Pulmonary Pathology and Associated Lung Ultrasound Findings

Pneumothorax:

 - No lung sliding/barcode sign

 - Lung point (hard to find)

 - Bilateral A-lines (parietal pleura reflection)

Pneumonia:

 - Consolidation or "hepatization of the lung"

 - Supleural Consolidations

 - "Shred" sign

 - Unilateral B-lines or bilateral B-lines

 - Possible small plural effusion

 - Reduced lung sliding due to thickened pleura in severe cases

 - Dynamic air bronchograms (atelectasis has static bronchograms)

Cardiogenic Pulmonary Edema:

 - Widespread and bilateral B-lines

 - Normal lung sliding

 - Possible bilateral effusion depending on the severity

Acute Respiratory Distress Syndrome (ARDS):

 - Bilateral or unilateral B-lines

 - Normal lung sliding

COPD or Asthma:

 - Bilateral A-lines

 - Reduced lung sliding

Pulmonary Embolism (PE):

 - Bilateral A-Lines

 - Deep Vein Thrombosis in Upper or Lower Extremities

 - Right Ventricular Enlargement (massive/submassive PE)



POCUS 101 @Pocus101



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