Creating a community to answer #POCUS related questions! Add #askpocus and tag @askpocus - we’ll retweet your questions. Account run by @Manoj_Wickram
- Tweets 807
- Following 1,683
- Followers 3,610
- Likes 581
ALT A 26-year-old G2P2 patient presents to discuss contraception. She likes the convenience and reliability of an IUD, but is apprehensive because her sister told her that having her IUD placed was horribly painful. You discuss the literature surrounding IUD insertion discomfort and decide to proceed with IUD insertion under ultrasound guidance based on its proven success in reducing pain during this procedure. POCUS reveals a mid- position relatively straight uterus. Her cervical os is slightly patulous after 2 previous vaginal deliveries, so you elect to proceed with IUD insertion by the Uterine Sound Sparing Approach (UUSA)—which can also decrease pain with insertion.
ALT 📑In this Case Study, a 38-year-old woman presents for follow-up 6 weeks after routine placement of a copper IUD. She reports some intermittent spotting and mild pelvic discomfort over the past month. Exam demonstrates the IUD string extending 4 cm from cervical os (2 cm length documented on insertion). The IUD was removed and re-placement of the displaced IUD was recommended. However, the patient expresses concern about the discomfort and inconvenience of another follow-up pelvic exam, and the risk of having this happen again. She worries that an IUD may not be her best choice for contraception. Review her POCUS exam results and read more on Case Study#1 👉https://globalultrasoundinstitute.com/improving-iud-insertion-care-with-pocus/ #pocus #Ultrasound #MedicalEducation #MedEd #pocusEducation #askpocus #UltrasoundTraining #pocusTraining #iud
ALT WHAT’S YOUR DIAGNOSIS? You are conducting a follow up visit with your 80-year-old patient who was recently admitted, and then discharged from the inpatient with the diagnosis of COVID-19 pneumonia. You review the electronic medical record from the admission and can see the lab, imaging, and consult notes. Your patient informs you that she was initially feeling good after discharge, but has started to feel fatigued and short of breath in the last 3 days since discharge. However, your patient is also quite distressed at the thought of having to potentially be readmitted to the hospital if she does not improve. As part of your evaluation, you decide to do lung ultrasound to help determine next best steps in management.
