Aortic valve lesion in a dialysis patient
A pleasant elderly patient on dialysis presented with fever, chills, and dizziness. No obvious signs of dialysis access infection but found to have gram positive bacteremia. Following are the focused […]
Dialysis patient with fever and shortness of breath
We have previously discussed about the echocardiographic features of valvular vegetations. Now let us see an illustrative case. A middle-aged dialysis patient presented with shortness of breath and fever. No […]
The subcostal bicaval view
We are familiar with the subcostal 4 chamber and inferior vena cava (IVC) views. There is also something called subcostal bicaval view, where you can visualize both IVC and the […]
Shivering anterior mitral valve leaflet on M-mode
We previously discussed about the mitral valve M-mode in PLAX view and E-point septal separation (EPSS). EPSS is the distance between peak of the E-wave (early diastolic wave) of the […]
What is LV foreshortening?
This is a commonly heard term in echocardiography. Foreshortening occurs when the ultrasound beam does not cut through the true apex of the left ventricle but transects above and anterior […]
Did you ever see on POCUS what hyperkalemia does to the heart?
Hyperkalemia is probably the most common reason for an urgent nephrology consult. Most of us are familiar with the EKG changes associated with hyperkalemia, though surprisingly, only ~55% of patients […]
Pericardial versus pleural effusion on PLAX view
We may find both pericardial and pleural effusions in the parasternal long axis (PLAX) view and mistaking one for the other can lead to inappropriate management. The descending thoracic aorta […]