Lung ultrasound

Lung ultrasound is really four positions

Position one and you kind of slide down position two and you slide down position three which is kind of the right upper quadrant review analogous to your faster view and then you know the position for the contralateral side a left upper quadrant view and the reason why the bowels come into play or you know the abdominal content is that on this kind of upright upper and left upper quadrant views you're gonna be using the liver and spleen respectively as your acoustic window to try to look above the diaphragm there so some technical considerations what does long actually look like on ultrasound.

Lung on ultrasound and you're correct you really can't see along with an ultrasound but if you know the artifacts then the addition of artifacts or the subtraction of artifacts or you know a change in the artifacts might potentiate some pathology

 Common ultrasound artifacts lines are normal things you would see on altars and lung sliding is a normal thing on ultrasound you kind of get this ring down artifacts with lung sliding which I'll go over and mirroring are normal things you see with ultrasound so the lack of these or the addition of something else you know might indicate that there might be some pathology.

 The probe selections you know so you can etch linear probe we really use these to look for pneumothorax and then you have your kind of your lower frequency higher wavelength probes that will look deeper the curvilinear and the phased-array and clinically you know you're looking for pulmonary edema of fusions or consolidations when you're jumping to the deeper probes

That first spot the probe indicator is towards the head there so maybe I'll do something like this and you're gonna kind of slide down so let's go ahead and do that so here's your probe and the first time the first thing we're looking at here is we're looking at with a linear probe so very superficial you can see we're only four centimeters deep right and you have a rib here a rib here your probe can use indicators towards the head so the head is here the feet are here and you kind of get slide down with this probe and you see these things here are those ring down artifacts I won't go into them in detail about why you get them here that's normal you see really see they are frequently linear probes as you switch over to the abdominal probe right there's a slide down and as you switch over to the abdominal probe things are just looking a little bit different but they're very similar you still have that lung sliding that's your visceral and parietal pleura sliding back and forth here you kind of have a bigger window so you can see a rib space here a rib here with the rib space here another rib here with a shadow another rib here also kind of coming into view are these lines you can see this a the line here which is also normal and then here's basically another normal view just kind of settings are a little bit different we're not as high as again. 

 Curvilinear probe

we're looking very deep 15 centimeters you can kind of make up a lung sliding and this is why I say you know for pneumothorax you want to use a linear probe because you can see the lung fighting a lot better here than you can hear but believe me the lung fighting is still there and I chose this because you can see the lines a little better here's a line here's the a line here and these are kind of equally spaced out from that from the pleural space so pleural space a line a line this is all normal lung sliding alliance this is all normal stuff here you can tell run that kind of its miss labels is right but really probably on the left side because you can see a little bit of the heart there as well and here is an abnormal view so same thing looking deep you can see ribs or the shadow here ribs with a shadow here you can see a little bit of sliding going on each side but you see a lack of a line see those a lines are disappeared and instead, you're replaced with these B lines.