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Step by step approach for diagnosis of pleural effusion by Lung Ultrasound

https://doi.org/10.1007/s12630-018-1062-x

#Diagnosis #POCUS #Lung #Pleural #Effusion
diagnosis of pleural effusion ... by Lung Ultrasound ... #Pleural #Effusion ... Instructions #Steps #Algorithm ... #Signs #Curtain
Plankton Sign on Lung POCUS

Plankton sign = floating debris --> the swirling, punctiform internal echoes within
Lung POCUS Plankton ... anechoic pleural effusion ... nature of the effusion ... #Lung #POCUS #clinical ... #effusion #hemorragic
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... with "spine sign ... transducer on lung ... Clinical #POCUS #Lung ... #Pleural #Effusion
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
: Interstitial lung ... defects) VENTILATION/PERFUSION ... gradients of both perfusion ... with adequate perfusion ... bypassing the lungs
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... indicative of pleural effusion ... absence of pleural effusion ... Clinical #Pleural #Effusion ... #Pulmonary #Lung
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
sliding/barcode sign ... Consolidations - "Shred" sign ... Possible small plural effusion ... pleura in severe cases ... Possible bilateral effusion
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... Ventilation/perfusion ... • Interstitial lung ... #Causes #Pulmonary
Complex Pleural Effusion caused by Esophageal Perforation
So much pathology for one lung. Esophageal perforation leading to
Effusion caused ... pathology for one lung ... effusion. ... Complex effusion ... #Pleural #Effusion
Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Pleural Effusion ... malignant pleural effusion ... large malignant effusion-refused ... top of malignant effusion ... #Pleural #Effusion
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Pneumonectomy • Trapped lung ... 2LmUODZ #Pleural #Effusion