Manoj Wickramasinghe Profile picture
Anaesthetic trainee. Wannabe Intensivist. #POCUS. #FUSIC #FAMUS
Nov 13, 2022 14 tweets 9 min read
Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus Before the specifics, the basics (which I won't go into too much detail about):
- Optimise depth and gain
- Position your patient if possible
- Hold the probe low and rest some part of your hand on the patient for stability
- If in doubt more jelly and press a little harder
Mar 5, 2021 21 tweets 9 min read
So what does a #POCUS guided fluid assessment look like? #tweetorial #askpocus @IMPOCUSFocus @DRsonosRD @KalagaraHari @SonoSerious @tsquaredmd @jaffa_md @nick_wroe @EM_RESUS @coreultrasound @kyliebaker888 Let’s start of the with the lungs! Normal dry lungs are represented by an A line profile. These are horizontal lines that are equidistant from each other and are reverberations artefacts of the pleural line.
Feb 6, 2021 5 tweets 4 min read
#askpocus case. Indigestion type chest pain with some pleuritic nature. Troponin ++. Lateral TWI. Initially suspected ACS but CTPA showed PE so treated accordingly. @askpocus @daniel_opazo @NephroP @Wilkinsonjonny @iceman_ex @cianmcdermott @nick_wroe @IMPOCUSFocus @The_echo_lady So why was troponin so raised? Bedside echo! Not the greatest of views but enough to comment. PLAX...
Feb 2, 2021 13 tweets 6 min read
Another train the eye thread. This time - Takutsubos cardiomyopathy 🐙! #POCUS #askpocus #echofirst @iceman_ex @cianmcdermott @icmteaching @load_dependent @daniel_opazo @KalagaraHari @DRsonosRD @tsquaredmd @coreultrasound @IMPOCUSFocus @nick_wroe @askpocus @The_echo_lady Also known as stress induced cardiomyopathy/takutsubos syndrome/broken heart syndrome