Pulmonary ultrasound radiology sign cxr pneumonia management chf pocus signs shredsign - GrepMed

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Pneumonia with irregular step ladder or "shred sign" on Lung Ultrasound (POCUS)

Dr. J. Christian Fox @jchristianfox

#Pneumonia

ladder or "shred sign ... (POCUS) Dr. ... #ShredSign #clinical ... #pocus #ultrasound ... #lung #pulmonary

Lung POCUS: Shred sign in patient with non-translobar consolidation. Phased array probe used.

Dr. Robert Jones @RJonesSonoEM

#ShredSign

sign in patient ... RJonesSonoEM #ShredSign ... Consolidation #Pneumonia ... #Lung #POCUS #Pulmonary ... #Ultrasound #Clinical

Pneumonia on Lung Ultrasound looks like this:
A-lines replaced by B-lines in an irregular stepladder appearance

Pneumonia on Lung ... termed the Shred Sign ... #ShredSign #clinical ... #pocus #ultrasound ... #lung #pulmonary

Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
- No lung sliding/barcode sign
- Lung point (hard

sliding/barcode sign ... pleura reflection) Pneumonia ... Consolidations - "Shred" sign ... differential #diagnosis #signs ... #Lung #POCUS #ultrasound

Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:

this patient have pneumonia ... infiltrate (e.g., CXR ... , CT, ultrasound ... chest pain) and signs ... #Pneumonia #Venn

Good example of 'shred sign' in a patient with fever, cough and shortness of breath.

This

example of 'shred sign ... This POCUS finding ... on CXR/CT imaging ... eabramsMD #Shred #sign ... #lung #pulmonary

Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam

B-Lines in case of Pneumonia ... /lung sliding: Pulmonary ... had Mycoplasma pneumonia ... partially seen shred sign ... #ultrasound

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 ... → no signs of CXR ... heartfailure #diagnosis #management

McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"

McConnell's Sign ... sparing ("McConnell Sign ... concerning for Pulmonary ... #McConnells #Sign ... A4C #clinical #ultrasound

Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
• Confusion/disorientation (LR + 1.9)
• Cough

Diagnosis and Management ... Pneumonia Signs ... Yield of blood CX ... CAP #Diagnosis #Management ... #treatment #Pulmonary

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