Ultrasound can be used in clinic for a better diagnosis, esp in emergency circumstances. Urological surgeon can make better decision for patient care with the help of ultrasound imaging at the point of care.

1. POCUS ( Urology )
Dr Chui Ka Lun
Specialist in Urology
Director of Urology, UPMG

2. POCUS
should be taught in medical school
& mobile ultrasound can replace stethoscope

3. POCUS (Point Of Care UltraSound)
Hx , PE
DDX in mind
Region concerned
Specific USG probe
USG findings to help diagnosis at that POINT !
Management (CARE) according to the diagnosis made

5. Flank pain / Renal colic
Acute
Hx: Colicky pain, haematuria, fever
PE: Loin tenderness
Urine Stix: RBC

6. Hx & PE

8. PUJ/ Upper ureteric stone

9. Distal ureteric stone

10. KUB
VUJ stone

11. VUJ stone

12. VUJ stone
Look for Ureteric Jet on Doppler
Twinkle Artefact

14. Mild
Moderate
Severe
Hydronephrosis
Severe
Cortical loss

16. Doppler : Hydronephrosis vs Vasculature

19. Renal Cyst

20. Ureteric stone x UreteroRenoScope Laser Lithotripsy (URSL)

21. Perinephric haematoma

24. RUQ pain , Biliary colic

25. Fecalith, Appendicitis

30. Scrotal exploration gold standard

31. Lower urinary tract symptoms
Prostate Enlargement
with intravescial extension
residual urine in bladder

33. 郭宏駿舉例指，內科曾發生18個醫生「爭奪」1部
超聲波機的情況，他解釋，不少病人需要以超聲
波機抽肺積水、檢查心臟，但高層以為一部超聲
波機已足夠，結果令醫生亦需「排隊輪候」，
「即使醫生上午有時間，亦要等儀器等到下午才
能幫病人。」