12 results
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
CXR with consolidation ... and likely effusion ... But this ultrasound ... bilateral pattern ... Clinical #Lung #Ultrasound
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... update: small bilateral ... pleural effusion ... clinical #lung #ultrasound ... BLines #POCUS #Effusion
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID-19 - A Seattle ... influenza) • CFR ... symptoms Imaging • CXR ... : hazy bilateral ... Cheatsheet #Diagnosis #Management
Anti-IL6 Agents (Tocilizumab, Siltuximab) in COVID19

IL-6 activates T cells and macrophages, among other cell types (see
Siltuximab) in COVID19 ... correlate with severe COVID ... be repeated 12h later ... ALT) > 22% - Infusion ... #Pharmacology #Management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Fat infiltrates maternal ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... Intubated: Initiate enteral ... pain-dose ketamine infusion
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
gallop rhythm), and laterally ... alveolar edema, bilateral ... pleural effusions ... → no signs of CXR ... heartfailure #diagnosis #management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... indicated, start CPR ... • Call for ultrasound ... Plan definitive management ... Checklist #Diagnosis #Management
COVID-19 - Subpleural Consolidations on Lung POCUS

Doing daily POCUS LUS for ICU COVID-19 patients in Singapore
COVID-19 - Subpleural ... POCUS LUS for ICU COVID ... Helps with management ... valuable PPEs, reduce CXRs ... clinical #lung #ultrasound
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Pericardial Effusion ... seen during CPR ... best choice for management ... #Pericardial #Effusion ... #clinical #ultrasound