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Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Tamponade Pulmonary ... - Water - Pus ... • Pleura: - Effusion ... Transverse myelitis • Hematology ... #pulmonary
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... with "spine sign ... Care Ultrasound (POCUS ... #Clinical #POCUS ... #ultrasound #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Possible small plural effusion ... pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #Lung #POCUS #ultrasound
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... absence of pleural effusion ... #SpineSign #POCUS ... #Clinical #Pleural ... #Effusion #Pulmonary
Hydropneumothorax on Lung POCUS

HIV/AID(CD4<250) with cough, dyspnea.Left lung anterior mid. Left lung. Findings consistent with PNA.
consistent with PNA ... Has pleural effusion ... #bubbles #POCUS ... #clinical #ultrasound ... #pulmonary
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... fatal in 10% of pts ... polyarthritis • Pulmonary ... Sarcoidosis #Diagnosis #Symptoms ... #Signs #Pulmonary
Causes of Polycythemia (Erythrocytosis) - Differential Diagnosis Algorithm
Relative - Normal RBC Mass / Decreased Plasma Volume
Causes of Polycythemia ... Splenomegaly, Increased PMNs ... Cyanosis without Pulmonary ... Chronic Chest Symptoms ... #Hematology
Hematocrit Sign on Lung POCUS
The hematocrit sign refers to the echogenic layering of material in a
Hematocrit Sign ... material in a pleural effusion ... due to exudative effusions ... #Lung #POCUS #clinical ... #ultrasound #pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Renal Syndromes (PRS ... LVEF, pericardial effusion ... or serologies + symptoms ... Goodpasture's cause ... hematuria, RBC casts
Plankton Sign on Lung POCUS
The plankton sign shows an effusion with swirling, hyperechoic debris

POCUS 101 @Pocus101

#debris
Plankton Sign on ... an effusion with ... #Lung #POCUS #clinical ... #ultrasound #pulmonary ... #effusion