Ultrasound scanning by emergency physicians in jaundice patient

Abstract

Results On arrival had malaise, was hypotensive, febrile, tachycardic and universal jaundice. The analyzes highlighted a bilirubin of 9.52 at the expense of direct fraction (8.60 mg / dl), and 22.500 leukocytes with neutrophilia. She underwent a bedside abdominal ultrasound where we found a central hyperechoic endoprosthetic image with acoustic shadowing, compatible with biliary litiasis. The patient was derived for urgent endoscopic retrograde cholangiopancreatography, sphincterotomy, removal of prosthesis, washing and placement 10 French prostheses, allowing a favorable evolution of the patient discharged within 72 hours without complications. Conclusion The use of stents as temporary drainage of the bile duct as palliative treatment for pancreatic head tumors is an effective, useful, safe and effective, it also represents a decrease in short-term mortality in these patients, and improved survival. The use of ultrasound in emergency allows us greater agility and speed in the diagnosis of prosthetic obstructions, allowing a more integrated management of the same. As shown in the case that concerns us a bedside ultrasound by Emergency Physicians favored a quick and agile diagnosis of biliary sepsis patient suffering, allowing prompt treatment and an early solution to the problem.