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Vom Symptom zur Diagnose

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Bildatlas der Lungensonographie

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Zusammenfassung

Der technische Fortschritt bei den Sonographiegeräten, der zur Herstellung mobiler und sogar tragbarer Geräte geführt hat, hat den raschen Einsatz der Sonographie am Krankenbett für eine große Zahl von Indikationen ermöglicht. Der Schallkopf dient quasi als technische Erweiterung der tastenden Hand oder des Stethoskops. Bei Erkrankungen des Brustkorbs sind die Kardinalsymptome Brustschmerzen, Fieber und Dyspnoe. Diese Symptome können sowohl einzeln als auch in Kombination auftreten und ermöglichen dem Diagnostiker eine erste Orientierung. Das Ausmaß und die Intensität der einzelnen Symptome werden vor allem durch den Schweregrad der jeweiligen Erkrankung bestimmt.

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Literatur

  • Al Deeb M, Barbic, Featherstone R et al (2014) Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: a systematic review and meta-analysis. Acad Emerg Med 8:843–852

    Article  Google Scholar 

  • Amsterdam EA, Kirk JD, Bluemke DA (2010) Testing of low-risk patients presenting to emergency department with chest pain. Circulation 122:1756–1776

    Article  PubMed  PubMed Central  Google Scholar 

  • Arntfield RT, Millington SJ (2012) Point of care ultrasound applications in the emergency department and intensive care unit – a review. Curr Cardiol Rev 8:98–108

    Article  PubMed  PubMed Central  Google Scholar 

  • ATS (1999) Dyspnea – mechanisms, assessment, and management: a consensus statement. Am J Respir Crit Care Med 159:321–340

    Article  Google Scholar 

  • Blaivas M (2012) Lung ultrasound in evaluation of pneumonia. J Ultrasound Med 31:823–826

    Article  PubMed  Google Scholar 

  • Carey JA, Hamilton JR, Spencer DA, Gould K, Hasan A (1998) Empyema thoracis: a role for open thoracotomy and decortication. Arch Dis Child 79:510–513

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ceccarelli E, Masotti L, Barabesi L, Forconi S, Capelli R (2003) Pulmonary embolism in very old patients. Aging Clin Exp Res 15:117–122

    Article  PubMed  Google Scholar 

  • Chavez MA, Shams N, Ellington LA et al (2014) Lung ultrasound for the diagnosis of pneumonia in adults: a systematic review and metaanalysis. Respir Res 15:50

    Article  PubMed  PubMed Central  Google Scholar 

  • Colice GI, Curtis A, Deslauriers J et al (2000) ACCP Consensus statement: medical and surgical treatment of parapneumonic effusions – an evidence-based guideline. Chest 118:1158–1171

    Article  CAS  PubMed  Google Scholar 

  • Copetti R, Cattarossi L (2008) Ultrasound diagnosis of pneumonia in children. Radiol Med 113:190–198

    Article  CAS  PubMed  Google Scholar 

  • Davies HE, Davies RJO, Davies CWH (2010) Management of pleural infection in adults: British Thoracic Society pleural disease guideline 2010. Thorax 65:ii41–ii53

    PubMed  Google Scholar 

  • Diel R, Loytved C, Nienhaus A et al (2011) Neue Empfehlungen fur die Umgebungsuntersuchungen bei Tuberkulose. Deutsches Zentralkomitee zur Bekampfung der Tuberkulose. Pneumologie 65:359–378

    Article  CAS  PubMed  Google Scholar 

  • Fedullo PF, Morrus TA (2005) Pulmonary thromboembolism. In: Mason RJ, Murray JF, Broaddus VC, Nadel JA (Hrsg) Textbook of respiratory medicine. Elsevier Saunders, Philadelphia, S 1425–1458

    Google Scholar 

  • Fitzgerald FT, Murray JF (2005) History and physical examinations. In: Mason RJ, Murray JF, Broaddus VC, Nadel JA (Hrsg) Textbook of respiratory medicine. Elsevier Saunders, Philadelphia, S 493–510

    Google Scholar 

  • Gardelli G, Feletti F, Nanni A et al (2012) Chest Ultrasonography in the ICU. Respir Care 57:773–781

    Article  PubMed  Google Scholar 

  • Goldhaber SZ (1998) Medical progress: Pulmonary embolism. N Engl J Med 339:93–104

    Article  CAS  PubMed  Google Scholar 

  • Hamm H (2005) Die Behandlung des parapneumonischen Ergusses und des Pleuraempyems. Pneumologie 59:696–703

    Article  CAS  PubMed  Google Scholar 

  • Heffner JE et al (2010) Diagnostic utility and clinical applications of imaging for pleural space infections. Chest 137:467–479

    Article  PubMed  Google Scholar 

  • Hopewell PC (2005) Tuberculosis and other mycobacterial diseases. In: Mason RJ, Murray JF, Broaddus VC, Nadel JA (Hrsg) Textbook of respiratory medicine. Elsevier Saunders, Philadelphia, S 979–1043

    Google Scholar 

  • Hyacinthe AC, Broux C, Francony Gilles et al (2012) Diagnostic accuracy of ultrasonography in the acute assessment of common thoracic lesions after trauma. Chest 141:1177–1183

    Article  PubMed  Google Scholar 

  • Kim OH, Kim WS, Kim MJ, Jung JY, Suh JH (2000) US in the diagnosis of pediatric chest diseases. Radiographics 20:653–671

    Article  CAS  PubMed  Google Scholar 

  • Kolditz M, Halank M, Hoffken G (2004) Parapneumonischer Erguss und Pleuraempyem – aktuelle Aspekte zu Einteilung, Diagnose und Therapie. Pneumologie 58:83–91

