#POCUS appearance of acute epididymitis with funiculitis (inflamed spermatic cord)
Comparison of normal and abnormal epididymis Image
Testes appear symmetrical in echotexture Image
And almost symmetrical blood flow in both testis (right side was affected side)
Excellent learning resource ultrasoundpodcast.com/2011/12/testic… - thanks @ultrasoundpod for all the #FOAMus - helping patients within and outside North America.

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More from @DrShukla14

25 Nov
Thread, 1/n - Male 75. Acute dyspnea since 1 hour, can't talk, wheezy. SPO2 75%. No previous record. "All that wheezes is not asthma". #POCUS leaves no doubt about pulmonary edema, Dx while patient is being attached to monitor.BP 180/110 mmHg.
2/n CPAP 10 mmHg, IV infusion of nitrate being prepared. Pectus excavatum, parasternal long axis impossible from usual 3/4 ICS. But Apical 4 chamber suggests mild LV systolic dysfunction
3/n As I was about to bolus nitrate 500 mcg - BP drops from 180/110 to 120/70 mmHg. Patient improving with CPAP. So I hold the bolus and try to get more cardiac views. Patient upright plus pectus excavatum, thus not the best quality, but aortic valve appears calcific.
Read 6 tweets
11 Dec 20
1/n #POCUS is more sensitive than CXR for subtle consolidation detection. M/40, fever, right sided chest pain. Had cough 3 d ago, now resolved.WCC 13k, CRP 230. Normal physical exam.
2/n #POCUS showed bilateral small basal consolidations, B-lines at right base with sub pleural consolidations. Right posterior basal region sub pleural consolidation -
3/n B-lines right base
Read 6 tweets
8 Nov 20
1/n #POCUS findings of effusive constrictive pericarditis. Patient presented with 2 months progressive pedal edema and ascites. Pericardial effusion, funny bounce of IVS
2/n A4C septal bounce
3/n Plethoric IVC
Read 9 tweets
26 Oct 20
1/n #POCUS as a part of ED evaluation for first episode of atrial fibrillation (this demographic has significant prevalence of rheumatic heart disease) - appears grossly normal - moving on to other views...
2/n Apical 4C also grossly normal....
2/n but as probe swept caudally from A4C .. what’s that in RA?
Read 6 tweets
5 Oct 20
1/n #POCUS M/68, vomiting since 6 hours, back pain since 1 h. Says no to chest pain /abd pain / dyspnea. Diaphoretic, vomiting, HR 90, RR 24, BP 128/70, SpO2 91% (air). Reduced BS left side, Abd distended, nontender. ECG normal. Is it acute aortic? Tried to get PLAX heart -
2/n - scanning right parasternal area - found the heart - hyperdynamic, but nothing grossly wrong there.
3/n #POCUS Another look at left hemithorax anteriorly (parasaggital plane, mid-clavicular line, 4th. ICS)
Read 9 tweets
30 Sep 20
Thread 1/4 - #POCUS Case - MPA+bilateral PE. HR 110, BP 94/68, Sats 98% room air. Subjectively, patient feels well, no dyspnea/pain. Warm skin. Shifted to EM Resus. Lytic or not? Young pt, no known co-morbids / provocation.
2/4 #POCUS - RV does not seem dilated
3/4 #POCUS - IVC seems collapsed
Read 5 tweets

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