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COVID-19 Lung Ultrasound Algorithm

Intensive Care Society @ICS_updates

#Lung #Ultrasound #Algorithm #POCUS #COVID19 #SARSCOV2 #Diagnosis #Management
COVID-19 Lung Ultrasound ... ICS_updates #Lung ... #POCUS #COVID19 ... #SARSCOV2 #Diagnosis ... #Management
COVID-19 Signs and Symptoms at the time of Presentation

Fever
Myalgia
Headache
Rinorrhea
Sore Throat
Dyspnea
Chest Tightness
Cough
Sputum
Hemoptysis
Nausea/Vomiting
Diarrhea

Dr. Josh Farkas @pulmcrit via Internet
Sore Throat Dyspnea ... Chest Tightness ... Sputum Hemoptysis Nausea ... Signs #Symptoms #Diagnosis ... #Presentation #SARSCoV2
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... X-ray - Lung ultrasound ... - CBC with differential ... as clinically indicated ... #SARSCoV2 #Coronavirus
COVID-19 Diagnosis and Management Summary
Clinical and laboratory testing
Lung Ultrasound
HRCT scan
In-hospital treatment
Severity assessment and respiratory support 
Post-mortem
COVID-19 Diagnosis ... and Management ... Summary Clinical ... Ultrasound HRCT ... #Diagnosis #Management
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
Returns for dyspnea ... But this ultrasound ... #POCUS #Clinical ... #Lung #Ultrasound ... #SARSCoV2 #Coronavirus
COVID-19 on POCUS

I am infected with COVID-19. This is my own #POCUS 2 days after the
No feeling of dyspnea ... observed in the chest ... #POCUS #Clinical ... #Lung #Ultrasound ... #SARSCoV2 #Coronavirus
COVID19 vs CHF on POCUS

Spot the difference. 2 pts presenting with nearly same symptoms. Left COVID
COVID19 vs CHF on ... lines due to other causes ... #POCUS #Clinical ... #Lung #Ultrasound ... #SARSCoV2 #Coronavirus
COVID-19 on Lung POCUS

Day 4 after COVID diagnosis. More cough & tiredness (very badly), still no
COVID-19 on Lung ... diagnosis. ... badly), still no dyspnea ... #clinical #lung ... #ultrasound #pulmonary
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Chronic Cough - Differential ... Diagnosis Algorithm ... i.e. cancer) • Dyspnea ... (underlying lung ... #causes
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... diagnosis. ... breath or pleuritic chest ... #clinical #lung ... #ultrasound #pulmonary