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Case Report Open Access

Lung Ultrasound on Critical Ill Patient with Lung Pathology


Lung Disease or Diffuse Parenchymal Lung Disease (DPLD) impacts the interstitium or the tissue and space surrounding the lung’s alveoli (air sacs). It affects the perivascular and perilymphatic tissues, basement membrane, pulmonary capillary endothelium, and alveolar epithelium. It might happen if lung damage sets up an unusual healing response. Normally, the body produces just the proper amount of new tissue to repair injury, but with interstitial lung disease, the repair process is slowed down, causing the alveolar tissue to thicken and scar. As a result, it is more challenging for oxygen to enter the bloodstream. Differential diagnosis and treatment of critical ill patients with chest X-ray opacifications may be challenging. This particularly includes patients with respiratory failure due to hemodynamic instability. Opacifications in chest X-ray may be due to hemothorax, pleural effusion, atelectasis or consolidations. Physical examination may not always represent the cause of its opacity and thus not always contribute the right therapeutic approach. In that case, bedside ultrasound may be very helpful. We present two cases with similar x-rays but different diagnosis with the aid of bedside ultrasound. There is documented ultrasound accuracy in distinguishing pleural effusion and consolidations.

Khotib Amin Zamayel*, Reza Widianto Sudjud

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