86 male w/ PMHx significant for COPD, HTN, DM, GERD, seizures, and a.flutter BIBA from Silver Lake NH where staff found him to be diaphoretic, tachycardic, and had a decrease in O2 to 90% sat on vent. Staff reported increased work of breathing and altered mental status. He was sent to ED for evaluation.
VS: T - 98.6F, BP - 127/59, PR - 122, RR 22, 82% on vent
CONSTITUTIONAL: lying in bed, trach tube in place
CARD: tachycardic, regular, no murmurs
RESP: Vented, breath sound auscultation limited
ABD: soft, nt/nd, normal bs
EXT: bilateral 2+ pitting edema to level of upper shins
- In the lung exam shown below, what clinical ultrasound findings do you see in Figure A and B?
- In Figure B, what are the two possible clinical diagnoses given the ultrasound findings in the still image?