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What is the anechoic tubular structure? - IVC with a catheter or something else 🤔
Clue: @PittIMPOCUS recently shared a similar image.
Answer: In thread #POCUS #IMPOCUS #FOAMed
That's duodenum with a feeding tube #POCUS
Anatomic image👇showing the relationship between liver & the duodenum (courtesy: Gray's anatomy)
Here is the #XRAY demonstrating the tube in duodenum
Recent post on correct identification of inferior vena cava
#POCUS
renalfellow.org/2020/03/20/inf…
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#POCUS #IMPOCUS #FOAMed #XRAY

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NephroPOCUS
@NephroP
Not all hypotension is from hypovolemia. Then why load every hypotensive patient with #fluids? 🤔 An excerpt from a previous lecture. Very basic. Intended for #medicalstudent #MedEd
Experts, stay away 😄
First, what happens when somebody is hypovolemic?
The cardiac output drops
Unless doing #POCUS, we are not measuring cardiac output. We are measuring blood pressure. So, why does it drop? because it depends on the cardiac output!
Read 17 tweets
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NephroPOCUS
@NephroP
Seeing this discussion, thought of doing a short #tweetorial on the lung #POCUS scan zones I've come across. Some of them (like 24-zone method) have been utilized to study lung congestion in #dialysis patients
1st slide: 👇
24-zones: better illustrated. #POCUS
Additional zone (#4) added to the commonly used 8-zone method to include the right middle lobe. #POCUS
Read 6 tweets
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NephroPOCUS
@NephroP
One of the key advantages of doing #POCUS is we know when to avoid unnecessary/ 'empiric' iv fluid administration. Almost every organ suffers from the pathologic sequelae of fluid overload. Take a look here in this thread 👇 #IMPOCUS #MedEd
Lung
*Note B-lines on #POCUS can detect asymptomatic lung congestion
Heart
Read 10 tweets

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