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Tag: POCUS

Point-of-care ultrasound in Hyponatremia

Nephrologists are often consulted for evaluation of hyponatremia. While there can be a lot of causes, the basic approach to diagnosis is simple. First, look at serum osmolality. Serum sodium […]

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 […]

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? […]

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 checklist for interpretation of nephrologist-performed renal ultrasound. Simply, it prompts […]

Gartner’s duct cyst

A middle-aged woman was seen in the nephrology clinic for chronic kidney disease. She also had a history of recurrent urinary tract infections. Physical exam (POCUS) revealed an anechoic/hypoechoic structure […]

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 […]

What is above the spleen?

We are doing a VExUS scan in a patient with known cirrhosis and possibly concurrent alcoholic hepatitis. In the left upper quadrant, you see a large spleen (which is not […]

Renal angiomyolipoma

Here is a nice example of solitary renal angiomyolipoma (AML). Well-circumscribed hyperechoic lesion in the right kidney with echotexture similar to that of adjacent sinus fat. As discussed before, ultrasound […]

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 […]