Ultrasound for critical care physicians: tiny bubbles

Southwest Journal of Pulmonary and Critical Care

Aslam K¹  Boivin M¹ 

[1] University of New Mexico, Albuquerque, NM USA;

关键词: ultrasound;    lung;    pneumonia;    bubbles;    lung bubbles;    dynamic air bronchogram;    air bronchogram;    CT scan;    ultrasonography;    septic shock;   

DOI  :  10.13175/swjpcc067-15

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after first page. A 59 year old woman with a past medical history significant for stage IV MALT lymphoma (after chemotherapy and in remission) presented from a long term care facility for respiratory distress and altered mental status. The patient was in hypercarbic respiratory failure with a severe lactic acidosis. Her blood pressure deteriorated, she was begun on vasopressors and intubated.Pertinent labs demonstrated a white blood cell count of 0.9 X106 /ml, a hemoglobin of 7.1 g/dl, and a platelet count 66 X106/ml. The patient was started on Cefepime and Linezolid presumptively for septic shock. Ultrasounds of her thorax were performed (Videos 1 & 2). What is the best explanation for the ultrasound findings shown above?1. Large pleural effusion; 2. Pneumothorax; 3. Consolidation due to pneumonia; 4. Ruptured diaphragm; 5. Lung abscess

【 授权许可】

Unknown