Pre-hospital diagnosis of interstitial lung disease in patients presenting with shortness of breath – case series
Authors:
R. Škulec 1–3
Authors‘ workplace:
Klinika anesteziologie, perioperační a intenzivní medicíny, Univerzita J. E. Purkyně a Masarykova nemocnice v Ústí nad Labem
1; Zdravotnická záchranná služba Středočeského kraje, Kladno
2; Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Hradec Králové, Lékařská fakulta v Hradci Králové, Univerzita Karlova
3
Published in:
Anest. intenziv. Med., 30, 2019, č. 1, s. 22-26
Category:
Overview
The author presents a case series of four patients presenting with shortness of breath who have been diagnosed with interstitial lung disease in the pre-hospital setting based on a combination of clinical examination and Point-of-Care chest ultrasound. Further specialized examinations in the hospital confirmed the diagnosis in all of them. The common primary diagnostic finding was a combination of severe shortness of breath, ultrasound finding of bilateral alveolo-interstitial syndrome with irregular distribution, bilateral weakening of pleural sliding and absence of echocardiographic signs of heart failure. The author discusses the potential contribution of Point-of-Care ultrasonography to making the diagnosis of interstitial lung disease during primary emergency examination of patients with shortness of breath.
Keywords:
shortness of breath – interstitial lung disease – Point-of-Care ultrasound
Sources
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Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
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