{"id":149652,"date":"2020-09-18T08:33:00","date_gmt":"2020-09-18T15:33:00","guid":{"rendered":"https:\/\/clarius.com\/blog\/apprenez-dun-maitre-le-dr-cook-presente-quatre-cas-captures-par-echographie\/"},"modified":"2026-03-12T17:21:52","modified_gmt":"2026-03-13T00:21:52","slug":"apprenez-dun-maitre-le-dr-cook-presente-quatre-cas-captures-par-echographie","status":"publish","type":"post","link":"https:\/\/clarius.com\/fr\/blog\/apprenez-dun-maitre-le-dr-cook-presente-quatre-cas-captures-par-echographie\/","title":{"rendered":"Apprenez d&rsquo;un ma\u00eetre : Le Dr. Cook pr\u00e9sente quatre cas captur\u00e9s par \u00e9chographie"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Le Dr Tom Cook forme les cliniciens \u00e0 l&rsquo;utilisation correcte de l&rsquo;imagerie par ultrasons depuis avant le d\u00e9but du si\u00e8cle. \u00c9ducateur passionn\u00e9, il a cofond\u00e9<sup>3rd<\/sup> Rock Ultrasound, l&rsquo;un des instituts de formation \u00e0 l&rsquo;\u00e9chographie au chevet du patient les plus populaires des \u00c9tats-Unis.   <\/p>\n\n<p class=\"wp-block-paragraph\">Pour enseigner \u00e0 ses \u00e9tudiants, le Dr Cook utilise les <a href=\"https:\/\/clarius.com\/fr\/scanners\/\">\u00e9chographes Clarius HD<\/a> pour capturer des cas r\u00e9els de son travail de m\u00e9decin urgentiste \u00e0 Prisma Health en Caroline du Sud. Il utilise les images cliniques et les vid\u00e9os qu&rsquo;il enregistre dans le <a href=\"https:\/\/clarius.com\/fr\/scanners\/cloud\/\">Clarius Cloud<\/a> pour cr\u00e9er des supports de formation en ligne. Merci, Dr Cook, d&rsquo;avoir partag\u00e9 avec nous ces quatre cas r\u00e9cents.  <\/p>\n\n<h2 class=\"wp-block-heading\">\u00c9tude de cas d&rsquo;\u00e9chographie n\u00b0 1 &#8211; Masse de la vessie<\/h2>\n\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CASE - BLADDER MASS\" src=\"https:\/\/player.vimeo.com\/video\/448150055?dnt=1&amp;app_id=122963\" width=\"640\" height=\"360\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><\/figure>\n\n<p class=\"wp-block-paragraph\">Une femme de 73 ans pr\u00e9sente une h\u00e9maturie apr\u00e8s \u00eatre tomb\u00e9e. La patiente a subi un scanner \u00e0 la recherche de l\u00e9sions traumatiques, mais en raison de son h\u00e9maturie, sa vessie a \u00e9t\u00e9 examin\u00e9e par \u00e9chographie. <\/p>\n\n<p class=\"wp-block-paragraph\">Apr\u00e8s avoir effectu\u00e9 une \u00e9chographie dans le plan transversal<em>(vid\u00e9o 01<\/em>) suivie d&rsquo;une vue sagittale<em>(vid\u00e9o 02)<\/em>, il y avait des preuves \u00e9videntes d&rsquo;un \u00e9paississement de la paroi de la vessie, qui se pr\u00e9sente sur l&rsquo;imagerie ultrasonore comme des lignes hyper\u00e9chog\u00e8nes. Apr\u00e8s l&rsquo;\u00e9chographie, j&rsquo;ai soup\u00e7onn\u00e9 que la patiente pouvait avoir un cancer de la vessie, ce qui a \u00e9t\u00e9 confirm\u00e9 par la suite. Les lignes hyper\u00e9chog\u00e8nes se sont av\u00e9r\u00e9es \u00eatre des caillots sanguins lib\u00e9r\u00e9s lors de l&rsquo;\u00e9v\u00e9nement traumatique, entra\u00eenant une h\u00e9maturie. Apr\u00e8s une \u00e9valuation plus pouss\u00e9e par un urologue, la patiente a \u00e9t\u00e9 trait\u00e9e et s&rsquo;est r\u00e9tablie.   <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Diagnostic ?<\/strong>  La patiente souffrait d&rsquo;un cancer de la vessie qui a entra\u00een\u00e9 la formation de caillots sanguins dans la paroi de sa vessie, ce qui s&rsquo;est traduit par une h\u00e9maturie apr\u00e8s sa blessure traumatique.