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Use of POCUS in the Diagnosis of Paradoxical Vocal Cord Movement

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Supplemental digital content is available in the text. Abstract Point-of-care ultrasound has been instrumental in allowing providers to make prompt diagnoses at the bedside but has been historically underutilized for… Click to show full abstract

Supplemental digital content is available in the text. Abstract Point-of-care ultrasound has been instrumental in allowing providers to make prompt diagnoses at the bedside but has been historically underutilized for the diagnosis of upper airway processes, including paradoxical vocal fold motion (PVFM), also known as vocal cord dysfunction. PVFM is characterized by adduction of the vocal cords during inspiration, resulting in stridor and shortness of breath. This case report describes a teenage girl who presented to the pediatric emergency department (ED) with difficulty breathing. Point-of-care ultrasound diagnosed PVFM, which was confirmed with bedside flexible laryngoscopy by otorhinolaryngology (ENT) in the ED.

Keywords: pocus diagnosis; paradoxical vocal; use pocus; vocal cord

Journal Title: Pediatric Emergency Care
Year Published: 2022

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