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A Guide To Point Of Care Ultrasound Lung And Ivc Examination Of A Volume Overloaded Patient, Michael Dong, Md, Frances Mae West, Md, Jonathan Foster, Md, Rebecca Davis, Md, Jillian Cooper, Md
A Guide To Point Of Care Ultrasound Lung And Ivc Examination Of A Volume Overloaded Patient, Michael Dong, Md, Frances Mae West, Md, Jonathan Foster, Md, Rebecca Davis, Md, Jillian Cooper, Md
The Medicine Forum
A patient presents with dyspnea, hypoxia, and lower extremity edema. Their history is notable for recent high salt intake and non-compliance with diuretics, and their lungs have rales bilaterally. Clinically, we can diagnose a heart failure exacerbation with pulmonary edema. However, we often rely on X-ray and computed tomography (CT) imaging to support the clinical diagnosis and explore the etiology of the hypoxia and dyspnea to narrow the differential. Ultrasound is an effective modality for identifying pulmonary edema and pleural effusions while at the same time ruling out other etiologies such as pneumonia and pneumothorax. With bedside point of care …