Thread by @NephroP

#POCUS Intra-renal vein Doppler waveform looking exactly like that of hepatic vein!
#VExUS obtained from a #nephrology clinic patient with pulmonary hypertension. #MedEd

Normal hepatic vein waveform #POCUS

Portal vein #POCUS in this patient - increased pulsatility.

Cc @ArgaizR @khaycock2 @Thind888
Interestingly, hepatic vein was ok (both S & D below the baseline; think S<D, cannot be sure without EKG). Assume due to good RV compliance (why is it not tiring out in chronic pulm HTN 🤔)

#POCUS Filling pressures elevated

Lungs showed B-lines in the lower lateral zones but A-pattern for the most part.
No edema.
Seen for CKD (1st visit) but renal function relatively stable. Added low-dose diuretic mainly for hyperkalemia; F/u would be interesting; portal v waveform improves with diuretic? 🤔