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.
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 […]
We previously went over examples of pleural effusion and ascites visualized from the subcostal/subxiphoid window. Here is another nice clip demonstrating right and left pleural effusions, pericardial effusion and ascites […]
We are doing a VExUS scan in a patient with known cirrhosis and possibly concurrent alcoholic hepatitis. In the left upper quadrant, you see a large spleen (which is not […]
Here is a nice example of solitary renal angiomyolipoma (AML). Well-circumscribed hyperechoic lesion in the right kidney with echotexture similar to that of adjacent sinus fat. As discussed before, ultrasound […]
Suggested pre-reading: Pump-pipes-leaks approach and VExUS review. A patient with known systolic heart failure (left ventricular ejection fraction ~20%) presented with shortness of breath after missing diuretics for a few […]
We frequently use inferior vena cava POCUS to estimate right atrial pressure. Internal jugular vein (IJV) ultrasound can also be used for this purpose. In spontaneously breathing patients, IJV size/cross […]
