonography (POCUS) in the Management of Acute Respiratory Distress Syndrome (ARDS) in the Intensive Care Unit
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Triple POCUS: A New Approach to an Old Problem.

Rafael Silva1, Diana Gonçalves1, João Pina Cabral1

  • 1Internal Medicine, Centro Hospitalar de Coimbra, Coimbra, Portugal.

European Journal of Case Reports in Internal Medicine
|February 14, 2019
PubMed
Summary
This summary is machine-generated.

Triple point-of-care ultrasonography (POCUS) aids in diagnosing pulmonary embolism (PE) when CTPA is unavailable. This multiorgan approach, examining the lung, heart, and leg veins, can supplement clinical assessment for PE diagnosis.

Keywords:
Point-of-care ultrasonographydeep vein thrombosispulmonary embolismtriple POCUS

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Area of Science:

  • Medical Diagnostics
  • Cardiovascular Imaging
  • Pulmonology

Background:

  • Pulmonary embolism (PE) is a critical and challenging diagnosis within venous thromboembolism.
  • Current diagnostic protocols often rely on computed tomographic pulmonary angiography (CTPA), which may not always be accessible.
  • Point-of-care ultrasonography (POCUS) offers a potential complementary diagnostic tool.

Purpose of the Study:

  • To evaluate the utility of triple POCUS (lung, heart, leg veins) in diagnosing PE.
  • To present a case where triple POCUS was used in the absence of CTPA.
  • To highlight POCUS as a potential adjunct in PE evaluation.

Main Methods:

  • Case report of a 26-year-old male with suspected PE (Wells score 9).
  • Triple POCUS assessment including lung, heart, and leg veins.
  • Comparison of POCUS findings with standard diagnostic pathways.

Main Results:

  • Triple POCUS identified subpleural consolidations and a popliteal vein thrombus.
  • A diagnosis of deep vein thrombosis with PE was established, enabling immediate treatment.
  • CTPA was unavailable at the time of presentation.

Conclusions:

  • Triple POCUS can be valuable in specific clinical scenarios, especially when CTPA is unavailable or contraindicated.
  • Integrating POCUS into physical examination may enhance PE assessment.
  • Combined approach of clinical assessment, D-dimer, and CTPA remains the gold standard, but POCUS offers a useful alternative.