Incidental fluid seen during kidney biopsy
In a twitter poll asking what the asterisk indicated, only ~55% of the respondents (total 338 votes) answered correctly. This is an image of the left kidney obtained from the […]
Mass in the right atrium: an uninvited guest from the abdomen
These interesting images were shared by Dr. Ryan Henneberry, EM POCUS director at Dalhousie University. A 47-year-old gentleman presented with shortness of breath and a focused cardiac ultrasound revealed a […]
Renal allograft and ascites
While evaluating a transplanted kidney, we should pay particular attention to the surgical anatomy, presence of ureteral stent, and perinephric collections in addition to ruling out hydronephrosis. Below are examples […]
IVC and the right pleural effusion
In a twitter poll asking what the arrow was pointing to in this image, only ~54% answered correctly. The correct answer is right pleural effusion. Below illustration explains why the […]
Not every black tube in the subxiphoid window is IVC or aorta
Occasionally, duodenum may be confused with inferior vena cava on subxiphoid scans. This typically happens when the duodenum is distended with fluid (appears as anechoic tubular structure) and the physician […]
Jellyfish in the pleural effusion after CPR
Here is an image of the right pleural effusion obtained from a dialysis patient who suffered a cardiac arrest and being evaluated by nephrology for continuous renal replacement therapy. Below […]
VExUS + POCUS in Acute Kidney Injury: Recorded Lectures
Here is the video comprising of two presentations given during the MetroHealth Emergency Medicine Grand Rounds, December 2020. Lecture 1: (starts 00:00) – Bedside assessment of venous congestion: VExUS by […]
What is VExUS?
VExUS is venous excess ultrasound grading system intended to quantify systemic venous congestion, which is particularly important in patients with tenuous fluid volume status (e.g. those with right sided heart […]
Basics of Doppler Ultrasound
Doppler ultrasonography (DUS) is used to identify the blood flow, quantify it as well as evaluate the flow pattern. In Nephrology practice, it is mainly used in the assessment of […]
The RV inflow view
It is not always possible to obtain a good apical window to look for tricuspid regurgitation, which is one parameter that we commonly look at in nephrology patients with volume […]