Time to update the #VExUS resources pinned thread 🧵📌 1/ Tweetorial on image acquisition. #POCUS #MedEd https://t.co/IqNJIPM7Vf

Saturday’s shift image! Lung point sign has an overall sensitivity of 66% and a specificity of 100%. Sensitivity is low because in large pneumothoraces, there is no point when the inflated lung is in contact with the parietal pleura.

What #echofirst view is this? #POCUS #FOAMed #Nephpearls Who’s actually acquiring this in adult patients, and why?

Weekend call just got an upgrade - our #nephrology fellow Dr. Arora officially named the #POCUS machine Probe-Zilla 🦖

#POCUS answer: 🔵 Parasternal RV inflow view 🔵 IVC Doppler demonstrating S- and D-waves -> above the baseline because the blood flow is towards the transducer in this view. #Nephpearls #FOAMed #FOAMcc

#POCUS quiz of the day ⭕️What view is this? ⭕️What vessel is being sampled? (Doppler waveform) Clue: Helpful in cirrhosis where subxiphoid window is difficult #Nephpearls #eVExUS #FOAMed

Post-paracentesis (3L): - Diastolic flow improved - Notching less prominent - Venous flow more apparent (previously low velocity continuous [not a 'good continuous'])

Arterias renales. Segmentos proximales @NephroP @OswaldoRamosN @javiteigell @y_interna @yaletung @SonoSamMD @curromir @zbriote @ABCDEcografia @PierpaDiNick @jpalacinp @jorgezzb @ignaciomsb @AlvarezHigueras @mberchid @Rad_Munagi @drvaque_eco @USPed_Latam @EcosemfyC

From knobology to #VExUS, from basics to advanced hemodynamics - it’s all happening at the @nkf Arizona #POCUS Immersion Course, March 12-13 2026! Perfect for nephrologists ready to level up their bedside skills 🎯Led by @nephrothaniel, featuring eminent experts in the field.

The most vital components of the #nephrology physical exam are inspection and insonation (#POCUS). #Nephpearls #MedEd

. @icmteaching @khaycock2 @ArgaizR Have you seen this notching/systolic spike accentuation in patients with cirrhosis? I think it's a manifestation of intense renal vasoconstriction (as in HRS pathophysiology +/- other similar insults).

Want to get better at Ovarian Point-of-Care Ultrasound? We have you covered with a short guide (3-5 minute read): https://t.co/ydMv3G0I9v

Como nos ayudan algunos artefactos, Imagen hiperecogénica con sombra acústica en Riñón Dcho compatible con Litiasis renal. Artefacto de centelleo nos lo clarifica. @JMMR83 @NephroP @ABCDEcografia @dmiguelmolina @jorgezzb @grecocap @ecoapcat @EcosemfyC @PierpaDiNick

The other extreme: Laboratory, imaging, hemodynamic and organ function signs and symptoms related to hypovolemia and hypoperfusion. Click 'alt' for abbreviations

Potential adverse consequences of fluid overload on end-organ function. #FOAMed #FOAMcc #Nephpearls Abbreviations in 'alt' Courtesy 🔗Malbrain, M.L.N.G. et al. (2024). Rational Use of Intravenous Fluids in Critically Ill Patients.

@NephroP I've been thinking about this. ESRD patients often have pulmonary hypertension. In contrast with pure volume overload, these patients typically have: • A flat, depressed RV function curve (high afterload, poor reserve) • High RAP from “can’t empty” rather than just “too full”

https://t.co/g5F0TFgG3a

Transcranial Doppler in the Emergency Department: A Clinical Application and Quick Reference. 🔗 https://t.co/P36YmA3Hpt #POCUS #FOAMed

An elderly patient with hypertension, preserved LVEF, and no valve disease admitted with dyspnea. Mitral inflow PW Doppler is shown 2 months prior to admission and at admission. 1/2

I still see 0ּּ·9% sodium chloride being used for resuscitation, and amazingly even for maintenance fluid. Let’s take a look at one important aspect of that. The huge salt burden in just one litre.

1⃣ Thrombus 2⃣ Chiari network #POCUS #echofirst #Nephpearls #FOAMed