VExUS: How I Do It and How Not to Do It
VExUS is a great tool for diagnosing congestion and monitoring decongestive therapy, but many physicians have never performed it or seen it in action. Even those with some POCUS training […]
IVC Ultrasound and Volume Status Assessment: Are They the Same?
There’s a common notion among nephrologists and the broader medical community: “I looked at the IVC, so I assessed volume status.” But let’s clear this up- IVC POCUS is not […]
Parasternal long axis: quiz time!
So, you’ve attended a nephrology POCUS workshop and feel confident in your knowledge of cardiac sonographic anatomy. Below are a couple of Twitter polls asking to identify a structure posterior […]
Exploring Volume Assessment Methods in Patients with Kidney Disease
Take a look at the table below from our Kidney News article, an editorial about a comparative study between a handheld ultrasound device (HUD) and a conventional ultrasound machine for […]
Emphysematous Pyelonephritis: A Diagnosis Not to be Missed on POCUS
The aim of this post is twofold: 1. To remind that air appears white on ultrasound, and 2. To underscore the importance of identifying emphysematous pyelonephritis, a diagnosis of critical […]
Simulation in POCUS education: how I do it
As previously mentioned, establishing, and maintaining a comprehensive point-of-care ultrasound curriculum demands significant time commitment and dedication from faculty members. Contrary to common belief, teaching POCUS entails more than simply […]
A case of severe venous congestion: illustration of eVExUS
The aim of this case is to visually showcase severe right-sided congestion. As mentioned earlier, eVExUS, or ‘extended VExUS‘, involves examining more veins than the traditional trio of hepatic, portal, […]
NKF POCUS precourse 2024
The National Kidney Foundation is offering a POCUS precourse at the Spring Clinical Meetings in Long Beach, California in May 2024. This full-day course is designed for POCUS enthusiasts who […]
VExUS grade 3 does not always mandate fluid removal.
Venous congestion often stems from fluid overload. However, it’s important to recognize that POCUS does not directly measure blood volume but instead assesses blood flows and pressure gradients. Whether to […]
Femoral vein Doppler before and after dialysis
Currently, there is growing interest in femoral vein Doppler, mainly due to its perceived ease of image acquisition. Elevated femoral vein pulsatility indicates venous congestion with reasonable specificity. However, this […]