A STUDY ON POINT-OF-CARE MULTIORGAN ULTRASONOGRAPHY FOR THE EVALUATION OF NONTRAUMATIC UNDIFFERENTIATED HYPOTENSION AT A TERTIARY CARE HOSPITAL

Background: Undifferentiated hypotension is typical emergency department presentation and a critical determinant of patient outcomes, necessitating rapid identification of its aetiology for effective management. This Objectives: research aimed to evaluate clinical profile, ultrasonographic findings, and diagnostic accuracy of point-of-care ultrasonography in patients with undifferentiated hypotension in the emergency department. Methods: The cross-sectional research involved one hundred ten adult patients (aged over 18) suspected of experiencing shock, conducted in emergency medicine division of the S.S. Institute of Medical Sciences and Research Centre in Davangere, Karnataka, India. Point of care. Ultrasonography was used to examine a number of organs systematically, and the results were compared to the final diagnosis made at conclusion of hospital stay. Results: Hypovolemic shock, septic shock, as well as cardiogenic shock have been found to be the most common causes of shock by ultrasonography. There was strong agreement among ultrasonographic and final clinical diagnoses, with sensitivity and specificity for ultrasonographic vs. final clinical diagnoses being close to 80% or higher across the majority of shock categories. Conclusion: Multiorgan point-of-care ultrasonography (POCUS) is an invaluable diagnostic tool that assists emergency physicians in identifying the causes of undifferentiated hypotension in (ED) emergency department as well as providing prompt, targeted care.