50 y/o 👩🏻🇯🇵

🛬🏝🗿 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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 25, 2021

50y🧔🏻HTN. Hx of Episodic sweating & palpitations.

🏥 < 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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 3, 2021

Middle age 🧔🏽. Syncope. #POCUS performed❗️

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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 6, 2021

2 y/o 👧🏻. Wheezing + fever#POCUS
➖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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) March 10, 2021

👵🏻 Severe Pneumonia

〽️Translobar consolidation with dynamic air bronchogram#POCUS #FOAMed pic.twitter.com/jeygYKWexh

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) April 29, 2021

70 y/o👴🏼. 40 PY🚬 / 🍻

⤵️ 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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 4, 2021

Young 🧑🏻‍🦱

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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 19, 2021

75 y/o 👴🏼. COPD gold D. O2 user. Dementia. Dependency. Cachexia.

New 🏥 for Pneumonia. Bad evolution.#POCUS

🔶Pleural Empyema#MedED #FOAMed #FOAMus #ButterflyIQ

(1/2) pic.twitter.com/0qKL6BABpA

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 15, 2021

50 y/o 👩🏻🚬

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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 17, 2021

Young 👩🏻
Metastasic Anaplastic Ca (🧠, 🫁,🦵)
1 º ❓

🏥Acute chest pain + SOB
🧪 ⤵️Hg#POCUS
🔰Malignant right Hemothorax

🧵[1/3]#FOAMed #FOAMus #MedEd pic.twitter.com/gJTVRjBjTB

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) February 23, 2021

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

8 y/o 🧒🏻. Cough 1 week. No fever. SpO2 97%. RR 15.#POCUS
➖Bibasal alvelolar consolidation w/ air bronchogram

🔸 Bacterial Pneumonia#FOAMed #FOAMus #MedED #ButterflyIQ
[1/2] pic.twitter.com/rBROYCyLDV

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 20, 2021

👨🏻‍🦳

〽️Severe Pneumonia #POCUS
➖ Translobar consolidation + air bronchogram

1/2 pic.twitter.com/dR3Lk6Ff3f

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) May 16, 2021

60 y/o 🧔🏽🚬. 1 week w/ cough

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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) April 17, 2021

7 y/o 🧒🏻
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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) May 8, 2021

3 y/o🧒🏻. Fever < 24 h. Mild dry cough. 🩺 🫁 normal. #POCUS
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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 12, 2021

30 y/o 👱🏼‍♂️. Fell from 🏍. Chest pain. ABC 🆗. #POCUS
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

— 𝗗𝗮𝗻𝗶𝗲𝗹 𝗢𝗽𝗮𝘇𝗼 #ℙ𝕆ℂ𝕌𝕊 (@TaotePOCUS) January 14, 2021