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The BLUE-protocol decision tree - performed on dyspneic patients who will be admitted to the ICU

The
The BLUE-protocol ... - performed on dyspneic ... combines signs, ... #Algorithm #Dyspnea ... #Pulmonary #Ultrasound
The BLUE-protocol decision tree - performed on dyspneic patients who will be admitted to the ICU

The
- performed on dyspneic ... combines signs, ... #protocol #Algorithm ... #POCUS #Lung #Pulmonary ... #Ultrasound
The BLUE-protocol decision tree - performed on dyspneic patients who will be admitted to the ICU

The
The BLUE-protocol ... - performed on dyspneic ... the ICU The BLUE-protocol ... combines signs, ... www.grepmed.com/images/11924/dyspnea-criticalcare-pulmonary-algorithm-pocus
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
infiltrate (e.g., CXR ... , CT, ultrasound ... symptoms (e.g., ... dyspnea, cough, ... chest pain) and signs
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
pt with fever/dyspnea ... PNA according to Blue ... sliding: Pulmonary ... partially seen shred sign ... POCUS #clinical #ultrasound
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
pleural effusion on CXR ... inflammation tends to cause ... disease/pulmonary ... pathophysiology #signs ... #symptoms #diagnosis
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
vein thrombosis, Pulmonary ... shock, Myocardial ischemia ... , Acute cor pulmonale ... Extrapulmonary #Diagnosis #Signs ... #Symptoms #SARSCOV2
Clinical manifestations of anaphylaxis. 
Neurological (<15%): Dizziness, syncope, seizures, Confusion, impending doom. headache
Angioedema: Lips, tongue, orbit,
50%): Myocardial ischemia ... Kounis syndrome Lungs ... edema, stridor, dyspnea ... #anaphylaxis #signs ... #symptoms #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... of CXR congestion
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
blood cells in the lung ... walking uphill - Dyspnea ... • Signs/Symptoms ... • Signs/Symptoms ... - The classic signs