Many thanks to Daniel for this fabulous collection and for letting us feature it here.
He is a POCUS legend and thoroughly nice physician. You can follow him on Twitter here
PE
50 y/o 👩🏻🇯🇵
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 25, 2021
🛬🏝🗿 Syncope
🚑🏥: HR 120, 110/70, SpO2 91%, RR 22, CRT 5🦵✖️ edema
🧪 Hg 7, VCM ⬇️ | EKG: ST, TWI V1-V4#POCUS #echofirst
RV>LV, McConnell’s, pDVT
CT: PE & Myoma
Tx: Anticoag / Tx🩸🔜 Stable ⤵️HR ⤵️CRT
In 24h 🛫🏥🏙
🔰 Pulmonary Embolism
🧵[1/3] pic.twitter.com/iMqsA5c4Xs
Phaeochromocytoma
50y🧔🏻HTN. Hx of Episodic sweating & palpitations.
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 3, 2021
🏥 < 12h SOB + diaphoresis
BP 220/120. HR 125. SpO2 80% CRT >5#POCUS bilat B lines + RUQ mass
Tx: NIV + CI 💉 1° 🆙NTG + 2° Labetalol* 🔜 Stable
Emergent 🏝🛩 to tertiary center (4k km)
🔰Pheochromocytoma ⁉️
[1/3] pic.twitter.com/CbX0Kg74yE
Pulmonary Hypertension
Middle age 🧔🏽. Syncope. #POCUS performed❗️
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 6, 2021
Re-interrogated: HAART user (🆗VL). > 12m exertional dyspnea, bendopnea, abdominal pain. No leg edema. Minimized symptoms by “depression”and overweight. AngioCT no PE.
Dx: Severe PAH #VExUS #FOAMed #MedEd @ThinkingCC @ArgaizR pic.twitter.com/6XvRhiuqyk
Lung and Pleura
Bronchiolitis Paediatric
2 y/o 👧🏻. Wheezing + fever#POCUS
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) March 10, 2021
➖Bilateral A lines
➖Normal pleural line
🔹Conclusion:
〽️Bronchiolitis
〽️Low probability of bacterial
🫁 infection
Tx: BD 💨, Corticoids, F/U in 48h
POCUS 📽 in 👧🏻 are always fantastic & ➕ easy to obtain❗️(🧑🏻⚕️👋🍬👧🏻) pic.twitter.com/d4fEaZ3LbC
Air Bronchograms + Pneumonia
👵🏻 Severe Pneumonia
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) April 29, 2021
〽️Translobar consolidation with dynamic air bronchogram#POCUS #FOAMed pic.twitter.com/jeygYKWexh
Bronchogenic Carcinoma
70 y/o👴🏼. 40 PY🚬 / 🍻
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 4, 2021
⤵️ 10 kg, ⤴️ cough + behavioral change
CXR + #POCUS
➖ R perihilar 🫁 mass
CT
➖➕ Mediastinic & hilar ipsilat LAD
🧠 CT
➖ R cerebellar contrast enhanced lesion, suspected MET
🔰Broncogenic carcinoma
🗣👨⚕️👨👩👦👦Palliative care 🔜☠️#FOAMus
[1/3 🎞] pic.twitter.com/3ure3MSD3b
Bronchogenic carcinoma 2
Contusion
Young 🧑🏻🦱
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 19, 2021
During a 🏇race: Fell off ⚠️
⤵️🏥 ABC 🆗#POCUS
➖Focal right basal B-lines
➖Clear A-lines / B-lines interface
➖Subpleural consolidation + B-lines
🔰Lung contusion#FOAMus #FOAMed #MedEd pic.twitter.com/W4eKT0YXWj
Empyema
75 y/o 👴🏼. COPD gold D. O2 user. Dementia. Dependency. Cachexia.
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 15, 2021
New 🏥 for Pneumonia. Bad evolution.#POCUS
🔶Pleural Empyema#MedED #FOAMed #FOAMus #ButterflyIQ
(1/2) pic.twitter.com/0qKL6BABpA
Lung abcess
50 y/o 👩🏻🚬
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 17, 2021
2 weeks of cough
Pleuritic chest pain
🔝#POCUS
➖Alveolar consolidation + inner A lines
CT
➖🔰 Lung Abscess
Tx: 💊 Amox/Clav + F/U with 🫁👨⚕️. Benign course.#FOAMed #FOAMus #MedEd pic.twitter.com/nBklHiir1q
Malignant Haemothorax
Young 👩🏻
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 23, 2021
Metastasic Anaplastic Ca (🧠, 🫁,🦵)
1 º ❓
🏥Acute chest pain + SOB
🧪 ⤵️Hg#POCUS
🔰Malignant right Hemothorax
🧵[1/3]#FOAMed #FOAMus #MedEd pic.twitter.com/gJTVRjBjTB
Pleural effusion / atelectasis
I don't know if it's a bird 🐤#POCUS https://t.co/AvzvA2Jkbv pic.twitter.com/gSD51gp4lP
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 5, 2021
Pneumonia 1
8 y/o 🧒🏻. Cough 1 week. No fever. SpO2 97%. RR 15.#POCUS
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 20, 2021
➖Bibasal alvelolar consolidation w/ air bronchogram
🔸 Bacterial Pneumonia#FOAMed #FOAMus #MedED #ButterflyIQ
[1/2] pic.twitter.com/rBROYCyLDV
Pneumonia 2
👨🏻🦳
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) May 16, 2021
〽️Severe Pneumonia #POCUS
➖ Translobar consolidation + air bronchogram
1/2 pic.twitter.com/dR3Lk6Ff3f
Pneumonia 3
60 y/o 🧔🏽🚬. 1 week w/ cough
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) April 17, 2021
48h before ⤵️🏥”🦠 Bronchitis”
🆕 consult
SpO2 96% RR 17 🩺 Right ant 🫁 “Bronchial Breath”#POCUS
➖ Large alveolar consolidation + air bronchogram
When I feedback the other👨⚕️:
“Oh, he became over-infected” 🤔
〽️ Bacterial Pneumonia#FOAMed pic.twitter.com/02CyYYKxOm
Pneumonia 4
7 y/o 🧒🏻
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) May 8, 2021
1 day with dry cough + fever
Normal 🫁🩺#POCUS
➖ Probe on right axilla (Long & trans)
〽️Bacterial Pneumonia
A profile Alveolar Consolidation
(Normal) + Air Bronchogram
⬇️ ⬇️ pic.twitter.com/gSSLYwtpyX
Pneumonia – Paediatric
3 y/o🧒🏻. Fever < 24 h. Mild dry cough. 🩺 🫁 normal. #POCUS
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 12, 2021
Right: anterior alveolar consolidation with air bronchograms.
Left: A lines pattern.
Dx: Bacterial Pneumonia
F/U 🦋 in 72h ▶️ next tweet 🔆#FOAMed #FOAMus #showyourIQ #PEDed pic.twitter.com/03cqKvkiMf
Pneumothorax
30 y/o 👱🏼♂️. Fell from 🏍. Chest pain. ABC 🆗. #POCUS
— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 14, 2021
1: R absent lung sliding
2: R anterior lung point
3: Focal B lines R basal 🫁
🔺 Small Pneumothorax
CT scan: [+], R basal 🫁 contusion, 6-7-8 RC Fx.
Tx: Medical mngmt#FOAMed #FOAMus #ButterflyIQ
(1/2) pic.twitter.com/XHimNOOPiS