![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2024/03/GJoG7n2WoAAo4Yf.jpg?resize=630%2C380&ssl=1)
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2024/03/GJoG7n2WoAAo4Yf.jpg?resize=630%2C380&ssl=1)
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2024/03/Fig-1.png?resize=402%2C225&ssl=1)
VExUS grade 3 does not always mandate fluid removal.
Venous congestion often stems from fluid overload. However, it’s important to recognize that POCUS does not directly measure blood volume but instead assesses blood flows and pressure gradients. Whether to […]
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2024/02/Figure-7.png?resize=402%2C225&ssl=1)
Femoral vein Doppler before and after dialysis
Currently, there is growing interest in femoral vein Doppler, mainly due to its perceived ease of image acquisition. Elevated femoral vein pulsatility indicates venous congestion with reasonable specificity. However, this […]
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2023/11/Cirrhosis-3.png?resize=402%2C225&ssl=1)
VExUS in Nephrology: Case Examples
VExUS is an emerging field, and consequently, its practical application in day-to-day clinical practice is not widely acknowledged. Presented below are selected cases we have published (as of November 2023), […]
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2023/10/Fig-4.png?resize=402%2C225&ssl=1)
VExUS in Cirrhosis
Earlier, we discussed the utility of POCUS in evaluating hemodynamic acute kidney injury in cirrhosis. The following images were obtained from a patient with alcoholic liver cirrhosis, who had been […]
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2021/10/Grading.jpg?resize=402%2C225&ssl=1)
VExUS flash cards
In the previously posted videos and articles, we talked about the normal Doppler patterns of major abdominal veins used for VExUS grading and how they transition with increasing right atrial […]
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2021/07/Capture.jpg?resize=402%2C225&ssl=1)
VExUS case studies
The VExUS panel meets again in this webinar organized by Kosmos. In this video, Dr. Rola discusses a case where VExUS guided management in the acute setting (start to approx […]
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2021/04/Capture-2.jpg?resize=402%2C225&ssl=1)
Kosmos panel discussion on VExUS
Brief lectures on the importance of venous congestion, Doppler flow patterns, clinical indications of VExUS and technique followed by Q&A session.
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2020/12/Capture-1.jpg?resize=402%2C225&ssl=1)
VExUS + POCUS in Acute Kidney Injury: Recorded Lectures
Here is the video comprising of two presentations given during the MetroHealth Emergency Medicine Grand Rounds, December 2020. Lecture 1: (starts 00:00) – Bedside assessment of venous congestion: VExUS by […]
![](https://i0.wp.com/nephropocus.com/wp-content/uploads/2020/12/Capture.jpg?resize=402%2C225&ssl=1)
What is VExUS?
VExUS is venous excess ultrasound grading system intended to quantify systemic venous congestion, which is particularly important in patients with tenuous fluid volume status (e.g. those with right sided heart […]