BACKGROUND Point-of-Care Ultrasound (PoCUS) is considered as an extension of clinicians' patient care and can be integrated into daily clinical practice. Dyspnea is a common presentation in uremic patients. With the aids of PoCUS and integrated assessments of lung, heart and inferior vena cava (IVC), the etiology of dyspnea in uremic patients can be determined earlier. CASE PRESENTATION A 67-year-old woman presented with progressive shortness of breath and bilateral legs edema for 3 weeks. The laboratory data revealed marked elevated level of serum creatinine and blood urea. A large amount of pericardial effusion was timely detected by PoCUS. Uremic pericarditis was suspected. Emergent hemodialysis was initiated and her symptoms improved. CONCLUSIONS PoCUS is a noninvasive and cost-effective imaging modality and it has been popular in the emergency department (ED). In uremic patients presenting with dyspnea, the integration of PoCUS into traditional physical examinations help emergency physicians narrow down the differential diagnoses.

中文翻译：

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呼吸困难性尿毒症患者管理中的即时护理超声：一个病例报告。

背景技术护理点超声（PoCUS）被认为是临床医生对患者护理的扩展，并且可以被整合到日常临床实践中。呼吸困难是尿毒症患者的常见表现。借助PoCUS以及对肺，心脏和下腔静脉（IVC）的综合评估，可以更早地确定尿毒症患者的呼吸困难的病因。病例介绍一名67岁的女性表现为进行性呼吸急促和双侧腿浮肿持续3周。实验室数据显示血清肌酐和血尿素水平明显升高。PoCUS及时检测到大量心包积液。怀疑有尿毒症性心包炎。开始进行紧急血液透析，症状得到改善。结论PoCUS是一种无创且具有成本效益的成像方式，在急诊科中很受欢迎。对于表现为呼吸困难的尿毒症患者，将PoCUS整合到传统的体格检查中有助于急诊医师缩小鉴别诊断的范围。