Costophrenic angle

In FAST/Trauma ultrasound, the costophrenic angle refers to the acute angle formed by the diaphragm and the chest wall. This anatomical landmark is crucial during a FAST (Focused Assessment with Sonography for Trauma) exam to identify potential fluid collections like hemothorax. A blunted or obscured costophrenic angle on ultrasound can indicate fluid accumulation in the pleural space, guiding rapid diagnosis and intervention in trauma patients.

Efficient visualization of the costophrenic angle is vital for assessing thoracic injuries. Sonographers utilize specific probe placements to adequately image this region, ensuring comprehensive evaluation of the lungs and pleural cavities. Understanding the normal and abnormal appearance of the costophrenic angle significantly enhances diagnostic accuracy in emergency ultrasound, making it a key focus for trauma care.

Clinical Author

Dr. Emma Khabure is an experienced Family Physician in Kenya with a dedicated focus on point-of-care ultrasound (POCUS) across clinical settings. Over the past 3 years, Dr. Emma Khabure has integrated ultrasound into everyday patient care, diagnosing and guiding management at the bedside. She is currently an Instructor at GUSI and serves in the Clinical Education and Quality Improvement team at GUSI.

In addition to clinical work, Dr. Emma Khabure is passionate about ultrasound education and capacity building. She has been involved in leading workshops and training programs locally, mentored trainees in ultrasound skills, and contributed to curriculum development in imaging and POCUS. Her academic interests in POCUS include the utilization of bedside ultrasound in resource-limited settings and integrating AI in ultrasound.

Dr. Emma Khabure sees ultrasound not only as a diagnostic tool but as an extension of the physical exam — empowering clinicians to make safer, faster decisions. Her goal is to expand access to high-quality ultrasound training globally, especially in resource-limited settings.

Outside of medicine, Dr. Emma Khabure enjoys traveling and family time which helps recharge and maintain balance in her day-to-day life.

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