Lung Ultrasound Case 9

[az_acc_container animation_loading=”yes” animation_loading_effects=”move_left”] [az_accordion_section] [accordion title=”History” id=”acc-1″] Older gentleman presents with severe, right sided chest pain and contusion, but no memory of event. Hand-held ultrasound on ramp shows pleural fluid, patient moved to monitored bed. Review the CXRs and lung ultrasound images to develop your diagnosis.[/accordion][accordion title=”CXR” id=”acc-2″] [az_lightbox_image_sh image_url=”https://intensivecarenetwork.com/wp-content/uploads/2014/09/LungUSCase9-CXR.png” thumb_width=”300″ title=”Lung US Case 9 – CXR” gallery_name=”” class=””] [az_lightbox_image_sh image_url=”https://intensivecarenetwork.com/wp-content/uploads/2014/09/LungUSCase9-CXRlat.png” thumb_width=”300″ title=”Lung US Case 9 – CXR – Lateral” gallery_name=”” class=””][/accordion]    [accordion title=”Ultrasound” id=”acc-4″]

[az_lightbox_image_sh image_url=”https://intensivecarenetwork.com/wp-content/uploads/2014/09/LungUSCase9.gif” thumb_width=”300″ title=”Right Laterobasal view” gallery_name=”” class=””][/accordion] [accordion title=”Answer” id=”acc-5″] Peruse still views and note that the pneumothorax looks identical to normal lung, hence the need for m-mode demonstration of sliding/no sliding. Finally, check the clip at the right laterobasal area, and note how the small air collection sits in the anterior portion of the supine thorax, and is displaced by fluid with inspiration. [/accordion] [accordion title=”Further Resources” id=”acc-6″] ICN – Lung Ultrasound Guides   Article – Lung Ultrasound in the Critically Ill   Article – The BLUE Team Protocol [/accordion] [/az_accordion_section] [/az_acc_container][az_blank_divider height_value=”20″]