Ultrasound-BLUE

lung abscess formation

A patient diagnosed with staph pneumonia is not getting better. Lung ultrasound show the following. What has occurred?

PLAPS point aka postero-lateral alveolar and/or pleural syndrome point

If you suspect effusions or consolidation which point to you want to be sure to visualize?

Bedside Lung Ultrasound in Emergency

What does BLUE Protocol stand for?

anterior pleural assessment (x2) lateral pleural assessment posterior pleural assessment DVT * all done bilaterally (you wouldn't ignore a whole lung...)

Which points are scanned in BLUE protocol?

diagnosing acute dyspnea

What is BLUE used for?

PTX is shallow depth (5ish cm) and pleural is deeper (15ish cm)

What is one thing you need to remember when scanning for PTX and pleural issues?

plankton sign- exudative effusion

What sign is seen in this image and what condition does that suggest?

white arrows: pleural effusion black arrows: consolidation (shred sign)

What two conditions are occurring in this lung?