Accepted: July 5, 2021

Received in revised form: July 1, 2021

Received: March 8, 2021

Conflicts of interest: Dr. Cameron Baston receives royalties on a point-of-care ultrasound textbook from McGraw Hill. Mary Barrosse-Antle, Kamin Patel, and Jeffrey Kramer have no conflicts of interest.

Funding information: none

Prior abstract publication/presentation: none

Case Example

A 73-year-old woman in the intensive care unit with septic shock due to spontaneous bacterial peritonitis develops left lower extremity redness, tenderness, and swelling. She has a history of cirrhosis complicated by portopulmonary hypertension and esophageal varices. She was admitted one month ago for variceal hemorrhage. Her lower extremity swelling is noted overnight when there are no radiology technologists in the hospital. How can point-of-care ultrasound (POCUS) be used to facilitate diagnosis and appropriate management of this patient, who is at high risk of decompensation from untreated venous thromboembolism as well as from empiric anticoagulation?

DOI: https://doi.org/10.1016/j.chest.2021.07.010

© 2021 Published by Elsevier Inc under license from the American College of Chest Physicians.