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Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... in lower left lobe ... Comparison #Clinical #Lung ... #Pulmonary #Clinical
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
: Interstitial lung ... ventilation (V) in the lungs ... : Pneumonia, asthma ... , COPD, pulmonary ... bypassing the lungs
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... Legionella: • Nausea ... factor • May cause ... , pleural effusion ... Infections #HIV #AIDS #pulmonary
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... • Interstitial lung ... Malformation • Severe Pneumonia ... Diagnosis #Algorithm #Causes ... #Pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura reflection) Pneumonia ... pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #POCUS #ultrasound
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
of interstitial lung ... Unknown • 6-7 cases ... Rare: pleural effusions ... , Pulmonary lymphoma ... #COP #BOOP #pulmonary
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
complex • Nodular/Masses ... Actinomyces spp., NHL; Lung ... disease • Pleural effusion ... Parapneumonic effusion ... (NHL, primary effusion
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... Parenchyma: • Pneumonia ... • Interstitial lung ... Pleura: • Pleural effusion ... Diagnosis #Algorithm #Causes
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Effusion - Differential ... Pneumonectomy • Trapped lung ... Infectious: • Pneumonia ... Malignancy • Pulmonary
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Lung POCUS Young ... POCUS lung exam ... sliding: Pulmonary ... Lung POCUS shows ... Lung POCUS invaluable