#MedEd image of the day. What's wrong with the 🫀?
Clinical: A woman in 40s with h/o severe mitral stenosis secondary to rheumatic heart disease & Afib presented with worsening dyspnea, orthopnea, & chest pain x 7 months
See thread for #echofirst images and source/answer.
#POCUS

Apical 4-chamber view showing severe right atrial enlargement and annular dilatation of the tricuspid valve during systole.

Severe TR as expected.

Read 5 tweets

NephroPOCUS

@NephroP

Dec 28, 2022

#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

Read 8 tweets

NephroPOCUS

@NephroP

Dec 6, 2022

#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, 2022

#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