Acute appendicitis is a frequent predominant pathology in pediatric ages. This pathology constitutes the main cause of acute surgical abdomen in emergencies. (
The early diagnosis of acute appendicitis is essential, it is generally through physical evaluation and clinical examination, however, the use of paraclinical studies, whether laboratory and imaging, help the surgeon to have a better pre-surgical vision, being more complete for each case and to have data that may be relevant to determine the approach or other relevant aspects to decide behaviors before, during and after the surgical act. Ultrasound is useful in all cases where acute appendicitis is suspected, especially when there is a diagnostic doubt based on the clinic or laboratory.
Ultrasound can provide important information, especially in cases where there are doubts regarding the diagnosis, ultrasound can be a very useful tool for the surgeon.
Purpose or objective: To establish the findings of lung ultrasound (LUS) and the final outcome in patients with a diagnosis of COVID-19. Methods: This is a descriptive, prospective, longitudinal study. We studied all patients admitted to the health center who were diagnosed with COVID-19 and who underwent LUS. These 13 patients were evaluated by lung ultrasound and the US findings were associated with the final evolution of the patient. Results: 13 patients were evaluated, 8 (61.57%) men and 5 (38.46%) women, between 30 and 86 years old, with 1 to 4 follow up ultrasounds. 9 recovered and 4 died. A statistically significant relationship was demonstrated between: death as the final outcome and the presence of 11 or 12 affected areas of the 12 evaluated by LUS, regardless of the pathological pattern they presented (p <0.01). A statistically significant relationship was demonstrated between death as the final outcome of the patient and the presence of subpleural consolidations in at least 6 of the 12 areas evaluated by LUS during follow up (p <0.05). Conclusion: The presence of 11 or 12 areas affected by any pathological pattern on LUS and the presence of 6 or more areas with subpleural consolidations are ultrasound factors of poor prognosis in patients with COVID-19 disease. (p <0.01) and (p <0.05) respectively.
Inicialmente el ultrasonido torácico no era incluido entre los métodos de evaluación principales para las estructuras torácicas, esto basado en el concepto de la limitación que genera el aire para la visualización de estructuras mediante el uso de ultrasonidos, sin embargo en los últimos años aumentó el uso de la ecografía a nivel general y se implementó así mismo el uso del ultrasonido torácico, esto se debe a su amplia disponibilidad, bajo costo y ausencia de radiaciones, asociado al hecho de que puede brindarnos importante información, en el contexto de alguna patología torácica, permitiendo así su diagnóstico oportuno, tomando vital relevancia en las áreas de emergencias.