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Pediatric emergency medicine trisk 1420 1420

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Examination
diagnosis
Thoracic
Pneumothorax

Pleural effusion,
hemothorax

Pneumonia

Probe, position

Key diagnostic
findings

Therapeutic
indications

High-frequency
Absence of lung
Thoracentesis,
probe
sliding
thoracotomy
(“barcode sign”
Anterior chest
in M-mode) with
midclavicular
lung point
and anterior
confirms


axillary line
pneumothorax
Marker to patient’s
Normal lung
head
sliding
(“seashore sign”
in M-mode) with
the presence of
the comet tail
artifact rules out
pneumothorax
Low-frequency
Anechoic fluid
Thoracentesis,
probe
overlying the
thoracotomy
lung
RUQ, LUQ (FAST
parenchyma,
views)
typically in the
High- or lowposterior/inferior
frequency probe
region
Anterior, lateral,
Fibrin strands,
and posterior
debris,

lung zones
loculations
Marker to patient’s
suggest
head
empyema
High- or lowLung hepatization,
frequency probe
air
bronchograms
Anterior, lateral,
(which can be
and posterior
also be seen
lung zones
with atelectasis)



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