Virtual Didactic - Diagnostic Ultrasound in the EDX Lab presented Shawn Jorgensen, MD-Diagnostic Ultrasound in the EDX Lab Led by Shawn Jorgensen, MD

Diagnostic Ultrasound in the EDX Lab Led by Shawn Jorgensen, MD

Video Transcription

Video Summary

In this video, Dr. Shawn Jorgensen discusses the use of ultrasound in the evaluation of peripheral neuropathies, specifically carpal tunnel syndrome and ulnar neuropathies. He compares the accuracy, sensitivity, and specificity of ultrasound to electromyography (EDX), explaining that while ultrasound can provide valuable information, EDX is generally more accurate and better at ruling out mimickers and assessing severity. Dr. Jorgensen also discusses various situations in which ultrasound can be helpful, such as in suspected false negatives, non-localizable axonal lesions, and post-operative evaluation. He cautions against using ultrasound as a screening tool for underlying causes without evidence to support its use. Dr. Jorgensen emphasizes the importance of not equating the picture with the diagnosis and the need for critical thinking when interpreting ultrasound findings. Overall, he suggests that ultrasound can be a useful adjunct to EDX in certain cases, but it should not replace EDX as the first-line test in most patients. The video concludes with a Q&A session and contact information for further questions.

Keywords

ultrasound

peripheral neuropathies

carpal tunnel syndrome

ulnar neuropathies

accuracy

sensitivity

specificity

electromyography

EDX