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  • USG Paru Dr. Bambang

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    Adhita Kartyanto
    21 просмотров21 страница
    Lung ultrasonography provides real-time imaging of the lungs and can be used at the point of care to diagnose several common pathologies. It allows visualization of pleural sliding, lung pulse, B-lines, and other artifacts to identify conditions like pneumonia, pneumothorax, pulmonary edema, and abscesses. The probe and scanner settings should be optimized for lung imaging, examining the lungs in zones along the long axis. Pathological findings on ultrasound include the absence of pleural sliding in pneumothorax, dependent fluid in pleural effusions, increased B-lines in pulmonary edema, and solid appearances in pneumonia.

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    Lung ultrasonografi

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    Lung ultrasonography provides real-time imaging of the lungs and can be used at the point of care to diagnose several common pathologies. It allows visualization of pleural sliding, lung pulse, B-lines, and other artifacts to identify conditions like pneumonia, pneumothorax, pulmonary edema, and abscesses. The probe and scanner settings should be optimized for lung imaging, examining the lungs in zones along the long axis. Pathological findings on ultrasound include the absence of pleural sliding in pneumothorax, dependent fluid in pleural effusions, increased B-lines in pulmonary edema, and solid appearances in pneumonia.

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    21 просмотров21 страница

    USG Paru Dr. Bambang

    Загружено:

    Adhita Kartyanto
    Lung ultrasonography provides real-time imaging of the lungs and can be used at the point of care to diagnose several common pathologies. It allows visualization of pleural sliding, lung pulse, B-lines, and other artifacts to identify conditions like pneumonia, pneumothorax, pulmonary edema, and abscesses. The probe and scanner settings should be optimized for lung imaging, examining the lungs in zones along the long axis. Pathological findings on ultrasound include the absence of pleural sliding in pneumothorax, dependent fluid in pleural effusions, increased B-lines in pulmonary edema, and solid appearances in pneumonia.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 21

    Lung Ultrasonography

    The Basic

    Bambang P Utomo
    Why Ultrasonography?

    • More real
    pathoanatomy imaging
    • Extend Point of Care
    Ultrasound Chest
    Why Ultrasonography?
    Pleural fluid
    Pnemothorax

    Number of collegial Pulmonary oedema


    doctors have taken it
    Pneumonia
    up for a number of
    indications including: Abscess
    Pulmonary contusion
    Pulmonary infarction
    Lung Ultrasonography

    • Almost use artefact interpretation


    • Artefacts are violent against assumption
    • One of the assumption, ultrasound interprets
    time as a distance
    Probe and Scanner settings

    • Probe: Curved probe and cardiac sector, Everyone has


    his/ her preferences

    • Depth: Depends on what we’re looking for 5cm, 10cm or


    15cm

    • Placing the probe: Long axis of the patient

    • Zone evaluation
    Lung anatomy
    Normal Lung
    1. Sliding lung
    • Non separated
    parietal and visceral 2. Lung pulse
    pleural 3. Pleural line
    • Areated lung, no fluid 4. A line
    in all part
    5. B line/ comet tail
    Pleural sliding
    Lung Pulse
    Normal Lung
    B Line, Lung comet tail
    Mismatch acoustic
    impedance between
    fluid filled interlobaris
    septa and an air filled
    lung.
    Pathological Conditions
    Pnemothorax
    No contact between pleura layers = no lung sliding is seen on screen

    No visualised visceral pleura because lung trapped below the air in the
    pneumothorax
    Lung point
    Pnemothorax
    Pnemothorax
    Pleural fluid
    Dependent site
    Less organ
    Except loculated fluid
    Pulmonary Oedema
    Pneumonia
    Early pneumonia: Only
    some fluid fill of the
    alveoli— Fluid surrounded
    by air mismatch acoustic
    impedance, short path
    reverberation artefact—
    arise B line
    Solid appearing
    consolidated lung—
    hepatization
    Empyema

    Echogenic debris
    within an empyema:
    Swirling echogenic,
    coarse moving content
    Terima Kasih

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