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Medicine in Image
Contribution of point of care ultrasound in the diagnostic approach in HIV patient with right hemifacial progressive edema
Aportación de la ecografía clínica ante un paciente infectado por VIH con edema hemifacial derecho de instauración progresiva
J.T. Algado
Corresponding author
josetomas.algado@gmail.com

Corresponding author.
, P. Oteo López, A.M. Garijo Sáiz
Servicio de Medicina Interna, Hospital Marina Baixa, Villajoyosa, Alicante, Spain
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    "titulo" => "Contribution of point of care ultrasound in the diagnostic approach in HIV patient with right hemifacial progressive edema"
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        "titulo" => "Aportaci&#243;n de la ecograf&#237;a cl&#237;nica ante un paciente infectado por VIH con edema hemifacial derecho de instauraci&#243;n progresiva"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The use of point-of-care ultrasonography has been generalized in many internal medicine departments&#46; The advantages of this type of ultrasonography are the availability of immediate data that enable more flexible decisions to be made&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">We present the case of a 60-year-old man who was admitted to the emergency department presenting right lateral cervical pain with progressive swelling that started 6 days earlier&#46; The patient had undergone treatment with azithromycin and antitussive agents&#44; without improvement&#46; The patient&#39;s history included long-standing HIV infection and a tobacco use of 40 packs-year&#46; The physical examination showed an increase in soft tissue in the right lateral cervical level&#44; extending to the clavicular and submental region&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Point-of-care ultrasound revealed the presence of an extensive thrombosis of the right jugular vein&#44; a thrombus with a heterogeneous echostructure of approximately 3<span class="elsevierStyleHsp" style=""></span>cm in diameter&#44; the absence of flow throughout the trajectory and the inability to compress the vessel &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">These findings were confirmed by a cervical-thoracic-abdominal computed tomography&#44; which showed the presence of jugular thrombosis &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41; and a metastatic lung tumor whose biopsy corresponded to pulmonary adenocarcinoma&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Algado JT&#44; Oteo L&#243;pez P&#44; Garijo S&#225;iz AM&#46; Aportaci&#243;n de la ecograf&#237;a cl&#237;nica ante un paciente infectado por VIH con edema hemifacial derecho de instauraci&#243;n progresiva&#46; Rev Clin Esp&#46; 2020&#59;220&#58;264&#8211;264&#46;</p>"
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Article information
ISSN: 22548874
Original language: English
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