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Ultrasound Corner |

A 42-Year-Old Man Presenting With Progressive Shortness of Breath and Severe HypoxemiaMan With Shortness of Breath and Severe Hypoxemia

Sameer Khanijo, MD; Seth Koenig, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care and Sleep Medicine, Hofstra North Shore-LIJ, New Hyde Park, NY.

CORRESPONDENCE TO: Sameer Khanijo, MD, Division of Pulmonary, Critical Care and Sleep Medicine, Hofstra North Shore-LIJ, New Hyde Park, NY; e-mail: khanijo2@nshs.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;147(3):e83-e85. doi:10.1378/chest.14-1416
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1.LichtensteinDMézièreGBidermanPGepnerABarréO. The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med. 1997;156(5):1640-1646.2.LichtensteinDAMenuY. A bedside ultrasound sign ruling out pneumothorax in the critically ill. Lung sliding. Chest. 1995;108(5):1345-1348.3.CopettiRSoldatiGCopettiP. Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema from acute respiratory distress syndrome. Cardiovasc Ultrasound. 2008;6(4):16.4.SchmidtGAKoenigSMayoPH. Shock: ultrasound to guide diagnosis and therapy. Chest. 2012;142(4):1042-1048.5.KircherBJHimelmanRBSchillerNB. Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol. 1990;66(4):493-496.6.GompertsNFowlerRHorlickEMcLaughlinP. A broken heart: right-to-left shunt in the setting of normal cardiac pressures. Can J Cardiol. 2008;24(3):227-229.7.GillEAJrQuaifeRA. The echocardiographer and the diagnosis of patent foramen ovale. Cardiol Clin. 2005;23(1):47-52.8.WoodsTDPatelA. A critical review of patent foramen ovale detection using saline contrast echocardiography: when bubbles lie. J Am Soc Echocardiogr. 2006;19(2):215-222.9.RavenscraftSAMarinelliWAJohnsonTHenkeCA. Profound hypoxemia precipitated by positive end-expiratory pressure: induction of an intracardiac shunt. Crit Care Med. 1992;20(3):434-436.

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