Thread by @jackdeliuc

Point-of-Care Ultrasound Applications in the Outpatient Clinic: A rapid diagnosis of Congestive hepatopathy in an ederly man, applying VExUS at the bedside.
His medical history was remarkable for (referred) Afib.
@NephroP @ButterflyNetInc @hepocus @HunPocus @Pocus101 @pocusmeded

1) IVC is clearly dilated with absence of inspiratory collapse.

2) Dilated hepatic veins

Severe Hepatic Vein Abnormality: S Reversal

note the Afib.

Pulsatile portal venous flow. This likely takes place because the pressure has to transmit across the hepatic sinusoids, which buffer the hepatic venous pressure. Eventually, the portal venous flow pattern changes, going from a monophasic signal to a pulsatile one.

@UltrasonicaMau @HunPocus @JediPocus @IMPOCUSFocus @ultrasoundcases @thepocusatlas @pocuseducation @Revivan75