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Jason Jaramillo MD
Introduction
Dr. Jason Jaramillo is a New York MD who works within a community private
practice at Maimonides Medical Center. One technique employed by Jason
Jaramillo, MD, in his practice is Point of Care Ultrasound (POCUS), a
bedside approach that employs a handheld diagnostic device.
An emerging use of POCUS featured in Healio centers on identifying
transient synovitis (TS) cases. The 2021 study involved 621 pediatric
patients at Rambam Health Care Campus in Haifa, Israel. POCUS was
augmented by a decision-support algorithm (DSA) in identifying TS, a
self-limiting disease with symptoms of acute hip pain.
The accuracy of the POCUS-DSA approach for bedside ultrasound
evaluation of the hip joint was assessed through patient variables such
as specificity, sensitivity, likelihood ratio, and positive and negative
predictive value. A key finding was that ultrasound examination was
highly accurate in revealing hip effusion.
Researchers suggest that a POCUS-DSA approach can take the place of
laboratory blood tests when differentiating TS patients from those with
other severe diseases such as osteomyelitis and septic arthritis. The
outcome would be fewer children undergoing unnecessary
venipuncture, with its associated pain and distress.

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POCUS as a Way of Identifying Transient Synovitis Cases

  • 2. Introduction Dr. Jason Jaramillo is a New York MD who works within a community private practice at Maimonides Medical Center. One technique employed by Jason Jaramillo, MD, in his practice is Point of Care Ultrasound (POCUS), a bedside approach that employs a handheld diagnostic device.
  • 3. An emerging use of POCUS featured in Healio centers on identifying transient synovitis (TS) cases. The 2021 study involved 621 pediatric patients at Rambam Health Care Campus in Haifa, Israel. POCUS was augmented by a decision-support algorithm (DSA) in identifying TS, a self-limiting disease with symptoms of acute hip pain.
  • 4. The accuracy of the POCUS-DSA approach for bedside ultrasound evaluation of the hip joint was assessed through patient variables such as specificity, sensitivity, likelihood ratio, and positive and negative predictive value. A key finding was that ultrasound examination was highly accurate in revealing hip effusion.
  • 5. Researchers suggest that a POCUS-DSA approach can take the place of laboratory blood tests when differentiating TS patients from those with other severe diseases such as osteomyelitis and septic arthritis. The outcome would be fewer children undergoing unnecessary venipuncture, with its associated pain and distress.