Case Report: Case report: Pulmonary hemorrhage as a rare cause of lung ultrasound A/B-profile

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

When using lung ultrasound to determine the cause of acute respiratory failure, the BLUE protocol is often used. In a 65-year old patient, an A/B-profile was found, suggesting pneumonia, following the flowchart of this protocol. In this case, however, pulmonary hemorrhage confirmed by bronchoscopy was the final diagnosis. This case report outlines the importance of understanding the limitations of the BLUE protocol and that lung ultrasound findings should always be used in the context of the patient's history and physical exam. In addition, pulmonary hemorrhage should be considered in patients with no clinical signs of pneumonia and/or presence of risk factors for lung bleeding as a rare cause of lung ultrasound A/B-profile.
Original languageEnglish
Pages (from-to)788
JournalF1000Research
Volume8
DOIs
Publication statusPublished - 2019

Cite this

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title = "Case Report: Case report: Pulmonary hemorrhage as a rare cause of lung ultrasound A/B-profile",
abstract = "When using lung ultrasound to determine the cause of acute respiratory failure, the BLUE protocol is often used. In a 65-year old patient, an A/B-profile was found, suggesting pneumonia, following the flowchart of this protocol. In this case, however, pulmonary hemorrhage confirmed by bronchoscopy was the final diagnosis. This case report outlines the importance of understanding the limitations of the BLUE protocol and that lung ultrasound findings should always be used in the context of the patient's history and physical exam. In addition, pulmonary hemorrhage should be considered in patients with no clinical signs of pneumonia and/or presence of risk factors for lung bleeding as a rare cause of lung ultrasound A/B-profile.",
author = "Haaksma, {Mark E.} and Nossent, {Esther J.} and Paul Elbers and Tuinman, {Pieter Roel}",
year = "2019",
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language = "English",
volume = "8",
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Case Report: Case report: Pulmonary hemorrhage as a rare cause of lung ultrasound A/B-profile. / Haaksma, Mark E.; Nossent, Esther J.; Elbers, Paul; Tuinman, Pieter Roel.

In: F1000Research, Vol. 8, 2019, p. 788.

Research output: Contribution to journalArticleAcademicpeer-review

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AB - When using lung ultrasound to determine the cause of acute respiratory failure, the BLUE protocol is often used. In a 65-year old patient, an A/B-profile was found, suggesting pneumonia, following the flowchart of this protocol. In this case, however, pulmonary hemorrhage confirmed by bronchoscopy was the final diagnosis. This case report outlines the importance of understanding the limitations of the BLUE protocol and that lung ultrasound findings should always be used in the context of the patient's history and physical exam. In addition, pulmonary hemorrhage should be considered in patients with no clinical signs of pneumonia and/or presence of risk factors for lung bleeding as a rare cause of lung ultrasound A/B-profile.

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