POCUS Evaluation in Acute Kidney Injury.

Autor:	Hoytfox VA; Providence Internal Medicine Residency Spokane, Providence Health Care Spokane, WA United States of America., Ward BC; Providence Internal Medicine Residency Spokane, Providence Health Care Spokane, WA United States of America., Cox EJ; Providence Medical Research Center, Providence Health Care Spokane, WA United States of America., Zhang KX; Providence Internal Medicine Residency Spokane, Providence Health Care Spokane, WA United States of America.
Jazyk:	angličtina
Zdroj:	POCUS journal [POCUS J] 2021 Nov 23; Vol. 6 (2), pp. 67-69. Date of Electronic Publication: 2021 Nov 23 (Print Publication: 2021).
DOI:	10.24908/pocus.v6i2.14775
Abstrakt:	Acute kidney injury is a common clinical problem encountered in general internal medicine. The evaluation of acute kidney injury is mainly driven by the patient's clinical history, physical exam, and laboratory investigation including urinalysis and urine sediment examination. Point of care ultrasound (POCUS) may be a useful tool to help clinicians to narrow and/or prioritize differential diagnosis in patients presenting with acute kidney injury. Here we present a case of a 67-year-old male presenting with dysuria, fevers, and flank pain along with elevation in serum creatinine who was admitted with concern for acute kidney injury secondary to complicated urinary tract infection. Subsequent kidney POCUS of the kidneys and bladder showed bilateral anechoic fluid collection within the kidney sinus with dilated calyces suggestive of bilateral hydronephrosis, most likely due to a new diagnosis of benign prostatic hyperplasia. This case demonstrates the use of POCUS-obtained valuable diagnostic information and subsequent therapeutic management for this patient presenting with suspected acute kidney injury. Competing Interests: The authors have no disclosures to report. (Copyright (c) 2021 Vanessa Hoytfox, Brittney Ward, Emily Cox, Kang Zhang.)
Databáze:	MEDLINE
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