Hepatic Vein Doppler and EKG: Are There Any Workarounds?
Hepatic vein Doppler is a key component of both VExUS and eVExUS assessments. Getting the S and D waves right […]
POCUS Precourse at the NKF Spring Clinical Meetings 2025
Excited about learning POCUS but not sure where to start? We’ve got you covered! Our POCUS precourse at the NKF […]
Look Before You Leap, Scan Before You Stick
A middle-aged patient on hemodialysis for over a decade, dialyzing through a right upper extremity arteriovenous (AV) fistula, was sent […]
Upcoming Nephrology POCUS course
If you’re looking for a nephrology POCUS course with a strong emphasis on hemodynamics, the 2-day POCUS immersion course at […]
VExUS in Tricuspid Regurgitation
People often claim that tricuspid regurgitation (TR) makes VExUS useless, assuming the regurgitation itself distorts the waveforms—especially causing hepatic S-reversal—rather […]
Am I Really Looking at the IVC?
In the last post, we talked about IVC views. You might be wondering, “Why so many posts about the inferior […]
Inferior vena cava: sonographic views and planes
Inferior vena cava (IVC) ultrasound is undoubtedly popular, but it’s not without its share of misconceptions and knowledge gaps—like the […]
Making the Most of the Subxiphoid Window
I’ve previously talked about a case that highlights just how much information subxiphoid views can provide. We often think it’s […]
POCUS Training in Nephrology: IAPN’s Position Statement
Just released! The International Alliance for POCUS in Nephrology (IAPN) has published a position statement in the Clinical Kidney Journal. […]
Cardiac ›
Cardiac POCUS Views | Graffiti Edition
A festive December splash of art and ultrasound.December arrives with brightness, color, music, and a cheerful spirit. It felt like […]
Seeing the Invisible: Bedside Ultrasound and the Effusion You Cannot Afford to Miss
A patient with end-stage kidney disease on hemodialysis was admitted with pneumonia. The individual had a chronic tracheostomy and PEG […]
Essential Cardiac Doppler Formulae for the Advanced POCUS user
Here are some commonly used cardiac POCUS formulae that can be useful when learning advanced Doppler techniques, whether you’re a […]
Am I Really Looking at the IVC?
In the last post, we talked about IVC views. You might be wondering, “Why so many posts about the inferior […]
Kidney ›
Kidney stones or something else?
These images were obtained from a middle-aged individual with a history of chronic kidney disease stage IV, smoking, and coronary […]
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 […]
A case of hydronephrosis
An elderly gentleman was seen in the nephrology clinic for acute kidney injury (AKI) on underlying chronic kidney disease stage […]
Checklist for interpreting kidney ultrasound
In our experience, checklists help novice users to systematically interpret the sonographic findings and reduce errors. So, I made SECONDS […]
Case Study: Multi-Organ POCUS Approach in a Patient with AKI
We’ve explored several POCUS concepts in bits and pieces over time, and many have asked how all of this actually […]
POCUS in Nephrology: Time to Rethink the “Square Wheels”
A NephMadness Special Commentary This year’s NephMadness did something interesting. It gave POCUS a dedicated bracket. That, in itself, says […]
Not Every Dilated IVC or Pulsatile Portal Vein Is Pathological
The images below were obtained from a young healthy fit-looking individual during a POCUS workshop. They appear concerning, right? A […]
Pleural effusion: The ‘Spine sign’
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm – indicative of pleural effusion. In […]
What is VExUS?
VExUS is venous excess ultrasound grading system intended to quantify systemic venous congestion, which is particularly important in patients with […]
Increased renal cortical echogenicity does not always indicate chronic kidney disease
Echogenicity of the renal cortex relative to liver or spleen can be evaluated both qualitatively and quantitatively, though qualitative method […]
Pneumonia and dynamic air bronchograms
In general, evaluation of an air-rich organ is a limitation of ultrasound because air scatters the ultrasound beam and does […]
Ultrasound signs of urolithiasis
Although sonography is less sensitive than CT for detecting kidney stones, it is the preferred initial imaging modality as there […]
Visualization of the right pleural effusion from the abdomen
Sometimes, pleural effusion may be noticed incidentally on abdominal scans. Below image shows transverse section of the liver with anechoic […]