[POCUS - Thoracic Sonography in Times of Corona: What Sonographing Family Physicians Should Examine].

Praxis
Rudolf Horn, G Mathis

Abstract

POCUS - Thoracic Sonography in Times of Corona: What Sonographing Family Physicians Should Examine Abstract. When performing chest sonography of patients with symptoms such as respiratory infection, dyspnea and chest pain, the primary goal is to find or exclude significant diagnoses such as pneumothorax, pleural effusion, pulmonary edema, tumors, pulmonary emboli, etc. as the cause of the symptoms. If infection with SARS-CoV-2 is present, COVID-19 pneumonia can be confirmed or excluded as the cause of the symptoms with a high degree of probability based on the sonographic signs. COVID-19 pneumonia shows typical changes in the lungs, which are easily accessible to ultrasound due to their usually peripheral location. These are ubiquitous signs, such as a thickened, fragmented pleura with subpleural consolidations, multiple comet tail artifacts of varying size and thickness, some of which are coascent, broad bright light beams, and possibly small encapsulated pleural effusions. The more of these sonographic signs are present and the more pronounced they are, the sooner the patient must be hospitalized and possibly intubated. Ultrasound is also useful as a follow-up tool, together with clinical and laboratory findings.

References

Mar 7, 2012·Intensive Care Medicine·Giovanni VolpicelliUNKNOWN International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-
Jan 17, 2015·Ultrasound in Medicine & Biology·Christoph F DietrichTim O Hirche
Jun 14, 2016·Journal of Thoracic Disease·Christoph F DietrichDong Yi
Dec 17, 2016·Medical Ultrasonography·Christoph F DietrichDong Yi
Mar 14, 2020·Intensive Care Medicine·Qian-Yi PengUNKNOWN Chinese Critical Care Ultrasound Study Group (CCUSG)
Apr 1, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Gino SoldatiLibertario Demi
Apr 23, 2020·The Ultrasound Journal·Giovanni Volpicelli, Luna Gargani
May 6, 2020·Intensive Care Medicine·Giovanni VolpicelliTomás Villén
Aug 19, 2020·Ultrasound in Medicine & Biology·Marco AllinoviAngelo Mangia
Feb 24, 2021·Medical Ultrasonography·Gebhard MathisChristoph F Dietrich

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