Author: William Wilson, Gokul Sagar Bailur / Editor: Sarah Edwards / Codes: ResC7, ResP2, SLO1, SLO3, SLO6 / Published: 03/11/2025
A 72-year-old patient presented with fever 3 days, productive cough 3 days and breathlessness, worsening over last 2 days.
On examination:
- A Patient
- B No accessory muscle use. Basal left-sided crackles noted. RR 28 spo2 RA 91
- C Soft abdomen, non-tender calves. HR 112 BP 102/72
- D GCS 15 pupils 3mm
- E Nil significant
As a part of your extended examination a bedside lung point-of-care ultrasound is performed.
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Key Learning Points
- POCUS is a key extension of your examination while evaluating pneumonia.
- Irregular pleural line, shred sign, dynamic air bronchograms and effusion are some of the key POCUS features.
- As with anything POCUS, clinical context is king.
Reference
- Abid I, Qureshi N, Lategan M. Point-of-care lung ultrasound in detecting pneumonia. Can J Respir Ther. 2024;60:1-9. PMID: 38299193. PMCID: PMC10830142.
- Boccatonda A, Cocco G, Ianniello E, et al. Infectious pneumonia and lung ultrasound: a review. J Clin Med. 2023;12(4):1164. PMID: 36835938. PMCID: PMC9964129.4
- Moore CL, Copel JA. Point-of-care lung ultrasound. N Engl J Med. 2011;364:749-757. PMID: 21345104. PMCID: PMC7803468
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Module Content
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8 responses
Excellent details and images attached for explanation!
Excellent Updates
Thanks for this nice module
Nice! brief, on point. well done.
very good brief POCUS finding in a case of Pneumonia . Thank you .
Nice details for findings in lung POCUS
good learning case
Really love the use of gifs to show things, much better than just static images