What is above the spleen?
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 […]
Renal angiomyolipoma
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 […]
Multi-parametric POCUS approach in heart failure
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 […]
Internal jugular vein response to Valsalva maneuver
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 […]
VExUS flash cards
In the previously posted videos and articles, we talked about the normal Doppler patterns of major abdominal veins used for VExUS grading and how they transition with increasing right atrial […]
Incidental findings in the gall bladder lumen
While performing kidney ultrasound, we frequently visualize gall bladder (from the right lateral scan plane) and its good to be aware of some incidental findings. We previously discussed the differential […]
Subxiphoid IVC view: beyond estimation of right atrial pressure
We routinely use inferior vena cava view to get an idea of the right atrial pressure by evaluating the vessel’s maximal diameter and collapsibility. In certain cases, this view can […]
Introduction to POCUS and basics of program development
Here is our review article in Kidney360 on the utility of POCUS in nephrology practice as well as our suggestions on program development at the departmental level. I partner with […]
IVC POCUS: one view is no view
We have previously discussed that longitudinal view of the IVC is subject to cylinder effect and it is a good idea to visualize it in short axis as well. However, […]
VExUS case studies
The VExUS panel meets again in this webinar organized by Kosmos. In this video, Dr. Rola discusses a case where VExUS guided management in the acute setting (start to approx […]