Pericardial effusion in a dialysis patient: Things to observe on Focused Cardiac Ultrasound
Here are images from a dialysis patient with pericardial effusion demonstrating echocardiographic signs of tamponade. Please go through this post […]
Pulsatile vessel: carotid artery or internal jugular vein?
I recently shared an image on Twitter, asking viewers to identify whether the pulsating vessel was the internal jugular (IJ) […]
Dialysis catheter tip position on POCUS: may not be straightforward
Before using a newly inserted central venous catheter or dialysis catheter, we generally obtain a chest radiograph. However, in acute […]
Subxiphoid is the only window available? No problem!
You are performing physical examination (POCUS) on a mechanically ventilated patient with heart failure. Unfortunately, you are not able to […]
Particulate matter in the inferior vena cava
It is well-recognized that a dilated IVC in endurance athletes is a physiologic adaptation to repeated, intermittent volume loading and […]
Kidney ultrasound pitfalls: don’t forget to fan
When performing kidney ultrasound, we emphasize on fanning through the entire organ (anteroposterior in the long axis and superoinferior in […]
Prominent Eustachian valve
Above finding was incidentally noted while performing physical examination (POCUS) in a patient with heart failure and acute kidney injury. […]
Revisiting pleural effusion
Identification of pleural effusions is one of the basic applications of Internal Medicine and Nephro POCUS. As previously discussed, pleural […]
Hemodynamic POCUS in cirrhosis: think beyond the IVC
In nephrology practice, acute kidney injury (AKI) in patients with cirrhosis often poses a diagnostic challenge owing to multitude of […]
Cardiac ›
Subxiphoid is the only window available? No problem!
You are performing physical examination (POCUS) on a mechanically ventilated patient with heart failure. Unfortunately, you are not able to […]
Particulate matter in the inferior vena cava
It is well-recognized that a dilated IVC in endurance athletes is a physiologic adaptation to repeated, intermittent volume loading and […]
Prominent Eustachian valve
Above finding was incidentally noted while performing physical examination (POCUS) in a patient with heart failure and acute kidney injury. […]
Left atrial ridge
This apical 4-chamber view obtained from a patient with end-stage kidney disease during physical examination demonstrates some hyperechoic structure in […]
Kidney ›
A case of hydronephrosis
An elderly gentleman was seen in the nephrology clinic for acute kidney injury (AKI) on underlying chronic kidney disease stage […]
Checklist for interpreting kidney ultrasound
In our experience, checklists help novice users to systematically interpret the sonographic findings and reduce errors. So, I made SECONDS […]
Renal angiomyolipoma
Here is a nice example of solitary renal angiomyolipoma (AML). Well-circumscribed hyperechoic lesion in the right kidney with echotexture similar […]
Parapelvic Cyst
A patient with a history of chronic kidney disease and nephrolithiasis is seen in the clinic for follow up. Last […]
Pulsatile vessel: carotid artery or internal jugular vein?
I recently shared an image on Twitter, asking viewers to identify whether the pulsating vessel was the internal jugular (IJ) […]
Pericardial effusion in a dialysis patient: Things to observe on Focused Cardiac Ultrasound
Here are images from a dialysis patient with pericardial effusion demonstrating echocardiographic signs of tamponade. Please go through this post […]
Growth in the urinary bladder
Physical examination in acute kidney injury commences with kidney POCUS and concludes with a thorough evaluation of the hemodynamic circuit. […]
Pleural effusion: The ‘Spine sign’
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm – indicative of pleural effusion. In […]
What is VExUS?
VExUS is venous excess ultrasound grading system intended to quantify systemic venous congestion, which is particularly important in patients with […]
Pneumonia and dynamic air bronchograms
In general, evaluation of an air-rich organ is a limitation of ultrasound because air scatters the ultrasound beam and does […]
The jellyfish sign: atelectasis
In moderate to large pleural effusions, atelectatic lung is frequently noted on the ultrasound images. Remember, when the lung is […]
Visualization of the right pleural effusion from the abdomen
Sometimes, pleural effusion may be noticed incidentally on abdominal scans. Below image shows transverse section of the liver with anechoic […]
Increased renal cortical echogenicity does not always indicate chronic kidney disease
Echogenicity of the renal cortex relative to liver or spleen can be evaluated both qualitatively and quantitatively, though qualitative method […]