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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
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 •
Main Lung Ultrasound ... defined spared areas ... more deaerated areas ... COVID19 #POCUS #Lung ... #Ultrasound #Comparison
Lung ultrasound pathology in a COVID-19 positive patient
 - Few B-lines (vertical white lines)
 - Confluent
Lung ultrasound ... POCUS #Clinical #Lung ... #Ultrasound #SARSCoV2
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 • Smooth pleural line
 • AIS >
Lung Ultrasound: ... AIS > 3 B-lines/ lung ... Areas of sparing ... Lung "Pulse" • ... clinical #diagnosis #ultrasound
Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients
1. Turn machine on / Enter patient
and Cardiac Ultrasound ... views of right lung ... and 4 views left lung ... Document highest lung ... diagnosis #covid19 #sarscov2
Primary Amenorrhea Differential Diagnosis Framework

Workup:
 • β-HCG, TSH and PRL
 • Breast Tanner Staging
 • FSH,
TSH and PRL • Breast ... LH • Pelvic Ultrasound
Tumor markers in clinical practice
Colorectal - CEA
Hepatocellular - AFP
Pancreatic - CA 19-9
Ovarian - CA 125
Breast -
Ovarian - CA 125 Breast ... cell - AFP, HCG Lung ... CYFRA 21-1, SCC Lung
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH Treat ... pain, primary lung ... patients to maintain long-term ... volume overload Urea ... into ammonium by urease-producing
Liver Mass - Differential Diagnosis Algorithm
Benign Cystic 
 • Cyst
 • Polycystic Liver Disease
 • Caroli's
Lung, Colon, Breast
Liver Mass - Differential Diagnosis Algorithm
Cystic:
 • Benign 
     - Simple: Simple
- secondary - Breast ... , Lung, Colon etc