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COVID-19 Lung Ultrasound Algorithm

Intensive Care Society @ICS_updates

#Lung #Ultrasound #Algorithm #POCUS #COVID19 #SARSCOV2 #Diagnosis #Management
COVID-19 Lung Ultrasound ... ICS_updates #Lung ... #Ultrasound #Algorithm ... POCUS #COVID19 #SARSCOV2 ... #Diagnosis #Management
Lung ultrasound pathology in a COVID-19 positive patient
 - Few B-lines (vertical white lines)
 - Confluent
Lung ultrasound ... Small Tiny Pleural Effusions ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2
COVID-19 Lung POCUS

Common findings
-B lines
-Subpleural consolidation
-Air bronchograms
-Irregular pleural line
-Localized pleural effusion

Dr. Marco Garrone @drmarcogarrone

#COVID19 #POCUS #Clinical
COVID-19 Lung POCUS ... Localized pleural effusion ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2
COVID-19 Phenotypes - Implications for Respiratory Support Management

L Phenotype
 - Low Elastcnce (High Compliance)
 - Low
Respiratory Support Management ... Low Ventilation Perfusion ... Ratio - Low Lung ... Shunt - High Lung ... #SARSCOV2
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
consolidation and likely effusion ... But this ultrasound ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
pressure incr renal perfusion ... Octreotide - Long-acting ... Syndrome #Nephrology #Management ... #Pharmacology #
Atopic Dermatitis - Topical Treatment Options 
First Line: Topical Corticosteroids 
  - High Potency: Betamethasone
Inhibitors - Elidel ... therapy is non-pharmacologic ... the first line pharmacologic ... corticosteroids, and that long-term ... #Dermatology #Management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... bilateral pleural effusions ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... 1 — Treat the lungs ... edema - Large effusion ... (no B-lines on ultrasound ... HeartFailure #Cardiology #Management
Awake Proning Instructions for Patients

Try to avoid lying flat on your back, instead lay on your
your stomach and side ... air into your lungs ... PatientInfo #Prone #Management ... #Coronavirus #SARSCOV2