Thoracic Exam

Cardiac Bahner Video
Aorta Slides

Indications

Acquisition

The Probe

2-5 MHz Curvilinear Probe  

Can also use phase array probe.

B-Mode Exam

M-Mode Exam

Normal Lung: Seashore Sign                            

Impression and Medical Decision Making

66 yo male in the ICU. Patient was recently admitted to ICU for septic shock secondary to urosepsis. Antibiotics are started, cultures are collected and patient is appropriately resuscitated.  Left subclavian line was placed for central venous access.  After initially be stabilized on admission to the ICU, patient rapidly decompensates.  VS: HR 130 BP 89/40 RR 35 T 100.1 Sats 88% on 6L NC.  His oxygen requirements continue to increase, while his hypotension.  Lung sounds are clear and normal on the right side, and absent on the left.  Thoracic ultrasound on the left side shows the following:

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