Open AccessUse of point‐of‐care ultrasound to diagnose an alternate cause of flank pain in a patient with presumed renal colic
Author(s) -
Shalabi Abdullah Ghazi,
Henaidi Marwan Hussain,
Bakhsh Raghad Sami,
Sulaiman Afnan Ahmad,
Alhawsawi Dhuha Abdulaziz,
Hussein Waleed M.
Publication year - 2021
Publication title -
journal of the american college of emergency physicians open
Language(s) - English
Resource type - Journals
ISSN - 2688-1152
DOI - 10.1002/emp2.12342
Subject(s) - medicine , flank pain , renal colic , emergency department , thrombus , chest pain , ultrasound , radiology , pulmonary embolism , point of care ultrasound , ventricle , cardiology , pathology , alternative medicine , psychiatry
This is a case of a 34‐year‐old male patient who presented to the emergency department (ED) with severe left flank pain. Due to the patient's cardiac history, elevated troponin, lactic acidosis, and lack of renal calculi on a noncontrast CT, focused cardiac ultrasound was performed, which showed left ventricle thrombus. The patient was later found to have bi‐interventricular thrombi causing both pulmonary embolism and renal infarction. This is an uncommon diagnosis in the ED, where point‐of‐care ultrasound helped in diagnosing and guiding the management and disposition of this case.