Female 92 yo, complaint of a right chest pain and subcostal pain for 5 days that gets more painful when coughing and moving. In emergency examination, she is in consciousness and well contact.
Pouls and blood tension are normal
EKG PoC at bed :Ischemic myocardial regions in lateral anterior, lateral high and diaphragmatic of heart.
Chest X-Rays PoC (in supine) results: Cardiopathy due to atherosclerosis, nothing abnormal detected of lungs, pleural and thoracic cage, elevated right diaphragm.
Lung Ultrasound PoCUS
No pneumothorax proved by existing sliding sign (+).
No pleural effusion
Abdomen Ultrasound PoCUS = No free fluid, no findings of contusion of solid organs = liver, spleen, pancreas, kidneys.
Thoracic wal ultrasound PoCUS= Light fracture of 3rd rib anterior arcade without deplacement, and soft tissue around slight edema.
CONCLUSION:
PoCUS at home helps ruling out dangerous conditions like pneumothorax, hemopleuresis, hemoperitoneum, solid organ contusions. PoCUS may evaluate painful points and decide on site (at home) appropriate managements. In face- to - face contact, PoCUS may help patient coming down and getting out of anxiety in emergency.
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