Table 2.

Point-of-care ultrasound findings using Butterfly iQ in African Emergency Department

Age/sex	Presentation	US exams	US findings
44 yo M	Afib RVR, Cardiogenic shock	Cardiac	Calcified left atrial thrombus
3 yo M	Abdominal pain, Fussy, Bloody stool	GI	Intussusception
28 yo F	Submandibular swelling	MSK	Submandibular abscess
25 yo M	Dyspnea on exertion, Hx of PCE	Cardiac, Lung	Large PCE without tamponade, Bilateral pleural effusions
Young Adult M	Leg pain	MSK	Mid-shaft femur fracture with displacement
23 yo F	Abdominal pain, Hx of abdominal mass	GI	Dermoid cyst (recurrent)
78 yo M	Early satiety, Rectal mass on exam	GI	Novel dx of diffuse hepatosplenic lesions concerning for malignancy
28 yo M	Necrotic finger	MSK	Abscess vs necrosis
3 mo M	Acute respiratory failure	Cardiac, Lung	Novel dx of Atrial Septal Defect
114 yo M	Dyspnea	Cardiac, Lung	Novel dx of HFrEF
13 yo F	Novel Afib and hypoxia, Hx of RHD	Cardiac	Massive MR, LA dilation, Small PCE (Consistent with known RHD)
14 yo M	Dyspnea, Anasarca on exam, Hx of RHD and malaria	Cardiac	HFrEF, TR with RA dilation, MR (Consistent with known RHD)
24 yo M	Left flank pain	GI	Splenic lesion (Subcapsular hematoma vs Infiltration)
1 yo M	Hypoxia, fever, sepsis	Lung	Bilateral B-lines
1 yo F	Hypoxia, Hx of Ventricular Septal Defect	Cardiac, Lung	RV Dilation and hypertrophy, Persistent VSD, Bilateral B-lines
74 yo F	Respiratory arrest	Cardiac	Dilated/poorly contractile RV, Full IVC
2 mo F	Failure to thrive	CNS	Hydrocephalus
Young Adult M	Leg pain	MSK	Mid-shaft tibia fracture with displacement
Elderly Adult M	Recent DVT, Dyspnea	Cardiac	Right heart strain
20 yo F	2-week post-partum, Peritonitis on exam	GI	Pelvic free fluid
28 yo M	"Hematemesis" found to be hemoptysis, Hypoxia	Cardiac, Lung, GI	Splenic lesion, Bilateral B-lines, Normal LV Ejection Fraction
Elderly Adult M	Dyspnea, Anasarca on exam, Hypoxia	Cardiac, Lung	Dilated RA and RV, TR, Bilateral B-lines, Pleural effusions, Ascites
23 yo F	Suicide attempt by drowing, Third trimester pregnancy	OB	Normal Fetal heart rate and Fetal movement
7 yo M	Abdominal pain, vomiting	GI	SBO from worm burden
25 yo M	Dyspnea and chest pain with near-syncope, Novel Afib with RVR	Cardiac	Thickened Mitral Valve, Dilated LA, Massive MR (Suspected RHD)
5 yo M	Abdominal distention	GI	Enlarged bladder with mild hydronephrosis
3 yo F	Constipation, Reports of “worms in stool”	GI	SBO, No parasites visualized
85 yo M	RUQ abdominal pain and jaundice	GI	Intrahepatic biliary dilation, RUQ Mass
35 yo F	Chest pain, Hx of Tuberculosis	Lung	Loculated pleural effusion
37 yo M	Abdominal pain, Constipation	GI	SBO, Dilated gallbladder
76 yo M	Hypoxia and sepsis	Lung	Subpleural consolidations and B-lines
19 yo F	Hx of tamponade on outpatient echocardiogram	Cardiac	Large PCE, No tamponade
25 yo M	Hypoxia, Novel Afib with RVR	Cardiac	Massive LA dilation and MR, Thickened anterior mitral valve leaflet (Suspected RHD)

Afib, Atrial fibrillation; CNS, Central Nervous System; Dx, Diagnosis; HFrEF, Heart Failure with Reduced Ejection Fraction; GI, Gastrointestinal/Genitourinary; Hx, History; IVC, Inferior Vena Cava; LA, Left Atrium; MR, Mitral Regurgitation; MSK, Musculoskeletal/Soft tissue; OB, Obstetric; PCE, Pericardial Effusion; RA, Right Atrium; RHD, Rheumatic Heart Disease; RUQ, Right Upper Quadrant; RV, Right Ventricle; RVR, Rapid Ventricular Response; SBO, Small Bowel Obstruction; TR, Tricuspid Regurgitation