JC: POCUS Detecting Papilledema & Evaluating Pyogenic Flexor Tenosynovitis

This weeks readings:

Ben-Yakov M, Desjardins M-P, Fischer JWJ. Emergency Point-of-Care Ultrasound Detection of Papilledema in the Pediatric Emergency Department. Pediatr Emerg Care. 2015;31(11):766-770. [Attached]

Questions:

  1. What does the author mean when he states, "POCUS has the potential to aid in difficult diagnostic scenarios by contributing an additional piece of the clinical puzzle at the bedside to confirm a high pretest probability diagnosis and to expedite the appropriate patient care”?
  2. Is the author being too cautious?  Should this technique be used clinically?
 

Cohen SG, Beck SC. Point-of-Care Ultrasound in the Evaluation of Pyogenic Flexor Tenosynovitis. Pediatr Emerg Care. 2015;31(11):805-807. [Attached]

Questions:

  1. How did POCUS impact the care of this child?
  2. What are the limitations of assessing tendons with POCUS?
  3. Why is POCUS for the examination of MSK complaints not readily used in PEM?

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