{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T04:00:54Z","timestamp":1785038454641,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Evaluating outpatient cases in internal medicine consultations presents a significant diagnostic challenge. Ultrasound can be a highly useful tool in assessment and decision\u2010making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>A prospective observational study was conducted on a cohort of patients attending an internal medicine rapid assessment clinic. Eighty patients were prospectively recruited. A medical consultation was conducted as per usual clinical practice, followed by a POCUS evaluation; collecting pulmonary, cardiac, and abdominal data. All findings were analyzed and recorded, particularly those that were significant or altered the initial diagnosis, subsequent tests, or treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant ultrasound findings were found in 37.5% of the patients. Of all ultrasound scans, the most clinically relevant were in the heart region (31.9%), followed by the abdomen (26%). These findings led to a change in overall management in 27.5% of patients. Using logistic regression, a model was developed to estimate the presence of clinically relevant findings with an area under the curve (AUC) of 0.78 (95% CI 0.66\u20130.89; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) with 80% Sensitivity and 66% Specificity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The systematic and standardized incorporation of clinical ultrasound in internal medicine consultations contributes to decision\u2010making, can provide significant findings that allow for modifications in clinical suspicion and therapeutic management.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.23710","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T07:28:13Z","timestamp":1715326093000},"page":"837-845","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Multi\u2010organ clinical ultrasound as a complement to the diagnostic process in an internal medicine consultation"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8960-5742","authenticated-orcid":false,"given":"Borja","family":"Gonz\u00e1lez\u2010Mu\u00f1oz","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"O\u00f1oro\u2010L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"D\u00edez\u2010Vidal","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Sorriguieta\u2010Torre","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Angustias","family":"Quesada\u2010Sim\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"},{"name":"Department of Medicine Universidad Aut\u00f3noma de Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nica","family":"Mart\u00ednez\u2010Prieto","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Mar\u00edn\u2010Baselga","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Moreno\u2010Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Honta\u00f1\u00f3n\u2010Anto\u00f1ana","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5613-3609","authenticated-orcid":false,"given":"Yale","family":"Tung\u2010Chen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Universitario La Paz  Madrid Spain"},{"name":"Department of Medicine Universidad Alfonso X El Sabio  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2016-309915"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.18-3-219"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(14)70135-3"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2005.05.060"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-020-02284-5"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2019.01.002"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jeu081"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keq243"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-037664"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11082256"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rce.2019.04.004"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2023.10.027"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(21)00019-0"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jey006"},{"key":"e_1_2_12_16_1","volume-title":"Abdomen Complete Ultrasound Protocol","author":"Spencer Lake","year":"2020"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-018-0211-4"},{"key":"e_1_2_12_18_1","volume-title":"Emergency Ultrasound Standard Reporting Guidelines","author":"Liu RB","year":"2018"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2005.tb06924.x"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13089-023-00313-w"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.4250\/jcu.2011.19.2.51"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2018.12.036"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.4103\/2452-2473.276384"},{"issue":"6","key":"e_1_2_12_24_1","first-page":"717","article-title":"Point\u2010of\u2010care abdominal ultrasound","volume":"63","author":"Hata J","year":"2015","journal-title":"Rinsho Byori"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22915"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-021-05972-5"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-822400-7.00004-X"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/8756479313476919"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2402051110"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.23710","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T12:26:45Z","timestamp":1731587205000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.23710"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,10]]},"references-count":28,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/jcu.23710"],"URL":"https:\/\/doi.org\/10.1002\/jcu.23710","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,10]]},"assertion":[{"value":"2024-01-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}