The Future Stethoscope

Abstract

Here are presenting two cases which highlight the importance of routine use of bedside ultrasonogram and echocardiogram in patients presenting to the emergency department with diverse presentation. We were able to detect two life threatening diseases - massive pulmonary embolism (PE) and ruptured abdominal aortic aneurysm (AAA) very early, which presented with seemingly benign symptoms. An AAA can be ruled out in a clinically suspected cases if the aortic diameter is found to be less than 3cm, with more than 90% sensitivity . Patients with PE usually present with unexplained hypoxia with risk factors for embolism. Well’s score of less than 2 is low risk, 2 to 6 is moderate risk and more than 6 is high risk for PE.