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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 ... Algorithm Intensive ... ICS_updates #Lung ... #POCUS #COVID19 ... #SARSCOV2 #Diagnosis
Lung ultrasound pathology in a COVID-19 positive patient
 - Few B-lines (vertical white lines)
 - Confluent
Lung ultrasound ... pathology in a COVID ... Small Tiny Pleural Effusions ... #POCUS #Clinical ... #SARSCoV2 #Coronavirus
COVID-19 Lung POCUS

Common findings
-B lines
-Subpleural consolidation
-Air bronchograms
-Irregular pleural line
-Localized pleural effusion

Dr. Marco Garrone @drmarcogarrone

#COVID19 #POCUS #Clinical
COVID-19 Lung POCUS ... Localized pleural effusion ... #POCUS #Clinical ... #Lung #Ultrasound ... #SARSCoV2 #Coronavirus
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
COVID-19 POCUS ... consolidation and likely effusion ... #POCUS #Clinical ... #Lung #Ultrasound ... #SARSCoV2 #Coronavirus
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... - Differential Diagnosis ... Algorithm Ventilation ... • Interstitial lung ... #Causes #Pulmonary
COVID19 vs CHF on POCUS

Spot the difference. 2 pts presenting with nearly same symptoms. Left COVID
POCUS Spot the ... lines due to other causes ... #POCUS #Clinical ... #Lung #Ultrasound ... #SARSCoV2 #Coronavirus
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... Chest X-ray - Lung ... - CBC with differential ... #algorithm #schema ... #Diagnosis #SARSCoV2
Causes of Neutrophilia - Increased Neutrophils - Differential Diagnosis Algorithm
Infection
 • Bacterial
 • Abscess
 • Viral
Medications
Causes of Neutrophilia ... Neutrophils - Differential ... Diagnosis Algorithm ... Lung, Bladder, Colon ... pancytopenia, blast cells
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Pneumonectomy • Trapped lung ... #Hepatology #causes
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... - Differential ... Diagnosis Algorithm ... • Interstitial lung ... Pleura: • Pleural effusion