When “Helpful” Isn’t Helpful: The Ongoing Undervaluation of POCUS in Nephrology
A recent article on cardiorenal syndrome in a leading nephrology journal set out to address pathophysiology and strategies for decongestion. At first glance, it seemed like a welcome read. That […]
A Rare Lung POCUS Finding: Fluid-Filled Bullae
These lung ultrasound images demonstrate a rare and fascinating finding in a patient with bullous emphysema. The patient initially presented with septic shock due to pneumonia and showed clinical improvement […]
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 in the hepatic vein Doppler waveform can tell you a […]
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 Spring Clinical Meetings is happening on April 9, 2025, in […]
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 from the dialysis unit because the access wasn’t working. The […]
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 than reflecting pressure changes. However, the portal vein remains 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 vena cava?” Well, here’s the thing—I’m all for advanced hemodynamics […]
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 common myth that IVC ultrasound directly measures volume status, which […]
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 easy to get great cardiac views in thin patients, but […]