How do you recommend incorporating B-lines on lung POCUS as part of evaluating a patient's volume status?
In particular, how do you reconcile situations where lung POCUS findings contradict other components of volume assessment (e.g. JVD, peripheral edema, labs, chest X-ray, etc.)?
1 Answer
Mednet MemberInvited Expert
Hospital Medicine · Oregon Health & Science University
Answered on · Updated on
Great question!
As you allude to in your question, it is important to address this problem holistically in the context of the patient's history, exam, labs, and other imaging. I find that this happens all of the time, and here is how I typically break them down when applying lung ultrasound.
1) 1-2 B-lines in any given intercostal space is considered normal.
- This is likely due to the small amount of physiologic fluid that can be found in interlobar fissures. Greater than 3 B-lines is considered...
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