I am a board certified Nephrologist and specialist in clinical hypertension. I am a clinician educator interested in point of care ultrasonography (POCUS). This blog is primarily to gather all the POCUS images I posted on Twitter (@NephroP) and to share interesting stories and articles related to POCUS.
You are performing physical examination (POCUS) on a mechanically ventilated patient with heart failure. Unfortunately, you are not able to get adequate cardiac views from parasternal and apical windows. Not […]
It is well-recognized that a dilated IVC in endurance athletes is a physiologic adaptation to repeated, intermittent volume loading and does not reflect an increased right atrial pressure. Interestingly, in […]
When performing kidney ultrasound, we emphasize on fanning through the entire organ (anteroposterior in the long axis and superoinferior in the transverse axis) so that small lesions such as cysts […]
Above finding was incidentally noted while performing physical examination (POCUS) in a patient with heart failure and acute kidney injury. Note the thin mobile hyperechoic structure arising from the anterior […]
Identification of pleural effusions is one of the basic applications of Internal Medicine and Nephro POCUS. As previously discussed, pleural fluid appears as an anechoic area above the diaphragm surrounding […]
In nephrology practice, acute kidney injury (AKI) in patients with cirrhosis often poses a diagnostic challenge owing to multitude of etiologic possibilities and overlapping presentations. Most such patients end up […]
An elderly gentleman was seen in the nephrology clinic for acute kidney injury (AKI) on underlying chronic kidney disease stage III. Estimated glomerular filtration rate (eGFR) was 18 ml/min at […]
Recently, the findings of CLASSIC trial were published in the NEJM, which demonstrated that among adult patients with septic shock in the ICU, intravenous fluid (IVF) restriction did not result […]
This apical 4-chamber view obtained from a patient with end-stage kidney disease during physical examination demonstrates some hyperechoic structure in the left atrium resembling a Q-tip. Is it abnormal? It […]
Nephrologists are often consulted for evaluation of hyponatremia. While there can be a lot of causes, the basic approach to diagnosis is simple. First, look at serum osmolality. Serum sodium […]