<\/p>\n\n<h2 class=\"wp-block-heading\">\u00c9tude de cas d&rsquo;\u00e9chographie n\u00b0 2 &#8211; Essoufflement<\/h2>\n\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CASE - short of breath\" src=\"https:\/\/player.vimeo.com\/video\/446664448?dnt=1&amp;app_id=122963\" width=\"640\" height=\"360\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><\/figure>\n\n<p class=\"wp-block-paragraph\">Un homme de 71 ans se pr\u00e9sente aux urgences avec une dyspn\u00e9e (c&rsquo;est-\u00e0-dire un essoufflement) qui s&rsquo;aggrave progressivement.<\/p>\n\n<p class=\"wp-block-paragraph\">Pour visualiser l&rsquo;int\u00e9grit\u00e9 anatomique et l&rsquo;h\u00e9modynamique du c\u0153ur, j&rsquo;ai effectu\u00e9 un \u00e9chocardiogramme en commen\u00e7ant par la vue parasternale long-axe<em>(vid\u00e9o 03<\/em>). Comme vous pouvez le voir dans la vid\u00e9o, le patient pr\u00e9sente une fonction ventriculaire gauche tr\u00e8s compromise avec des signes de r\u00e9gurgitation mitrale. La <em>figure 02<\/em> illustre le deuxi\u00e8me axe que j&rsquo;ai suivi (apical 4-chambre), ce qui a donn\u00e9 l&rsquo;enregistrement \u00e9chographique montr\u00e9 sur la <em>vid\u00e9o 03<\/em>, confirmant la fonction ventriculaire gauche d\u00e9fectueuse et montrant un \u00e9largissement auriculaire bilat\u00e9ral et une r\u00e9gurgitation mitrale mod\u00e9r\u00e9e.   <\/p>\n\n<p class=\"wp-block-paragraph\">L&rsquo;enregistrement \u00e9chographique a \u00e9galement mis en \u00e9vidence une r\u00e9gurgitation tricuspide, ce qui sugg\u00e8re que le patient souffre d&rsquo;une insuffisance cardiaque droite, secondaire \u00e0 son dysfonctionnement ventriculaire gauche. Ensuite, j&rsquo;ai utilis\u00e9 la sonde pour visualiser la veine cave du patient qui pr\u00e9sentait une surcharge volumique<em>(vid\u00e9o 04<\/em>). Enfin, un rapide coup d&rsquo;\u0153il \u00e0 la cavit\u00e9 thoracique du patient a r\u00e9v\u00e9l\u00e9 un \u00e9panchement pleural de taille mod\u00e9r\u00e9e<em>(vid\u00e9o 05<\/em>).  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Diagnostic ?  <\/strong>Le patient souffrait d&rsquo;une insuffisance cardiaque gauche, qui a augment\u00e9 la pression dans ses vaisseaux pulmonaires, entra\u00eenant une insuffisance cardiaque droite avec surcharge volumique (par exemple, \u00e9largissement de la veine cave et \u00e9panchement pleural).<\/p>\n\n<h2 class=\"wp-block-heading\">\u00c9tude de cas d&rsquo;\u00e9chographie n\u00b0 3 &#8211; Masse au niveau du cou<\/h2>\n\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CASE - NECK MASS\" src=\"https:\/\/player.vimeo.com\/video\/446309881?dnt=1&amp;app_id=122963\" width=\"640\" height=\"360\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><\/figure>\n\n<p class=\"wp-block-paragraph\">Une femme de 24 ans se plaint d&rsquo;une masse sensible au niveau du cou, apparue 24 heures apr\u00e8s une infection de la gorge.<\/p>\n\n<p class=\"wp-block-paragraph\">L&rsquo;examen physique a r\u00e9v\u00e9l\u00e9 des dimensions impressionnantes, ce qui a justifi\u00e9 le recours \u00e0 l&rsquo;\u00e9chographie pour d\u00e9chiffrer la nature de cette masse. L&rsquo;\u00e9chographie<em>(vid\u00e9o 06<\/em>) a mis en \u00e9vidence une <strong>masse solide vasculaire de 3,1 centim\u00e8tres<\/strong>, ce qui est consid\u00e9rable par rapport \u00e0 la p\u00e9riode consid\u00e9r\u00e9e. Heureusement, cette masse est associ\u00e9e \u00e0 des ant\u00e9c\u00e9dents r\u00e9cents d&rsquo;infection de la gorge, ce qui exclut le diagnostic de cancer (par exemple, lymphomes hodgkiniens et non hodgkiniens).  