23 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 ... jchristianfox #Pneumonia ... #lung #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
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... • CT: Halo sign ... : • Upper lung ... lymphadenopathy, • Abdominal ... cough, myalgia • Lung
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 ... jchristianfox #Pneumonia ... #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 ... had Mycoplasma pneumonia ... partially seen shred sign ... BLines #Bilateral #Pneumonia ... #ultrasound
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... Abdominal or flank ... be present or signs ... clostridium, klebsiella pneumoniae ... ultrasound as initial
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 ... acute HF → no signs ... heartfailure #diagnosis #management
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
example of 'shred sign ... eabramsMD #Shred #sign ... #pneumonia #clinical ... #photo #ultrasound ... #lung #pulmonary
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
effusion, Restrictive lung ... valve lesions Abdominal ... erythematosus #signs ... symptoms #diagnosis #rheumatology