الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Dyspnea and chest pain are common principles complaints in the emergency department (ED), diagnosis of dyspnea and chest pain represents a diagnostic challenge for the emergency physician due to the wide range of the differential diagnosis. Depending on the physical examination and routine investigation several causes can be missed. The utility of chest x-ray(CXR) is insensitive in some cases. However, the computed tomography (CT) chest is the gold slandered test for cardiorespiratory problems it is time-consuming and increases the risk of radiation exposure. point of care ultrasound (POCUS)is emerged in the last few years and plays a major role in emergency medicine. Pulmonary ultrasound is superior to CXR in the diagnosis of cardiorespiratory problems.
The aim of this study is to assess the diagnostic accuracy of point of care ultrasound in the evaluation of dyspnea and chest pain in the emergency department.
This study was conducted on 100 patients with dyspnea and/or chest pain in the ED. after a complete physical examination, the POCUS protocol was formed of the lung, cardiac, inferior vena cava, and lower limb ultrasound. fifty-nine of the studied cases were males (59.0 %) and 41 were females (41.0%). The median age for the studied cases was 55 years. dyspnea was the most reported complaint (60%) followed by chest pain (26%). 80 % of subjects had comorbidities ACS (16%) hypertension (HTN) (38%) ASTHMA /COPD (20%) heart failure (13%), renal impairment (6%) and liver disease (9%).
The ejection fraction of the left ventricular(LVEF) was decreased in 30% of cases. The most common sonographic findings in the studied patients were pulmonary edema, pleural effusion, and lung consolidation.