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diagnosis pulmonary clinical differential ultrasound management cardiology echocardiogram algorithm effusion anesthesia criticalcare pleural a4c bronchiectasis emergency pneumonia signs treatment workup
Lung Findings on Physical Exam Crackles: • Short, discontinuous, sounds mostly heard during inspiration • Caused by
Lung Findings on ... collapsed distal airways ... through narrowed airways ... extra-thoracic airway ... words louder #Lung
Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients 1. Turn machine on / Enter patient
Focused POCUS Lung ... Select phased-array ... views of right lung ... and 4 views left lung ... #Focused #POCUS
Balloon Visualization - Mechanical Ventilation Pressures - PIP, PPlat, PEEP Peak Inspiratory Pressure (PIP): Dynamic pressure needed
fully inflate the lung ... forces of the lung ... ) Airway Resistance ... unless excessive airway ... ) Inspiratory Pause
Lung POCUS: Shred sign in patient with non-translobar consolidation. Phased array probe used. Dr. Robert Jones @RJonesSonoEM #ShredSign
Lung POCUS: Shred ... Phased array probe ... Consolidation #Pneumonia #Lung ... #POCUS #Pulmonary
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 Bronchiectasis - Permanent dilation of an airway WHAT CAN YOU SEE ON CT? 1) Lack of tapering of
dilation of an airway ... segment or lobe of lung ... involving both lungs ... WHAT ARE COMMON CAUSES ... #differential #causes
Apical Approach Pericardiocentesis on POCUS Echocardiogram Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS ... good distance away ... from lung edge. ... edge of phased array ... Pericardiocentesis #POCUS
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 Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronckos meaning airway ... Chronic inflammation causes ... Most Common Causes ... in the adjacent lung ... of the affected lung
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... perfusion Mismatch • Airway ... • Interstitial lung ... Diagnosis #Algorithm #Causes
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... syndrome • Shunt Airway ... • Interstitial lung ... Diagnosis #Algorithm #Causes
Hyperacute Hypoxemia - Workup and Management Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
(JVP, edema), Lung ... Exam, POCUS (B-lines ... , lung sliding) ... Therapeutics: Airway
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