Growth in the urinary bladder
Physical examination in acute kidney injury commences with kidney POCUS and concludes with a thorough evaluation of the hemodynamic circuit. It is important to note that kidney ultrasound should always […]
Pericardial effusion in a dialysis patient: Things to observe on Focused Cardiac Ultrasound
Here are images from a dialysis patient with pericardial effusion demonstrating echocardiographic signs of tamponade. Please go through this post on Renal Fellow Network for detailed description. Repeat images obtained […]
Pulsatile vessel: carotid artery or internal jugular vein?
I recently shared an image on Twitter, asking viewers to identify whether the pulsating vessel was the internal jugular (IJ) vein or the carotid artery. Out of the 902 respondents, […]
Dialysis catheter tip position on POCUS: may not be straightforward
Before using a newly inserted central venous catheter or dialysis catheter, we generally obtain a chest radiograph. However, in acute care settings, we can employ a rapid atrial swirl sign […]
Subxiphoid is the only window available? No problem!
You are performing physical examination (POCUS) on a mechanically ventilated patient with heart failure. Unfortunately, you are not able to get adequate cardiac views from parasternal and apical windows. Not […]
Particulate matter in the inferior vena cava
It is well-recognized that a dilated IVC in endurance athletes is a physiologic adaptation to repeated, intermittent volume loading and does not reflect an increased right atrial pressure. Interestingly, in […]
Kidney ultrasound pitfalls: don’t forget to fan
When performing kidney ultrasound, we emphasize on fanning through the entire organ (anteroposterior in the long axis and superoinferior in the transverse axis) so that small lesions such as cysts […]
Prominent Eustachian valve and Chiari network
Above finding was incidentally noted while performing physical examination (POCUS) in a patient with heart failure and acute kidney injury. Note the thin mobile hyperechoic structure arising from the anterior […]
Revisiting pleural effusion
Identification of pleural effusions is one of the basic applications of Internal Medicine and Nephro POCUS. As previously discussed, pleural fluid appears as an anechoic area above the diaphragm surrounding […]
Hemodynamic POCUS in cirrhosis: think beyond the IVC
In nephrology practice, acute kidney injury (AKI) in patients with cirrhosis often poses a diagnostic challenge owing to multitude of etiologic possibilities and overlapping presentations. Most such patients end up […]