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no. Not until a ultrasound can easily and quickly identify a heart murmur or crackle of lungs indicating the type of lung infection. (as in put it on, wait for

no. Not until a ultrasound can easily and quickly identify a heart murmur or crackle of lungs indicating the type of lung infection. (as in put it on, wait for 10 seconds) Look, ultrasounds are slow, narrow, high resolution tools. Scanning your lungs with an ultrasound takes a fucking age, and requires a lot of training to get good results and interpret them. if you at the GP/family doctor, and you want to eliminate symptoms quickly, the stethoscope is super quick. sure, if you are looking for fluids to drain, ultrasound is great. But you are looking for something and you need to be precise so you can shove the drain in the right place. my doctor friend says: "ultrasounds are great, but they are really hard to understand. I used to do brainscans on newborns, and I fucking hated it" (the inference being that getting a good image was tricky and fatiguing)

haldujai 4y ago
I personally hate reporting NICU brains (not a pediatric radiologist), even for sonographers it’s usually just a subset who are qualified to do them. Slightly poor technique can make a huge difference in vascular assessment and if your settings are off you can make it look like there is hemorrhage. US reports are so heavily based on what the sonographers saw, and documented, so there is huge operator dependency/variability. I’m not sure how old your friend is, but as a recently trained rad I have little confidence in my own skills for neonatal brains to be honest, older rads had more time to develop their skills while we are much more exposed/comfortable with cross-sectional imaging these days and dependent on sonographers. I feel a lot better reporting a rapid MR protocol with the neonate in bundle and wrap (no anesthesia).
_qua 4y ago
How do you think auscultation tells you the “type of lung infection”? Really the only thing A stethoscope is better at then x-ray and ultrasound for the lung exam is detection of wheezing. It is rare that auscultation actually changes my plan for a patient. I have seen enormous pneumothoraces in patients who had almost completely normal lung sounds. Of course easily detectable on x-ray and ultrasound.
- KaiserPro 4y ago
  > How do you think auscultation tells you the “type of lung infection”? take a 5 year old, its coughing like a 5 year old does when it has a nasty cold. Is it crackling, if so where? ok something to worry about, lets think about antibiotics. If not done. off you go home tell us if it doesn't improve in 5 days. (steps shortened etc, etc etc) xray? seems excessive, ultrasound? also expensive and trying to get the kid to stay still for it. faff. For actual confirming diagnosis, yes, but its already done that way. The article specifically says replacing the 'scope with an ultrasound.

haldujai 4y ago

I personally hate reporting NICU brains (not a pediatric radiologist), even for sonographers it’s usually just a subset who are qualified to do them. Slightly poor technique can make a huge difference in vascular assessment and if your settings are off you can make it look like there is hemorrhage. US reports are so heavily based on what the sonographers saw, and documented, so there is huge operator dependency/variability. I’m not sure how old your friend is, but as a recently trained rad I have little confidence in my own skills for neonatal brains to be honest, older rads had more time to develop their skills while we are much more exposed/comfortable with cross-sectional imaging these days and dependent on sonographers. I feel a lot better reporting a rapid MR protocol with the neonate in bundle and wrap (no anesthesia).

_qua 4y ago

How do you think auscultation tells you the “type of lung infection”? Really the only thing A stethoscope is better at then x-ray and ultrasound for the lung exam is detection of wheezing. It is rare that auscultation actually changes my plan for a patient. I have seen enormous pneumothoraces in patients who had almost completely normal lung sounds. Of course easily detectable on x-ray and ultrasound.

KaiserPro 4y ago
> How do you think auscultation tells you the “type of lung infection”? take a 5 year old, its coughing like a 5 year old does when it has a nasty cold. Is it crackling, if so where? ok something to worry about, lets think about antibiotics. If not done. off you go home tell us if it doesn't improve in 5 days. (steps shortened etc, etc etc) xray? seems excessive, ultrasound? also expensive and trying to get the kid to stay still for it. faff. For actual confirming diagnosis, yes, but its already done that way. The article specifically says replacing the 'scope with an ultrasound.