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NephroPOCUS Profile picture
@NephroP
Aug 22, 2022 • 22 tweets • 18 min read • Read on X
Scrolly
Time to update the #VExUS resources pinned thread 🧵📌
1/ Tweetorial on image acquisition.
#POCUS #MedEd
2/ The original #VExUS paper
theultrasoundjournal.springeropen.com/articles/10.11… Image
3/ Review article on #VExUS by @nephrothaniel and me in @KidneyMed
🔗kidneymedicinejournal.org/article/S2590-… Image
4/ Review article by @ArgaizR in ACKD
🔗ackdjournal.org/article/S1548-… Image
5/ #VExUS flash cards (static and live ones in this post)
🔗nephropocus.com/2021/10/05/vex…
6/ Conceptual review of #VExUS by the all-star team of authors @ThinkingCC @WBeaubien @ArgaizR @curromir @khaycock2 and colleagues
🔗ncbi.nlm.nih.gov/pmc/articles/P… Image
7/ Our #VExUS friends discuss the emerging concept of fluid tolerance
🔗sciencedirect.com/science/articl… Image
8/ @katiewiskar and team's excellent review on the role of #POCUS #VExUS in fluid-related decisions
🔗sciencedirect.com/science/articl… Image
9/ Brief overview of #POCUS in AKI that presents an illustrative case of #VExUS guided monitoring of congestion.
🔗karger.com/Article/FullTe… Image
10/ Tweetorial discussing the rationale/evidence behind #VExUS
11/ Some other pertinent reviews from our team
🔗kidney360.asnjournals.org/content/kidney…
🔗wjgnet.com/2220-3141/full… Image
12/ Now some videos
1st one for our Spanish friends
@ArgaizR on #VExUS for @HunPocus
🔗 Image
13/ Two more videos in Spanish by @ArgaizR
🔗
🔗 Image
14/ The OG @ThinkingCC gives a masterclass on #VExUS for @HunPocus
🔗 Image
15/ Two videos by me - one short and the other one ~45 min
🔗
🔗
#VExUS #POCUS Image
16/ Excellent video by @curromir (in English)
🔗vimeo.com/720642428 Image
17/ One of the early #VExUS videos by @katiewiskar
Simple and sweet!
🔗 Image
18/ Simple and clear #VExUS video by 'Segs and Jonny'
@iceman_ex @Wilkinsonjonny
🔗
#FUSIC Image
19/ I intend to keep the thread shorter this time by avoiding individual cases but here are a couple of must-know traps
20/ Is it always the hepatic S-wave that reverses?
Read these thought process refining cases from @ArgaizR
🔗
🔗
21/ couple of interesting #VExUS case studies illustrating the dynamic nature of these waveforms
@kosmosplatform webinar
🔗 Image
22/ A must-know cause of hepatic D-reversal
*Use simultaneous EKG whenever possible

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More from @NephroP

NephroPOCUS Profile picture
Mar 26
#eVExUS (= extended #VExUS) includes evaluation of additional veins when the original 3 veins are unobtainable or unreliable for any reason.
Below👇🧵 is an illustrative case showing abnormal pattern in all these veins.
#POCUS #FOAMed #Nephpearls
1⃣ IVC #ultrasound: dilated Image
2⃣ Hepatic vein #Doppler
Systolic flow reversal #POCUS #VExUS Image
3⃣ Portal vein #Doppler
100% pulsatile Image
Read 14 tweets
NephroPOCUS Profile picture
Nov 15, 2023
#echofirst views used to evaluate the right heart.
From ASE comprehensive echocardiography textbook/2010 guidelines
#POCUS #MedEd #CriticalCare #IMPOCUS
(🧵of 5 tweets) Image
#POCUS Image
#POCUS Image
Read 5 tweets
NephroPOCUS Profile picture
Aug 12, 2023
Common #echofirst views used in the #POCUS setting, image acquisition pearls and structures visualized.
Thread below🧵
Courtesy, ASE TTE guidelines 2018
#MedEd #FOAMed #FOAMcc
1⃣ Parasternal window Image
2⃣ Parasternal window continued Image
3⃣ Parasternal window, short axis plane
Often underutilized, can get an idea of TR when apical window is difficult, can do RVOT Doppler as well Image
Read 11 tweets
NephroPOCUS Profile picture
Jun 27, 2023
Focused question: Is HTN in a #dialysis patient always⬆️ intravascular volume? Remove💧?
Clinical: ESRD due to polycystic kidney disease, BP 160s/~100, IVC not well-visualized.
Next step to assess RAP: #VExUS
Below is hepatic vein Doppler
#POCUS #Nephpearls #FOAMcc
Follow the🧵 https://t.co/xZe23bHvJVtwitter.com/i/web/status/1…
2/ 👆What do you think?
3/ 👆HV #VExUS is showing resiprophasic D-reversal.
We commonly talk about S-reversal. Where do you see D-reversal? - constrictive pericarditis, tamponade, some cases of severe pulmonary HTN.
Next step: Evaluate the🫀
👇PV looks fine
Read 21 tweets
NephroPOCUS Profile picture
May 12, 2023
Cardiac #POCUS views - image acquisition pearls from JACC POCUS workbook
#MedTwitter #Nephpearls #FOAMed
Thread🧵below:
1/ Image
2/ Image
3/ Image
Read 4 tweets
NephroPOCUS Profile picture
May 10, 2023
#POCUS enthusiasts, is this IVC normal, abnormal? (asking about possibilities, not definitive conclusions)
#FOAMcc #MedEd #Nephpearls
(Transverse view in thread)
IVC transverse #POCUS
#POCUS answer:
I deliberately avoided clinical context in the original tweet to gather multiple opinions.
Image obtained from a thin, trained athlete with resting HR in 40s-50s.
A dilated IVC is commonly seen in this setting with no right heart pathology. In addition, particulate… twitter.com/i/web/status/1… Image
Read 5 tweets

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