NephroPOCUS Profile picture
Apr 3 6 tweets 3 min read Twitter logo Read on Twitter
Just plethoric IVC or there is some other notable finding?
#POCUS #MedEd #Nephpearls
#POCUS Answer: Pericardial effusion
Cannot comment on tamponade just from this view
Other views in 🧵below. No obvious chamber collapse.
Subcostal #POCUS
Parasternal short axis #POCUS
PLAX #POCUS
Apical #POCUS

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More from @NephroP

Apr 4
#POCUS quiz
1. What tracing did I obtain here?
2. What are some clinical scenarios where doing this would be helpful?
#IMPOCUS #MedEd #Nephpearls Image
Read 4 tweets
Mar 27
Some helpful illustrations of cardiac support devices for trainees and non-intensivist consultants like me rounding in the ICU.
🔗ccjm.org/content/84/4/2…
#Nephpearls #MedEd #MedTwitter
Also, good to be aware while performing #POCUS
Other relevant illustration: Left ventricular circulatory support devices
🔗 nature.com/articles/s4156…

a, The intra-aortic balloon pump uses counterpulsation to provide circulatory support and is commonly inserted via the femoral or axillary artery. b, Microaxial flow devices… twitter.com/i/web/status/1…
Read 4 tweets
Feb 1
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
Read 5 tweets
Feb 1
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)
Read 4 tweets
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
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 Image
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

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