POCUSmedicine
@POCUSpeek
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8,827
Following
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#POCUS 🦋iQ+ by Steph Stanley | Acute Medicine SpR 🇬🇧 | FUSIC Heart/ FAMUS | past @take__AIM Fellow | Love for Minimalism & Kindness | Respect for God
Northampton General Hospital
Joined February 2016
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Mitral Regurgitation for
#firstecho
#MedEd
. All 👀 on the blue colour entering Left Atrium during Systole👇🏻Video adapted from the fabulous
@echocardiac
@pocusmeded
@pocusfoamed
@IM_POCUS
@The_echo_lady
@POCUSIAPN
@ABCDEcografia
6
162
419
Absence of Lung Sliding ⇨ repeated horizontal lines on M-mode = ‘barecode sign’ or ‘stratosphere sign’
Lung Point ← transition point between an area of Lung Sliding & an area with no
Lung Sliding ⇄ 100% specificity for Pneumothorax
@pocusfoamed
7
116
460
Lumbar Puncture with
#POCUS
→ all 👀 on the Spinous Process
@IMPOCUSFocus
@PracticalPOCUS
@pocusmeded
@POCUSIAPN
@pocusfoamed
@EMUGs_
@UltrasoundJelly
#MedEd
#medicalstudent
@pocusfoamed
@POCUSFrimley
9
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3
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Sliding = NO Pneumothorax. NO sliding ≠ Pneumothorax ⇨❗️Other causes of NO Sliding: stiff lungs (COPD/ Asthma), effusions, apnoea, adhesions/ consolidations, chest tubes, main stem intubation, pneumonectomy/ transplant, blebs.
@pocusfoamed
@pocusmeded
3
130
393
Lumbar Puncture with
#POCUS
Steps 👇
@IMPOCUSFocus
@PracticalPOCUS
@pocusmeded
@POCUSIAPN
@FAMUSultrasound
@EMUGs_
@UltrasoundJelly
@GeneralistUS
#MedEd
#medicalstudent
@pocusfoamed
@POCUSFrimley
6
115
379
79 seconds of 🤩
#POCUSbrilliance
from
@anesthesiadocmd
👏🏻 ← thank you
#POCUS
-guided Lumbar Puncture 💉
This short video is a real 💎
@FAMUSultrasound
@acutemedicine
@AcutemedSarbc
@AmieBurbridge
3
114
353
Mitral Regurgitation for
#firstecho
#MedEd
. All eyes on the blue colour entering Left Atrium during Systole. Video adapted from the fabulous
@echocardiac
@POCUS_Society
@pocusfoamed
@Pocus101
@EchoCases
8
112
333
Another multicoloured 💎 from
@UltrasoundJelly
👇🏻
All 👀 on colour 🤩
#POCUS
(Hooked on
@coreultrasound
atm)
1
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295
1/18 annotated
@bsecho
Minimum DataSet images for Level 1 BSE Echo
@firstecho
starters. Images from . Zoom for detailed annotations.
@POCUS
@IMPOCUSFocus
@GeneralistUS
@pocusfoamed
#MedEd
1. PLAX Deep 2D
4
106
278
#POCUS
Lumbar Puncture with👇
@IMPOCUSFocus
@PracticalPOCUS
@pocusmeded
@POCUSIAPN
@FAMUSultrasound
@EMUGs_
@UltrasoundJelly
@GeneralistUS
#MedEd
#medicalstudent
@pocusfoamed
@POCUSFrimley
1
91
272
0
91
263
PLAX 2D
#firstecho
with Annotations👇🏻
@pocusfoamed
@BSEcho
@IMPOCUSFocus
@pocusmeded
@PracticalPOCUS
@echobasics
@echocardiac
@FUSICuk
@EchofirstB
1
76
259
Candle Flame Sign - seen in Mitral Stenosis: Higher velocities close to the valve & in the centre of the jet
@NephroP
@The_echo_lady
@POCUSEcho
#echofirst
3
63
251
Candle Flame Sign 👇 seen in Mitral Stenosis → higher velocities close to the valve & in the centre of the 🔥
@pocusmeded
@pocusfoamed
@IM_POCUS
@pocus_today
@POCUSEcho
2
74
238
The 🫁 Point Sign → highly specific of pneumothorax ⇄ point where the visceral pleura (lung) begins to separate from the parietal pleural (chest wall) at the margin of a pneumothorax 👇🏻
@pocusfoamed
@FAMUSultrasound
@IMPOCUSFocus
@pocusmeded
@Pocus101
5
83
241
79 seconds of 👀
#POCUSbrilliance
💎 for the 💉 Lumbar Puncture 👇🏻 I have used the method and it proved to be enormously useful
@pocusfoamed
@pocusmeded
@IMPOCUSFocus
@PracticalPOCUS
1
78
232
McConnell’s sign of massive Pulmonary Embolism👇🏻 → akinesia of the mid free wall and hyper contractility of the apical wall from
@leilii
@pocusmeded
@pocusfoamed
@POCUS_spain
@pocus
0
68
232
#POCUS
Lumbar Puncture with👇
@IMPOCUSFocus
@PracticalPOCUS
@POCUSIAPN
@EMUGs_
@UltrasoundJelly
#MedEd
#medicalstudent
@pocusfoamed
3
60
230
Evaluation of the aorta from a transcutaneous approach 👇🏻
‘From a parasternal long-axis (PLAX) window, the sinuses and a segment of the ascending aorta are seen.
