Hone your POCUS interpretation and clinical reasoning by working through the interactive cases below.
Case #10: I’d B-lining If I Knew (The Diagnosis): Consolidating Your Lung knowledge
Ms K. is a 62 year old female with alcoholic cirrhosis complicated by ascites, hypertension, and a history of a remote right MCA stroke. She presented to hospital with an UGIB secondary to NSAID use and gastroenteritis for which she received significant fluid resuscitation.
Following this, Ms K. developed hypoxemia (requiring 3L by NP) and one low grade temperature of 38.1C. She was also noted to have crepitations bilaterally on auscultation. CXR was reported as interstitial lung markings, likely in keeping with pulmonary edema. Creatinine was normal. The MRP team decided to start the patient on IV furosemide, and requested for a volume assessment by the POCUS team.
RIGHT UPPER ANTERIOR LUNG FIELD (R1)
RIGHT LUNG VIEWS
LEFT LUNG VIEWS