I am a nephrologist and hypertension specialist. As a clinician educator, I focus on point-of-care ultrasonography (POCUS), with a particular emphasis on Doppler-assisted hemodynamic assessment. The inception of this blog was aimed at compiling all the POCUS images I shared on Twitter (@NephroP), along with sharing interesting cases and articles related to POCUS. I'm thrilled to see it grow organically, driven by the increasing interest in POCUS across multiple specialties.
PubMed link to my publications: https://pubmed.ncbi.nlm.nih.gov/?term=abhilash+koratala&sort=date
Autosomal dominant polycystic kidney disease (ADPKD) is relatively a common genetic disorder, occurring in approximately 1 in every 400 – 1000 live births. It is generally an adult-onset, multisystem disorder […]
It is crucial to take a look at the urinary bladder when performing kidney POCUS, especially in patients with a dilated collecting system or recurrent urinary tract infections, especially in […]
Parapelvic cysts can mimic hydronephrosis because of their anechoic nature (like urine, clear fluid in the cysts is also black on ultrasound) and close proximity to the collecting system. Hydronephrosis […]
In this pelvic area sonogram, the Foley balloon (arrow) appears to be located outside the urinary bladder suggesting malposition of the catheter. However, the fluid collection anterior to the Foley […]
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm – indicative of pleural effusion. In the absence of pleural effusion, the spine is obscured by […]
Lung ultrasonography can be used alone or in conjunction with limited echocardiography and sonographic assessment of the inferior vena cava to determine a patient’s volume status in day-to-day nephrology practice. […]
Echogenicity of the renal cortex relative to liver or spleen can be evaluated both qualitatively and quantitatively, though qualitative method is commonly used. Normal renal cortex is usually hypoechoic (less […]
In the first image, you can see bilateral severe hydronephrosis as evidenced by the dilated collecting system filled with anechoic (black) urine exerting pressure on the renal parenchyma. Second image […]
On the sonogram, hydronephrosis appears as branching, interconnected areas of decreased echogenicity (anechoic or black in general, indicating the presence of fluid) in the renal collecting system. The source of […]
A normal urinary bladder filled with urine typically appears as a thin-walled, anechoic structure. In contrast, when a bladder is decompressed by a Foley catheter, it is almost empty, and […]
