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drshukla14

11 Dec, 6 tweets, 3 min read

1/n #POCUS is more sensitive than CXR for subtle consolidation detection. M/40, fever, right sided chest pain. Had cough 3 d ago, now resolved.WCC 13k, CRP 230. Normal physical exam.

2/n #POCUS showed bilateral small basal consolidations, B-lines at right base with sub pleural consolidations. Right posterior basal region sub pleural consolidation -

3/n B-lines right base

4/n Right base consolidation (note small air bronchograms within - thus this is not effusion)

5/5 Left base consolidation

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More from @DrShukla14

drshukla14

@DrShukla14

8 Nov

1/n #POCUS findings of effusive constrictive pericarditis. Patient presented with 2 months progressive pedal edema and ascites. Pericardial effusion, funny bounce of IVS

2/n A4C septal bounce

3/n Plethoric IVC

Read 9 tweets

drshukla14

@DrShukla14

26 Oct

1/n #POCUS as a part of ED evaluation for first episode of atrial fibrillation (this demographic has significant prevalence of rheumatic heart disease) - appears grossly normal - moving on to other views...

2/n Apical 4C also grossly normal....

2/n but as probe swept caudally from A4C .. what’s that in RA?

Read 6 tweets

drshukla14

@DrShukla14

5 Oct

1/n #POCUS M/68, vomiting since 6 hours, back pain since 1 h. Says no to chest pain /abd pain / dyspnea. Diaphoretic, vomiting, HR 90, RR 24, BP 128/70, SpO2 91% (air). Reduced BS left side, Abd distended, nontender. ECG normal. Is it acute aortic? Tried to get PLAX heart -

2/n - scanning right parasternal area - found the heart - hyperdynamic, but nothing grossly wrong there.

3/n #POCUS Another look at left hemithorax anteriorly (parasaggital plane, mid-clavicular line, 4th. ICS)

Read 9 tweets

drshukla14

@DrShukla14

30 Sep

Thread 1/4 - #POCUS Case - MPA+bilateral PE. HR 110, BP 94/68, Sats 98% room air. Subjectively, patient feels well, no dyspnea/pain. Warm skin. Shifted to EM Resus. Lytic or not? Young pt, no known co-morbids / provocation.

2/4 #POCUS - RV does not seem dilated

3/4 #POCUS - IVC seems collapsed

Read 5 tweets

drshukla14

@DrShukla14

4 Jul

#POCUS case - F/80. Known mesenteric stenosis (celiac origin, and SMA). Has upper abdominal pain off and on - ? mesenteric angina. Now presents with severe upper abdominal pain. Tender+++ epigastrium, no peritonism. Normal GB ultrasound and lipase. Lactate 0.4. Previous CT: