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NephroPOCUS Profile picture
@NephroP
May 10 • 5 tweets • 4 min read Twitter logo Read on Twitter
#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
HV and PV Doppler #POCUS #VExUS Image
Example of a bad smoke!

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More from @NephroP

NephroPOCUS Profile picture
May 12
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
Apr 26
Some excellent anatomic illustrations for friends who place central lines.
#POCUS #MedTwitter #Nephpearls #FOAMed
Courtesy: pubmed.ncbi.nlm.nih.gov/27521991/
1. Internal jugular vein (A. Transducer placement in short axis, B. long axis) Image
2. The supraclavicular approach to the subclavian vein (A. Transducer in short axis to the vessel, B. long axis)
#POCUS #MedEd Image
3. Infraclavicular approach to the subclavian vein
#POCUS #MedEd Image
Read 8 tweets
NephroPOCUS Profile picture
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
onlinejase.com/article/S0894-…
#POCUS #MedEd Image
#POCUS Image
Read 4 tweets
NephroPOCUS Profile picture
Apr 3
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
Read 6 tweets
NephroPOCUS Profile picture
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
ECMO illustrations #MedEd
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
NephroPOCUS Profile picture
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

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