Profile picture
Dharmesh Shukla @DrShukla14
, 4 tweets, 2 min read Read on Twitter
Male/37. Fever 39 with cough and runny nose. Wheezy, HR 124, RR 30, sat 88% on air. Comments? ( the "season" has started! ) #POCUS
pubs.rsna.org/doi/full/10.11…
"Figure 8: Transverse thin-section CT scan at the level of the bronchus intermedius in a patient with influenza A virus shows ill-defined centrilobular nodules (arrows). Peripheral subpleural consolidation in the apical segment of left lower lobe"
Absence of consolidation (“hepatization” with air bronchograms) with #POCUS showing sub pleural consolidation supports diagnosis of viral pneumonia
Results out.. no surprises here
Missing some Tweet in this thread?
You can try to force a refresh.

Like this thread? Get email updates or save it to PDF!

Subscribe to Dharmesh Shukla
Profile picture

Get real-time email alerts when new unrolls are available from this author!

This content may be removed anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

Related hashtags

#POCUS

More from @DrShukla14 see all

Profile picture
#POCUS in a gentleman with LUQ tenderness after blunt abdominal trauma 1 week ago. What is seen caudal to the spleen?
Perisplenic hematoma was suspected - and CT was performed
This is a normal anatomical variant of elongated left liver lobe - so called "Beaver tail liver"
Read 5 tweets

Related threads

Profile picture
Good morning everyone! For my first session of day 2, I’ve decided to come and learn all about vasculitis in the ICU - being presented by Marlies Ostermann from @GSTT_ICU #lives2018
Marlies starts with a couple of case histories:

Middle aged women, presenting with undifferentiated pulmonary and renal failure, raised inflammatory markers, Nonspecific chest X-ray changes...

But which one has vasculitis? #lives2018
The answers are surprising...

(And it looks like you should #POCUS everyone with suspected vasculitis 😁😜) #lives2018
Read 22 tweets
Profile picture
Results of the #TARGETtrial, the largest critical care nutrition trial ever undertaken, are now online @NEJM
nejm.org/doi/full/10.10…
What we did, what we found, and what it means follows…
Please RT to help translate this new knowledge.
Thanks to funding from @HRCNewZealand & @NHMRC we randomised 4000 participants from 46 Australian and New Zealand ICUs in less than a year and a half!
Adults mechanically ventilated & expected to require enteral nutrition in ICU beyond the calendar day after randomisation were assigned to energy dense enteral nutrition (1.5kcal/mL) or standard care enteral nutrition (1.0kcal/mL) at a dose of 1mL/kg/hr based on ideal body weight
Read 27 tweets
Profile picture
Now debating “endpoints of fluid resuscitation” featuring @Manu_Malbrain and @PrXaMonnet #lives2018

Up first: Manu!

Follow him @Fluid_Academy and check his work annalsofintensivecare.springeropen.com/articles/10.11…
The ROSE concept emphasised by @Manu_Malbrain #lives2018
Magder Shelton: cardiac output is the key component of determining fluid requirements. Stop once CO adequate ncbi.nlm.nih.gov/pubmed/2054368… #lives2018
Read 19 tweets
Profile picture
1/
 It’s time for a #tweetorial on hypersensitivity pneumonitis. It’s a greatly misunderstood entity. Potentially treatable, so can be very good news. OTOH, misdiagnosing UIP as chronic hypersensitivity pneumonitis can be very bad.

Follow this thread for a #pathtweetorial
2/
Let’s start with a poll regarding a common misconception. What is the predominant inflammatory cell in hypersensitivity pneumonitis?
3/
 Hypersensitivity pneumonitis is an inflammatory reaction that occurs in individuals (classically never-smokers) who are exquisitely sensitive to an organic antigen.

Obvious exposures (moldy hay=farmer’s lung) can be fairly straightforward to recognize clinically.
Read 20 tweets
Profile picture
As kids are heading back to school, for this #FDA #SUNDAYTWEETORIAL I’m going to talk about MEASLES and the vital importance of vaccination. You may’ve seen recent news stories reporting cases of measles in parts of the US and EU. Most cases have occurred in unvaccinated people
In 2018 there have been 124 individual cases of measles in 22 states and D.C. Measles can spread when it reaches a community where there are groups of unvaccinated people. And travelers with measles continue to bring the disease into the United States go.usa.gov/xUzwa
Measles is caused by the rubeola virus and is highly contagious. It is normally passed through direct contact or through the air. The virus infects the respiratory tract, then spreads throughout the body, causing a skin rash, fever, cough and runny nose.
Read 19 tweets
Profile picture
Tweetorial!
Troponin, troponinaemia, troponinitis, troponin leaks - distinguishing type 1 MI from type 2 or nonischaemic myocardial injury. Increased demand for a limited supply of evidence...
Cardiac isoforms of Tn are expressed in cardiac muscle and released in various fragments on necrosis. Some troponin is unbound in cytoplasm – there is some disagreement over whether these free fragments ‘leak’ across the cell membrane under stress. heart.bmj.com/content/92/7/9…
The advent of high sensitivity troponins in 2010 increased sensitivity for detection and allowed earlier testing in low risk individuals but could also detect troponin in normal individuals.
Read 17 tweets

Trending hashtags

#FiSH #ESCCongress #FUTURE #VaccinesWork #scicomm #ChiefResident #CANSCAD #pediatria #BacPhysiqueChimie #CDoH #pocus #POCUS #IRoS #SBP #Tweetorial #NWPD #AJRCCM #FRANCETAVI #Interdependence #PedsICU #CAMELLIA #ScienceisAwesome #Sepsis #epinefrina #Matrix

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just three indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member and get exclusive features!

Premium member ($30.00/year)

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!