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NephroPOCUS

Feb 1 • 4 tweets • 3 min read

A 58-year-old woman with no known comorbidities presents with progressive fatigue and shortness of breath x several months. Noted to have bilateral pedal edema; BNP 2,473 pg/mL.
#echofirst 👇❓
Answer and 🔗 to source in thread.
#POCUS #MedEd #FOAMcc

Left atrial myxoma -> pulmonary hypertension (RVSP 93 mmHg) -> RV dysfunction (Note obvious RV enlargement ☝️
cvcasejournal.com/article/S2468-…

PLAX (same case)

Typical locations of various cardiac tumors and masses.
May help formulating differential diagnosis during #POCUS #echofirst
Image from Tyebally, et al. JACC 2020.

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More from @NephroP

NephroPOCUS

@NephroP

Feb 1

@ACEP_EUS

After yesterday's #POCUS quiz, it's time to reshare these cardiac tamponade infographics.
Courtesy of @ACEP_EUS
🔗acep.org/emultrasound/s…
Set of 3
See 🧵for the rest
#Nephpearls #MedEd #FOAMcc

Pulsus paradoxus #echofirst

Hepatic vein waveform changes
#POCUS #VExUS

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NephroPOCUS

@NephroP

Jan 30

Another set of cardiac #POCUS #anatomy illustrations. 🧵
#Nephpearls #FOAMed
Source: sciencedirect.com/science/articl…
1⃣ Parasternal long axis

2⃣ Parasternal short axis aortic valve level
#POCUS

3⃣ Apical 4-chamber view #POCUS

Read 7 tweets

NephroPOCUS

@NephroP

Jan 27

#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