Praxis
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Review Case Reports
[From whale bone to endoscope - diagnosis and treatment of achalasia].
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Focused ultrasound is a key methodology of critical care medicine. By referencing few ultrasound differential diagnosis, it is possible to identifying in real-time the reason of the critical state of a patient. ⋯ Focused echocardiographic evaluation in life support (FEEL) has been designed to be conformed with the universal Advanced Life Support (ALS) algorithm and to identify treatable conditions such as acute right ventricular pressure overload in pulmonary embolism, hypovolemia, or pericardial effusion/tamponade. Using lung ultrasound one can differentiate pulmonary edema, pleural effusion or pneumothorax.
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The correct setting of the ultrasound equipment is a prerequisite for a high quality of the ultrasound examination. Both the B-mode ultrasonography, as well as the Doppler technique offer interesting alternative settings that are often inadequately used. This brief summary of basic settings should help the practicing clinicians in everyday life and motivate them to deal with the «knobs» of the ultrasound device. Good practical help will provided by the «Sonocave» an event regularly organized at the annual ultrasonic training Congress in Davos, where recognized experts will answer such «Knobology»-questions and demonstrate the appropriate settings also practically.
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Since the early 1990's, ultrasound through the development of high-resolution probes in the musculoskeletal system has become more and more important. The development of ultrasound technology has gone hand in hand with the development of know-how in different clinical fields, so that diagnostic ultrasound has now become an indispensable diagnostic tool in orthopedics/traumatology, rheumatology and neurology. The following article will arouse curiosity and interest in musculoskeletal ultrasound.