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Aten Primaria. 2018 Oct;50(8):500-508. doi: 10.1016/j.aprim.2017.11.007. Epub 2018 Mar 31.

[Point of Care Ultrasound in Primary Care. Is it a high resolution tool?]

[Article in Spanish]

Author information

1
Médico de Familia, CS Galapagar, Grupo de Trabajo Ecografía SoMaMFyC, Galapagar, Madrid, España. Electronic address: acalceb@gmail.com.
2
Médico de Familia, CS Dr. Mendiguchía Carriche, Grupo de Trabajo Ecografía SoMaMFyC, Leganés, Madrid, España.
3
Médico de Familia, Servicio de Urgencias Fundación Jiménez Díaz, Grupo de Trabajo Ecografía SoMaMFyC, Madrid, España.

Abstract

Point-of-Care Ultrasound is a method of performing a rapid clinical ultrasound, with the aim of responding to a clinical question immediately. This is not an ultrasound performed systematically as the radiologists do, nor does it pretend to replace it. It is useful in some kind of screening (abdominal aortic aneurysm) and is of special interest in ultrasound-guided procedures (joint infiltration by injection). It allows to adapt the derivations, minimising the uncertainty, ruling out certain pathologies due to its high diagnostic precision. It can also lead to overdiagnosis, if the examinations carried out are not limited to the organs on which our clinical suspicion is based. Ultrasound is one tool more in the diagnostic process, but its use must be limited to certain clinical situations. Its use in early detection of prevalent diseases in Primary Care should be properly evaluated. On the other hand with more evidence of a high diagnostic accuracy in a large list of pathological conditions.

KEYWORDS:

Herramienta de alta resolución; POCUS; Prymary Care Tool

PMID:
29609871
DOI:
10.1016/j.aprim.2017.11.007
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