Respir Case Rep. 2024; 13(2): 95-99 | DOI: 10.5505/respircase.2024.49260

Diagnosis of Diffuse Pulmonary Hemorrhage by Ultrasonography: A Case Report

Nalan Kozacý, Ýsmail Erkan Aydýn, Tuðçe Erþahin, Büþra Taþkýran
Department of Emergency Medicine, Alanya Alaaddin Keykubat University, Facult of Medicine, Antalya, Türkiye

A 72-year-old male patient was admitted to the emergency department with a complaint of a rash covering his entire body and shortness of breath. Aside from the petechial rash covering his body, the patient was also found to have bleeding in the mouth and gums, and tachypnea. A bedside point-of-care ultrasound (POCUS) revealed multiple and confluent B lines, a pleural line abnormality, the disappearance of A-lines, a subpleural hypoechoic area, hepatization, shred sign and pleural effusion, predominantly in the 3rd, 4th and 5th zones of the right lung and the 3rd and 4th zones of the left lung. A stratosphere sign was detected in M Mode. The patient was diagnosed with diffuse pulmonary hemorrhage with POCUS and clinical findings.

Keywords: Diffuse alveolar hemorrhage, diffuse pulmonary hemorrhage, point-of-care ultrasound, POCUS.

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Ultrasonografi ile Diffüz Pulmoner Hemoraji Tanýsý: Olgu Sunumu

Nalan Kozacý, Ýsmail Erkan Aydýn, Tuðçe Erþahin, Büþra Taþkýran
Alanya Alaaddin Keykubat Üniversitesi, Týp Fakültesi, Acil Týp Anabilim Dalý, Antalya

Yetmiþ iki yaþýnda erkek hasta acil serviste vücutta yaygýn döküntü ve nefes darlýðý þikayetleri ile baþvurdu. Takipneik ve dispneik olan hastanýn tüm vücudunda peteþial tarzda döküntüleri, aðýz içinde ve diþ etlerinde kanama görüldü. Hastaya yatak baþý nokta bakým ultrasonu (POCUS) yapýldý. POCUS’da sað akciðer 3. 4. 5. ve sol akciðerde 3. ve 4. zonda aðýrlýklý olmak üzere multiple ve confluent B çizgileri, plevral çizgide düzensizlik, A çizgilerinde kaybolma, subplevral hypoecoik alan, hepatizasyon, shred sign ve plevral effüzyon tespit edildi. Plevral çizgide düzensizlik, subplevral hypoecoik alan, hepatizasyon, shred sign bulgularýnýn olduðu alanlarda M Mod’da stratosfer bulgusu saptandý. Olgunun POCUS ve klinik bulgularý birlikte deðerlendirilerek diffüz pulmoner hemoraji tanýsý konuldu.

Anahtar Kelimeler: Diffüz alveolar hemoraji, diffüz pulmoner hemoraji, nokta bakým ultrasonu, POCUS.

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