Tweet

NephroPOCUS

Dec 28 • 8 tweets • 6 min read

#POCUS puzzle 🧩of the day. Can you put together the pieces and arrive at an unifying diagnosis? Go through the thread 🧵below.
Context: #dialysis patient, physical examination #FOAMed #Nephrology #MedEd

Image No. 1 👇

Color #POCUS

Transverse #POCUS , IVC trace down

Transverse/oblique #POCUS color

Cardiac #POCUS

LVOT VTI #POCUS

Can you list all the abnormal findings? are they linked?

@khaycock2

Cc some #POCUS friends who may find it relevant
@khaycock2 @IM_Crit_ @ArgaizR @katiewiskar @MDBeni @msiuba

• • •

Missing some Tweet in this thread? You can try to force a refresh

This Thread may be Removed Anytime!

Twitter may remove this content at anytime! Save it as PDF for later use!

More from @NephroP

NephroPOCUS

@NephroP

Dec 6

#POCUS quiz
You are performing physical examination in a patient with suspected fluid overload (plethoric IVC).
Parasternal short axis view demonstrates D-sign. But what's in the RV?
Apical view in thread.
#Nephrology #MedEd #FOAMcc
🔗 to source will be posted in a few hours.

Apical #POCUS

As our friends said, it's prominent moderator band in a patient with RV hypertrophy + prominent trabeculae.
Source article 🔗cvcasejournal.com/action/showPdf…

Read 4 tweets

NephroPOCUS

@NephroP

Nov 29

#POCUS #tamponade #MedEd
Short axis view and 🔗to source in thread.

👆image shows parasternal long axis view with diastolic collapse of the right ventricle.
👇short axis view at the aortic valve level showing right atrial systolic collapse (arrowhead) and RV diastolic collapse (arrow).
Source: cvcasejournal.com/article/S2468-…
#POCUS #echofirst #MedEd

Conventional physical exam!

Read 5 tweets

NephroPOCUS

@NephroP

Nov 18

Basic cardiac #POCUS views image acquisition flash cards.
Courtesy of Philips Healthcare
#MedEd #Nephpearls #echofirst
🧵
1/

#POCUS

#POCUS

Read 10 tweets

NephroPOCUS

@NephroP

Nov 15

Head‑to‑toe #POCUS skills for intensivists in the general and neuro #intensivecareunit population: consensus and expert recommendations of the European Society of Intensive Care Medicine.
🔗pubmed.ncbi.nlm.nih.gov/34787687/
#MedEd #IMPOCUS

Summary of the recommendations
#POCUS #Brain

Thorax #POCUS

Read 6 tweets

NephroPOCUS

@NephroP

Sep 2

A short 🧵 on hepatic vein #VExUS and key pathologies
From: jacc.org/doi/10.1016/j.…

1/ HV Anatomy & Normal Flow Profile, respiratory variation (forward flow [S,D] ⬆️ during inspiration)

Click ‘ALT’ for normal waveform description

#POCUS #MedEd #Nephrology #IMPOCUS #FOAMed

2/ A. Tricuspid regurgitation: Systolic flow reversal
B. Tricuspid stenosis: prolonged deceleration time of the D-wave + prominent A-wave

Click ‘ALT’ for further description

#POCUS #VExUS

A. Constrictive pericarditis: expiratory ⬇️ in tricuspid flow & RV filling with associated flow reversals on HVD
B. Restrictive cardiomyopathy: prominent D reversals during inspiration
C. ⬆️RVEDP: prominent A-wave
D. RV systolic dysfunction: ⬇️ S-wave

‘ALT’ for description (A&B)

Read 6 tweets