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

Dr. J. Christian Fox @jchristianfox

#Pneumonia
Pneumonia with irregular ... ladder or "shred sign ... " on Lung Ultrasound ... (POCUS) Dr. ... #pulmonary
Lung POCUS: Shred sign in patient with non-translobar consolidation. Phased array probe used.

Dr. Robert Jones @RJonesSonoEM

#ShredSign
Lung POCUS: Shred ... sign in patient ... Consolidation #Pneumonia ... #Lung #POCUS #Pulmonary ... #Ultrasound #Clinical
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
Pneumonia on Lung Ultrasound looks like this: 
A-lines replaced by B-lines in an irregular stepladder appearance
Pneumonia on Lung ... Ultrasound looks ... termed the Shred Sign ... ShredSign #clinical #pocus ... #pulmonary
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
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
Look for other signs ... have an acute cardiac ... , may have non-cardiac ... #Diagnosis #Radiology ... #Pulmonary #CXR
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
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... WBC >100k, + lab signs ... lethargy, hematuria, cardiac ... with tetany or cardiac ... TLS #diagnosis #management
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