Look Before You Leap, Scan Before You Stick

A middle-aged patient on hemodialysis for over a decade, dialyzing through a right upper extremity arteriovenous (AV) fistula, was sent from the dialysis unit because the access wasn’t working. The […]

Upcoming Nephrology POCUS course

If you’re looking for a nephrology POCUS course with a strong emphasis on hemodynamics, the 2-day POCUS immersion course at the Southwest Nephrology Conference (NKF Arizona) is one of the […]

VExUS in Tricuspid Regurgitation

People often claim that tricuspid regurgitation (TR) makes VExUS useless, assuming the regurgitation itself distorts the waveforms—especially causing hepatic S-reversal—rather than reflecting pressure changes. However, the portal vein remains a […]

Am I Really Looking at the IVC?

In the last post, we talked about IVC views. You might be wondering, “Why so many posts about the inferior vena cava?” Well, here’s the thing—I’m all for advanced hemodynamics […]

Inferior vena cava: sonographic views and planes

Inferior vena cava (IVC) ultrasound is undoubtedly popular, but it’s not without its share of misconceptions and knowledge gaps—like the common myth that IVC ultrasound directly measures volume status, which […]

Making the Most of the Subxiphoid Window

I’ve previously talked about a case that highlights just how much information subxiphoid views can provide. We often think it’s easy to get great cardiac views in thin patients, but […]