Hiatal hernia on Focused Cardiac Ultrasound
This apical 4-chamber view is obtained from a patient with shortness of breath being managed with escalation of diuretic therapy, which eventually led to hypovolemic hyponatremia. What does it show? […]
One view, multiple effusions
We previously went over examples of pleural effusion and ascites visualized from the subcostal/subxiphoid window. Here is another nice clip demonstrating right and left pleural effusions, pericardial effusion and ascites […]
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 […]
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 […]
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, […]
The three musketeers of the parasternal long axis view
Identification of gross discrepancies in chamber size is one of the core competencies of focused cardiac ultrasound. In the parasternal long axis (PLAX) view, right ventricular outflow tract (RVOT), aorta […]
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 […]