8 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Chest X-ray - Lung ... ultrasound (thorough ... - CBC with differential ... as clinically indicated ... #SARSCoV2 #Coronavirus
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
highlight selected differentials ... LungPoint #POCUS #clinical ... lungdiaphragam #ultrasound ... #pulmonary #differential ... #diagnosis #mimics
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Antibiotic Failure - Differential ... bacteria: Viral, Fungal ... (daptomycin in lungs ... ) Mimics / Secondary ... Difficile, COVID
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
cut-offs defined in clinical ... BAL GM does not differentiate ... after stopping abxs ... Galactomannan #diagnosis ... #comparison
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
cut-offs defined in clinical ... >90% (In most clinical ... in BAL does not differentiate ... result in + as long ... after stopping abxs
ABCs of Lung Ultrasound - A-Lines, B-Lines, Consolidation
A-Profile - Air filled lung does not transmit sound
ABCs of Lung Ultrasound ... propagation of ultrasound ... IMPOCUSFocus #ABCs ... #Differential # ... Diagnosis #clinical
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... throughout the whole lung ... #Clinical #Diagnosis ... #CTChest #UIP #Comparison ... HypersensitivityPneumonitis #Fibrosis #Mimic
Lung sliding & pneumonia on POCUS
The differential diagnosis for absence of lung sliding includes pneumonia; however,
on POCUS The differential ... diagnosis for absence ... pneumonia #POCUS #clinical ... #ultrasound #pulmonary ... #mimics