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Diagnostic ?  <\/strong>La patiente souffrait d&rsquo;une infection microbienne dans la gorge, qui a d\u00e9clench\u00e9 une lymphad\u00e9nite non suppurative dans les ganglions lymphatiques cervicaux, \u00e0 l&rsquo;origine de la masse au niveau du cou.<\/p>\n\n<h2 class=\"wp-block-heading\">\u00c9tude de cas d&rsquo;\u00e9chographie n\u00b0 4 &#8211; L&rsquo;insuffisance r\u00e9nale terminale (IRT)<\/h2>\n\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CASE - IJ CLOT\" src=\"https:\/\/player.vimeo.com\/video\/452317430?dnt=1&amp;app_id=122963\" width=\"640\" height=\"360\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><\/figure>\n\n<p class=\"wp-block-paragraph\">Un homme de 45 ans atteint d&rsquo;insuffisance r\u00e9nale terminale et sous dialyse se pr\u00e9sente avec des douleurs cervicales. Le patient a un cath\u00e9ter de dialyse plac\u00e9 dans sa veine sous-clavi\u00e8re droite. Il a \u00e9galement not\u00e9 un gonflement de la r\u00e9gion cervicale droite.  <\/p>\n\n<p class=\"wp-block-paragraph\">La pose de cath\u00e9ters peut entra\u00eener la formation de caillots qui bloquent les principaux vaisseaux sanguins, ce qui provoque des douleurs. Pour confirmer ou infirmer ce diagnostic, j&rsquo;ai utilis\u00e9 l&rsquo;\u00e9chographie pour g\u00e9n\u00e9rer la <em>vid\u00e9o 07<\/em>, qui montre les diff\u00e9rentes structures du cou. Lorsque j&rsquo;ai plac\u00e9 la sonde sur le cou du patient, l&rsquo;\u00e9chographie a montr\u00e9 clairement la pr\u00e9sence d&rsquo;un gros caillot de sang dans la <strong>veine jugulaire interne<\/strong>. Pour am\u00e9liorer l&rsquo;aspect de la thrombose, j&rsquo;ai opt\u00e9 pour une vue dans l&rsquo;axe sagittal, comme le montre la <em>vid\u00e9o 08<\/em>, qui d\u00e9crit clairement le caillot sanguin qui pourrait \u00eatre mortel s&rsquo;il atteignait les poumons, car il entra\u00eenerait une embolie pulmonaire de la selle.   <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Diagnostic ?  <\/strong>Le patient avait un caillot de sang important dans sa veine jugulaire interne \u00e0 la suite d&rsquo;un cath\u00e9t\u00e9risme de dialyse.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Comment le Dr Cook est-il devenu un utilisateur et un \u00e9ducateur passionn\u00e9 d&rsquo;\u00e9chographie ?<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">M\u00e9decin urgentiste et formateur en \u00e9chographie, le Dr Tom Cook travaille dans ce domaine depuis 31 ans. Depuis 2001, il est directeur du programme de m\u00e9decine d&rsquo;urgence \u00e0 Prisma Health, Universit\u00e9 de Caroline du Sud. <\/p>\n\n<p class=\"wp-block-paragraph\">Le Dr Cook a re\u00e7u une bourse de l&rsquo;arm\u00e9e, o\u00f9 il s&rsquo;est entra\u00een\u00e9 dans un poste situ\u00e9 \u00e0 Killeen, au Texas, connu sous le nom de Fort Hood. Apr\u00e8s avoir termin\u00e9 sa formation en 1993, il a servi \u00e0 Honolulu, \u00e0 Hawa\u00ef, puis s&rsquo;est install\u00e9 \u00e0 Columbia, en Caroline du Sud, o\u00f9 il a lanc\u00e9 un programme de formation pour enseigner l&rsquo;\u00e9chographie en collaboration avec l&rsquo;universit\u00e9 de Caroline du Sud. Le Dr Cook a rencontr\u00e9 le Dr Pat Hunt en 1998 et a fond\u00e9 3rd Rock Ultrasound, o\u00f9 ils ont lanc\u00e9 leur premier cours.    <\/p>\n\n<p class=\"wp-block-paragraph\">Le Dr Cook s&rsquo;est engag\u00e9 \u00e0 enseigner aux \u00e9tudiants en m\u00e9decine, aux r\u00e9sidents, aux infirmi\u00e8res praticiennes et aux auxiliaires m\u00e9dicaux \u00e0 se familiariser avec l&rsquo;utilisation de l&rsquo;\u00e9chographie, car il est convaincu que cela am\u00e9liorera les soins aux patients dans le monde entier. Lui et ses coll\u00e8gues de 3rd Rock Ultrasound ont examin\u00e9 plus de 1 500 cas en voyageant et en enseignant dans le monde entier. <\/p>\n\n<p class=\"wp-block-paragraph\">Visitez <a href=\"https:\/\/emergencyultrasound.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">3rd Rock Ultrasound<\/a> pour visionner d&rsquo;autres cas vid\u00e9o. Pour en savoir plus sur les scanners Clarius HD, visitez notre <a href=\"https:\/\/clarius.com\/emed\/\">page sur la m\u00e9decine d&rsquo;urgence<\/a> ou cliquez sur le bouton ci-dessous pour <a href=\"https:\/\/clarius.com\/fr\/contact\/\">parler \u00e0 un expert produit.<\/a> <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le Dr Tom Cook forme les cliniciens \u00e0 l&rsquo;utilisation correcte de l&rsquo;imagerie par ultrasons depuis avant le d\u00e9but du si\u00e8cle. \u00c9ducateur passionn\u00e9, il a cofond\u00e93rd Rock Ultrasound, l&rsquo;un des instituts de formation \u00e0 l&rsquo;\u00e9chographie au chevet du patient les plus populaires des \u00c9tats-Unis. Pour enseigner \u00e0 ses \u00e9tudiants, le Dr Cook utilise les \u00e9chographes Clarius&#8230;<\/p>\n","protected":false},"author":4,"featured_media":33699,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"categories":[929,990],"tags":[],"specialities":[54,48],"class_list":["post-149652","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-education","category-perspectives","specialities-emergency-medicine","specialities-primary-care"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Apprenez d&#039;un ma\u00eetre : Le Dr. Cook pr\u00e9sente quatre cas captur\u00e9s par \u00e9chographie | Clarius | Blog Post<\/title>\n<meta name=\"description\" content=\"Le Dr Tom Cook forme les cliniciens \u00e0 l&#039;utilisation correcte de l&#039;imagerie par ultrasons depuis avant le d\u00e9but du si\u00e8cle. \u00c9ducateur passionn\u00e9, il a\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clarius.com\/fr\/blog\/apprenez-dun-maitre-le-dr-cook-presente-quatre-cas-captures-par-echographie\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Apprenez d&#039;un ma\u00eetre : Le Dr. Cook pr\u00e9sente quatre cas captur\u00e9s par \u00e9chographie\" \/>\n<meta property=\"og:description\" content=\"Wireless handheld ultrasound with clear, high-quality images on your phone or tablet. Scan anywhere, right at the point of care.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/clarius.com\/fr\/blog\/apprenez-dun-maitre-le-dr-cook-presente-quatre-cas-captures-par-echographie\/\" \/>\n<meta property=\"og:site_name\" content=\"Clarius\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/clariusmhealth\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-09-18T15:33:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-13T00:21:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/clarius.com\/wp-content\/uploads\/2020\/09\/MicrosoftTeams-image-33.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Roderick\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" 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