1019 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
look for focal a-lines ... diagnostics as clinically ... indicated (e.g. echocardiogram ... Internet Book of Critical ... iBookCC #COVID19 #algorithm
Mitral Valve Vegetation Echocardiogram
Juicy vegetation on a mitral valve.

31% S. Aureus (IVDUs, IV lines)
17% Strep viridans
11%
Valve Vegetation Echocardiogram ... Aureus (IVDUs, IV lines ... Endocarditis #Infective #Clinical ... #Echocardiogram
Normal horizontal repetitive artifacts (A Lines) 

 - Dustin Morrow MD @SonoSerious

#ALines #Artifact #Pulmonary #Lung #Ultrasound
repetitive artifacts (A Lines ... SonoSerious #ALines ... Ultrasound #POCUS #Clinical
Lung POCUS with multiple B-lines representing pulmonary edema

Eric Abrams, MD @eabramsMD

#Edema #BLines #Lung #POCUS #clinical #Pulmonary
with multiple B-lines ... eabramsMD #Edema #BLines ... #Lung #POCUS #clinical
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
transparency; (B) A-lines ... hyperechoic B-line ... smooth pleura line ... arrow shows B-line ... #Clinical #Diagnosis
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 • Smooth pleural line
 • AIS >
Smooth pleural line ... • AIS > 3 B-lines ... Irregular pleural line ... • AIS > 3 B-lines ... edema #comparison #clinical
Horizontal reverberation artifacts - A-lines are visualized as hyperechoic, horizontal artifacts at regular intervals deep to
artifacts - A-lines ... to the pleural line ... the near field #Clinical ... #POCUS #Lung #ALines
Pneumoperitoneum - Free Air Reverberation Artifact - Abdominal A-Lines on POCUS

Don't just look for FF on
- Abdominal A-Lines ... with abdominal a-lines ... Artifact #Abdominal #ALines ... #POCUS #clinical
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines ... Differential Bilat B lines ... shows a lot of B lines ... Bilateral B-lines ... #Lung #POCUS #clinical
Nail Changes - Differential Diagnosis Algorithm
Nail Plate Abnormality
 - Trachyonychia
 - Discoloration
 - Onycholysis
 - Pitting
Differential Diagnosis Algorithm ... Koilonychia - Beau's Lines ... Differential #Diagnosis #Algorithm