Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound

Case Presentation: A 34-year-old woman presented to the emergency department with bilateral lower extremity edema and shortness of breath. She had been seen by her primary care provider. Lab work and a follow-up with endocrinology had been unrevealing. Using point-of-care ultrasound we identified a...

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Autores principales:	Mark McIntyre, Michael I. Prats
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/4d568a43e81042e1904fe6d0d13f140f
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spelling	oai:doaj.org-article:4d568a43e81042e1904fe6d0d13f140f2021-11-23T20:02:52ZAdrenocortical Carcinoma Discovered with Point-of-care Ultrasound2474-252X10.5811/cpcem.2021.5.51875https://doaj.org/article/4d568a43e81042e1904fe6d0d13f140f2021-11-01T00:00:00Zhttps://escholarship.org/uc/item/3dp355p2https://doaj.org/toc/2474-252XCase Presentation: A 34-year-old woman presented to the emergency department with bilateral lower extremity edema and shortness of breath. She had been seen by her primary care provider. Lab work and a follow-up with endocrinology had been unrevealing. Using point-of-care ultrasound we identified a cystic mass in the right upper quadrant prompting further imaging. Discussion: Abdominal and pelvic computed tomography confirmed a mass in the right posterior liver, which was later identified as an adrenocortical carcinoma. Ultrasound is an important diagnostic tool in the setting of lower extremity edema and can be used to assess for heart failure, liver failure, obstructive nephropathy, venous thrombosis, and soft tissue infection. In this case, ultrasound helped expedite the diagnosis and treatment of a rare malignancy.Mark McIntyreMichael I. PratseScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Mark McIntyre Michael I. Prats Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound
description	Case Presentation: A 34-year-old woman presented to the emergency department with bilateral lower extremity edema and shortness of breath. She had been seen by her primary care provider. Lab work and a follow-up with endocrinology had been unrevealing. Using point-of-care ultrasound we identified a cystic mass in the right upper quadrant prompting further imaging. Discussion: Abdominal and pelvic computed tomography confirmed a mass in the right posterior liver, which was later identified as an adrenocortical carcinoma. Ultrasound is an important diagnostic tool in the setting of lower extremity edema and can be used to assess for heart failure, liver failure, obstructive nephropathy, venous thrombosis, and soft tissue infection. In this case, ultrasound helped expedite the diagnosis and treatment of a rare malignancy.
format	article
author	Mark McIntyre Michael I. Prats
author_facet	Mark McIntyre Michael I. Prats
author_sort	Mark McIntyre
title	Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound
title_short	Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound
title_full	Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound
title_fullStr	Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound
title_full_unstemmed	Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound
title_sort	adrenocortical carcinoma discovered with point-of-care ultrasound
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/4d568a43e81042e1904fe6d0d13f140f
work_keys_str_mv	AT markmcintyre adrenocorticalcarcinomadiscoveredwithpointofcareultrasound AT michaeliprats adrenocorticalcarcinomadiscoveredwithpointofcareultrasound
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Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound

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