I am a board certified Nephrologist and specialist in clinical hypertension. I am a clinician educator interested in point of care ultrasonography (POCUS). I have designed and developed a successful point of care renal ultrasonography curriculum for Nephrology Fellows. 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.
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 […]
This table (from our KI reports article) summarizes common POCUS findings in various hemodynamic phenotypes that we encounter in day-to-day nephrology practice. Basic POCUS (without cardiac Doppler) cannot differentiate between […]
This apical 4-chamber view is obtained from a patient with shortness of breath being managed with escalation of diuretic therapy, which eventually led to hypovolemic hyponatremia. What does it show? […]
In our experience, checklists help novice users to systematically interpret the sonographic findings and reduce errors. So, I made SECONDS checklist for interpretation of nephrologist-performed renal ultrasound. Simply, it prompts […]
A middle-aged woman was seen in the nephrology clinic for chronic kidney disease. She also had a history of recurrent urinary tract infections. Physical exam (POCUS) revealed an anechoic/hypoechoic structure […]
POCUS journal is a free, open-access, peer-reviewed journal that publishes content related to point-of-care ultrasound. This month, a special kidney edition has been released, which I had the opportunity to […]
