Ultasound in dyspnea & intensive care unit
Chest ultrasound Anterior lung : sliding sign B-line pneumothorax Lung bases effusion consolidation pulmonary edema Diaphraamatic paralysis Pneumothorax Effusion Pneumonia ARDS Fibrosis COPD asthma Pneumothorax Absent sliding sign (unilateral) + Lung point barcode or stratosphere sign sign on M-mode =pneumothorax Cardiac ultrasound : normal (not in tension pneumo) B-line B3 interstitial edema B7 alveolar edema Pleural effusion Anechioc fluid in pleura quad sign sinusoid sign spine sign consolidation (Pneumonia) Tissue pattern /hepatization shred sign Air bronchograms Fluid bronchograms Dynamic air and fluid bronchogram .Diaphragmatic paralysis Diaphragmatic movement (excursion) reduced movement Paradoxical movement Thickness of diaphragm M-mode study IVC normal (dilated in tension pneumo) cardiac Acute coronary syndrome Global function(CHF) Valvular heart disease Right ventricle Strain Tamponade pulmonary embolism aneurysm ascending aorta Global cardaic dysfunction sliding B-lines (anterior &bilateral) pleural effusion poor cardaic function systolic dysfunction diastolic dysfunction Tamponed Severe pericardial effusion diastolic collapse of right ventricle water bed sign Tampoline sign Pulmonary embolism (PE) RV mid free wall hypokinesis with apical sparing (a.k.a. McConnell’s sign) free-floating right-heart thrombus ,PA Dilated right ventricle D shape RV .Abnormal interventricular septal motion (Septal bowing) TR ,raised PASP PA dilatation Lack of inspiratory collapse of IVC , Dilated uncollapsed IVC Underfilled left ventricle with normal function lung sliding : Normal bilaterally Right ventricle Strain Right ventricle dysfunction PE ,PH Focal wall injury (infraction) Dilatation (RV dilation IVC dilatation and loss of respiratory variations respiratory increase of inter-ventricular dependence Inferior vena cava IVC : respiratory Collapse dilatation Deep venous thrombosis No Compression By ultrasound Absent or abnormal flow on spectral or color Doppler venous distention Intraluminal material free floating thrombus Abdominal liver cirrhosis renal failure
