Profile picture
Kelvin Ward
@UCUltrasound
, 13 tweets, 6 min read Read on Twitter
A/Prof George Condous encouraging a consistent approach with regard to nomenclature for 5 types of ovarian masses. As #POCUS practitioners we can improve or descriptions of these findings #WFUMB19
..thread
Papillations > 3mm perpendicular to the long axis of the base of the projection
#wfumb19
#wfumb19
Further describe the mass based on contents... #wfumb19
Acoustic shadowing #wfumb19
Ovarian crescent sign #wfumb19
#wfumb19
Presence of ascites #wfumb19
Colour flow score #wfumb19
Put this all together to aid when discussing with specialist colleagues. B signs and no M signs = benign. M signs and no B signs = malignant. Both = indeterminate #wfumb19
Missing some Tweet in this thread?
You can try to force a refresh.

Like this thread? Get email updates or save it to PDF!

Subscribe to Kelvin Ward
Profile picture

Get real-time email alerts when new unrolls are available from this author!

This content may be removed anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

Related hashtags

#POCUS #wfumb19

Related threads

Profile picture
Eduardo R Argaiz
@ArgaizR
#POCUS #VenousEXcessUScore guided diuresis in ❤️renal sx. Pt w T2DM and CKDG4A3 with HFpEF. After multi-agent diuresis (targeted to normalize venous flow patterns) pt lost 14 kg and returned to basal kidney function. ¿Should we pursue "decongestion" goals in these pts? (1/13)
It's interesting that the recent statement from @American_Heart spends a great deal discussing Bioelectrical impedance Vector Analysis (BIVA) as an aid to guide discharge and diuresis goals (2/13)
There is some evidence that "Hidration Status" (by BIVA) at discharge predicts CV events better than BNP. However for some reason this study used admission BNP while it is most likely that discharge BNP is the one that matters (3/13)
Read 14 tweets
Profile picture
Dharmesh Shukla
@DrShukla14
#POCUS diagnosis of epididymitis (thread) n/1 - scanning at root of scrotum - sweeping from spermatic cord downwards to find epididymis - which is enlarged and has complex appearance.
n/2 inflamed epididymis - complex appearance, increased vascular flow
n/3 sweeping from epididymis (inflamed) to testis (which is normal)
Read 5 tweets
Profile picture
Dharmesh Shukla
@DrShukla14
#POCUS image (transverse probe orientation in suprapubic region) in a 20 year old lady (language barrier++) with history of lower abdominal pain and recurrent vomiting since 20 days. Pregnancy test negative. Exam - fullness in lower abdomen, tenderness, no peritonism.
Saggital suprapubic #POCUS image
All sorts of differentials pass through - including obstetric fistula.... but patient has just passed urine - so repeat scan after full bladder.. with CT images 5 h later.
Read 5 tweets
Profile picture
Dharmesh Shukla
@DrShukla14
#POCUS appearance of pneumoperitoneum (thread) - appreciate how normally abdominal wall, peritoneal line and intraperitoneal structures can be appreciated
Pneumoperitoneum causes peritoneal line to be enhanced, and gas scatter beneath means intraperitoneal structures can't be seen. Instead, reverberation artefacts from peritoneal line - similar to pleural A-lines - can be seen.
#POCUS at borderzone of pneumoperitoneum can show "peritoneal point" (cf. lung point in pneumothorax)
Read 7 tweets
Profile picture
Dharmesh Shukla
@DrShukla14
#POCUS in cardiac arrest - keep probe on prior to pulse check pause - avoid delays searching for window - to minimize duration - and record a 3 sec loop which can be analyzed later. (thread)
(continued) this is what image looked like at pulse check - Dilated RV with septum bowing towards LV - should we give fibrinolytic for possible pulmonary embolism?
#POCUS is just a data point - in overall clinical context - additional data - this was a out of hospital VF arrest. With PE - we would expect a PEA arrest. Moreover, no risk factor for PE - and in fact, patient is on long term warfarin for AF - a "negative risk factor" for VTE?
Read 9 tweets
Profile picture
Dharmesh Shukla
@DrShukla14
#POCUS in a gentleman with LUQ tenderness after blunt abdominal trauma 1 week ago. What is seen caudal to the spleen?
Perisplenic hematoma was suspected - and CT was performed
This is a normal anatomical variant of elongated left liver lobe - so called "Beaver tail liver"
Read 5 tweets

Trending hashtags

#fluid #POCUS #debatenight #FOAMed #pleff #Galilean #DontFOAMItAlone #foamcc #RuralMed #MedEd #teaching #medtwitter #torus #foamed #Simple #energy #tennessee #WhoWritesTheseStems #FOAMtox #NewYorkValues #FO #TrumpB #smacc #VoterFraud #pocus
Follow Us on Twitter!

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just three indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!