Lend Me a Hand: A Value-Based Care Case Study on Pan Plexopathy of Unknown Origin

This paper discusses an interesting case of pan plexopathy and the difficulties associated with the diagnostic processes based on patient-specific circumstances. It walks through the major differential of the etiology of the patient's particular presenting symptoms and the associated diagnostic...

Full description

Saved in:
Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 13; no. 12; p. e20354
Main Authors Siu, Victoria J, Varkey, Thomas, Khan, Umer N, Ding, Jack B, Gandhi, Saurin
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 12.12.2021
Cureus
Subjects
Case reports
Intensive care
Internal medicine
Joint and ligament injuries
Magnetic resonance imaging
Neurology
Ostomy
Pain
Pneumonia
Quality Improvement
Quality of life
Therapeutics
Trauma
Ultrasonic imaging
Value-based care
imaging modalities
value based care
brachial plexus injury
adult neurology
pocus (point of care ultrasound)
Online AccessGet full text

Cover

More Information
Summary:This paper discusses an interesting case of pan plexopathy and the difficulties associated with the diagnostic processes based on patient-specific circumstances. It walks through the major differential of the etiology of the patient's particular presenting symptoms and the associated diagnostic and therapeutic process by which this particular patient was treated. In the discussion, the relevant anatomy of the brachial plexus and the surrounding structures in both the cervical and the axillary regions is discussed and key clinical pearls that became apparent throughout the diagnostic workup that was significant for a hematoma and therapeutic process aimed at providing symptomatic relief until recovery to baseline. This case study discusses the benefits, drawbacks, and financial costs of utilizing the major different imaging modalities such as CT, MRI, or Point of Care Ultrasound (POCUS). Finally, this study provides a new diagnostic algorithm for the selection of the imaging modality based on the major principles of value-based care as detailed by both the Radiological Society of North America and the European Society of Radiology.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.20354