    Article  CAS  PubMed  Google Scholar 

  • Kontos MC, Diercks DB, Kirk JD (2010) Emergency department and office-based evaluation of patients with chest pain. Mayo Clin Proc 85:285–295

    Article  Google Scholar 

  • Kreuter M, Herth FJF, Wenz H, Mathis G (2012) Sonographische Notfalldiagnostik des Thorax. Pneumologe 9:436–443

    Article  Google Scholar 

  • Kurz K, Giannitsis E, Meyer FJ (2005) Thoraxschmerz. Pneumologe 2:188–197

    Article  Google Scholar 

  • Levin DL, Klein JS (1999) Imaging techniques for pleural space infections. Semin Respir Infect 14:31–38

    CAS  PubMed  Google Scholar 

  • Lichtenstein DA, Meziere GA (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure. The BLUE protocol. Chest 134:117–125

    Article  PubMed  PubMed Central  Google Scholar 

  • Maskell NA, Davies CWH, Nunn AJ et al (2005) U.K. trial of intrapleural streptokinase for pleural infection. N Engl J Med 352:865–874

    Article  CAS  PubMed  Google Scholar 

  • Mathis G (2014) Thromboembolism in ultrasound. Killing three birds with one stone. Chest 145:931–932

    Article  PubMed  Google Scholar 

  • McCool FD, Tzelepis GE (2012) Dysfunction of the diaphragm. N Engl J Med 366:932–942

    Article  CAS  PubMed  Google Scholar 

  • Moore CL, Copel JA (2011) Point-of-care ultrasonography. N Engl J Med 364:749–757

    Article  CAS  PubMed  Google Scholar 

  • Muller NL, Fraser RS, Lee KS, Johkoh T (2003) Diseases of the lung. Lippincott, Philadelphia, S 45–46

    Google Scholar 

  • Murray JF, Gebhart GF (2005) Chest pain. In: Mason RJ, Murray JF, Broaddus VC, Nadel JA (Hrsg) Textbook of respiratory medicine. Elsevier Saunders, Philadelphia, S 848–865

    Google Scholar 

  • Pfeifer M (2005) Dyspnoe. Pneumologe 2:177–187

    Article  Google Scholar 

  • Ramnath RR, Heller RM, Ben-Ami T et al (1998) Implications of early sonographic evaluation of parapneumonic effusions in children with pneumonia. Pediatrics 101:68–71

    Article  CAS  PubMed  Google Scholar 

  • Reißig A, Gorg C (2012) Pneumonie und diffus parenchymale Erkrankungen im Lungenultraschall. Pneumologe 9:444–451

    Article  Google Scholar 

  • Reißig A, Gorg C, Mathis G (2009) Transthorakale Sonografie bei der Diagnostik pulmonaler Erkrankungen: ein systematischer Zugang. Ultraschall in Med 30:438–458

    Article  Google Scholar 

  • Roth AR, Basello GM (2003) Approach to the adult patient with fever of unknown origin. Am Fam Physician 68:2223–2228

    PubMed  Google Scholar 

  • Sartori S, Tombesi P, Trevisani L, Nielsen I, Tassinari D, Abbasciano V (2007) Accuracy of transthoracic sonography in detection of pneumothorax after sonographically guided lung biopsy: prospective comparison with chest radiography. AJR 188:37–41

    Article  PubMed  Google Scholar 

  • Schonfeld N, Haas W, Richter E et al (2013) Empfehlungen zur Diagnostik und Therapie nichttuberkuloser Mykobakteriosen des Deutschen Zentralkomitees zur Bekampfung der Tuberkulose (DZK) und der Deutschen Gesellschaft fur Pneumologie und Beatmungsmedizin (DGP). Pneumologie 67:605–633

    Article  CAS  PubMed  Google Scholar 

  • Squizzato A, Rancan E, Dentali F et al (2013) Diagnostic accuracy of lung ultrasound for pulmonary embolism: a systematic review and meta-analysis. J Thromb Haemost 11:1269–1278

    Article  CAS  PubMed  Google Scholar 

  • Stulbarg MS, Adams L (2005) Dyspnea. In: Mason RJ, Murray JF, Broaddus VC, Nadel JA (Hrsg) Textbook of respiratory medicine. Elsevier Saunders, Philadelphia, S 815–830

    Google Scholar 

  • Volpicelli G (2013) Lung sonography. J Ultrasound Med 32:165–171

    Article  PubMed  Google Scholar 

  • Volpicelli G, Frascisco M (2008) Lung ultrasound in the evaluation of patients with pleuritic pain in the emergency department. J Emerg Med 34:179–186

    Article  PubMed  Google Scholar 

  • Ware LB, Matthay MA (2005) Acute pulmonary edema. N Engl J Med 353:2788–2796

    Article  CAS  PubMed  Google Scholar 

  • Wustner A, Gehmacher O, Hammerle S et al (2005) Ultraschalldiagnostik beim stumpfen Thoraxtrauma. Ultraschall Med 26:285–290

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Pneumologin, Schwaig, Deutschland

    Sonja Beckh

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  1. Sonja Beckh
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Correspondence to Sonja Beckh .

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  1. Rankweil, Österreich

    Gebhard Mathis

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Beckh, S. (2022). Vom Symptom zur Diagnose. In: Mathis, G. (eds) Bildatlas der Lungensonographie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62409-8_11

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  • DOI: https://doi.org/10.1007/978-3-662-62409-8_11

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-62408-1

  • Online ISBN: 978-3-662-62409-8

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