Avtor/Urednik		Bergauer, Andrej; Kobilica, Nina; Flis, Vojko
Naslov		Ultrazvok abdominalne aorte in globokih ven v urgentni medicini - ocena cevi
Prevedeni naslov		Ultrasound of abdominal aorta and deep veins in emergency medicine - evaluating the pipes
Tip		članek
Vir		In: Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja 2010. Zbornik 17. mednarodni simpozij o urgentni medicini; 2010 jun 9-12; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2010
Obseg		str. 94-9
Jezik		slo
Abstrakt		Evaluation of pipes can be clinically challenging, specially in emergency clinic setting. This is specially true for conditions of vasculature that are threatening, have non-specific clinical presentation and wide differential diagnostic options. Rupture of abdominal aortic aneurism and deep vein thrombosis are one of those. Emergency US assesment of abdominal aorta is easy to learn, can be completed quickly and has high sensitivity and specificity. Two or three point compression ultrasonography for proximal deep vein thrombosis is simple to learn, but has lower sensitivity and specificity compared to emergency ultrasonography for aneurism. It is most useful in conjunction with clinical and risk assesment and d-dimer testing. Ultrasound used in emergency medicine is only an extension of clinical examination. Although it has undisputed high value, that is being objectively confirmed in recent years, it has to be observed together with clinical findings. Emergency US is most useful in situations where we are confronted with clinical setting with wide differential diagnostic options, the treatment plan of which is significantly different from the start.
Izvleček		Ocena cevi v urgentnih ambulantah je klinično zelo trd oreh, zlasti pri bolezenskih stanjih, katerih vzrok je obolenje obtočil, so ogrožujoča in imajo klinično sliko, ki sama po sebi ni specifična ali pa ima široke diferencialno diagnostične okvirje. Dve izmed takih stanj sta razpoka anevrizme abdominalne aorte in tromboza globokih ven udov. Ultrazvočni pregled abdominalne aorte je relativno lahko učljiv, izvesti ga je mogoče hitro in ima zelo visoko specifičnost in občutljivost. Dvo ali trotočkovni kompresijski pregled globokih ven nog je prav tako relativno enostaven, vendar ima opisano nekoliko slabšo specifičnost in senzitivnost kot pregled aorte, največjo vrednost ima skupaj s kliničnim pregledom in laboratorijskimi preiskavami. Ultrazvok v urgentni medicini je le podaljšek kliničnega pregleda. Kljub nedvomno veliki uporabni vrednosti, ki se jo v zadnjih letih tudi objektivno dokazuje, je vodilo obravnave vsake bolezni ali stanja klinična slika. Največjo vrednost ima v primerih, ko je klinična slika takšna, da dopušča široke diferencialno diagnostične možnosti, ki pa se že v začetni obravnavi bistveno razlikujejo.
Deskriptorji		AORTA, ABDOMINAL EMERGENCY MEDICINE