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 […]
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 […]
Intravenous fluids in septic shock: should we be content with the blanket approach?
Recently, the findings of CLASSIC trial were published in the NEJM, which demonstrated that among adult patients with septic shock in the ICU, intravenous fluid (IVF) restriction did not result […]
Point-of-care ultrasound in Hyponatremia
Nephrologists are often consulted for hyponatremia. Although the causes are many, the basic framework is straightforward: start with the history for clues, then check serum osmolality. Serum sodium is a […]
Hemodynamic phenotypes in Nephrology
This table (from our KI reports article) summarizes common POCUS findings in various hemodynamic phenotypes that we encounter in day-to-day nephrology practice. Basic POCUS (without cardiac Doppler) cannot differentiate between […]
Multi-parametric POCUS approach in heart failure
Suggested pre-reading: Pump-pipes-leaks approach and VExUS review. A patient with known systolic heart failure (left ventricular ejection fraction ~20%) presented with shortness of breath after missing diuretics for a few […]
Do Sono-auscultation findings change with ultrafiltration?
An elderly patient on hemodialysis presents with worsening shortness of breath. His blood pressure at presentation is 195/110 mmHg. He did not miss any dialysis sessions but says that he […]
‘Pump Pipes Leaks’ model of fluid status assessment by the nephrologist
Fluid status assessment is very complex and currently, there is no gold standard to do this at the bedside. Over-reliance on a single parameter, whether a an element of history […]
ESRD patient with shortness of breath
A middle-aged patient on maintenance hemodialysis presents with shortness of breath. Patient was undergoing chemotherapy for a hematologic malignancy and compliant with dialysis sessions. Had normal ejection fraction on cardiology-performed […]