From the suprasternal notch (SSN) window, the arch and proximal descending thoracic aorta are seen.
1/3
3
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221
Brilliant
#POCUS
for Cheat Pain 👇🏻 from
@JMoeller_EUS
@IMPOCUSFocus
@pocus_today
@pocusmeded
@pocusfoamed
@IMPOCUSFocus
@PracticalPOCUS
0
67
198
Mitral Regurgitation for
#firstecho
#MedEd
All 👀 on the blue colour entering Left Atrium during Systole.
Video adapted from
0
57
195
🧵 The Lung Point sign is a highly specific ultrasound sign of pneumothorax. It involves visualising the point where the visceral pleura (lung) begins to separate from the parietal pleural (chest wall) at the margin of a pneumothorax
@pocusfoamed
@FAMUSultrasound
4
70
179
Absence of Lung Sliding ⇨ repeated horizontal lines on M-mode = ‘barecode sign’ or ‘stratosphere sign’
Lung Point ← transition point between an area of Lung Sliding & an area with no Lung Sliding ⇄ 100% specificity for Pneumothorax
@pocusfoamed
1
58
174
PLAX 2D
#firstecho
with Annotations👇🏻
@pocusfoamed
@BSEcho
@IMPOCUSFocus
@pocusmeded
@PracticalPOCUS
@echobasics
@echocardiac
#fusic
@EchofirstB
@LondonPOCUS
1
53
164
Right kidney in sagittal/long axis orientation with labelled structures
#POCUS
@FAMUSultrasound
@acutemedicine
1
37
173
Loculated Ascites from 👇🏻 from
@lawrencehaines
@pocusfoamed
@POCUSIAPN
@EMUGs_
@MediCasos
@OrlandoRPN
@IMPOCUSFocus
3
30
168
Beautiful 😍 Annotated Ventricular Walls with their Coronary supply👇from
@UltrasoundJelly
@pocusfoamed
#firstecho
#medEd
5
75
174
Pleural Fluid Volume Estimation👇
V (mL) = 20 x max distance between Parietal & Visceral pleura in end-expiration (mm)
👆 study done in mechanically ventilated patients
🔗
👀 Any papers for spontaneously breathing effusions?
@NephroP
@icmteaching
4
58
169
#POCUS
Lumbar Puncture with👇
@IMPOCUSFocus
@PracticalPOCUS
@pocusmeded
@POCUSIAPN
@FAMUSultrasound
@EMUGs_
@UltrasoundJelly
@GeneralistUS
#MedEd
#medicalstudent
@pocusfoamed
@POCUSFrimley
2
57
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Lung Point ⇄ junction between normal 🫁 with Lung Sliding & absent Lung Sliding
Absence of Lung Sliding:
→ Pneumothorax
→ Atelectasis
→ Bulla in Emphysema 👀👇
→ Pleural Fibrosis/ Adhesions
→ Cardiorespiratory Arrest
→ Mainstem intubation
@pocusfoamed
#POCUS
2
44
149
Mitral Regurgitation for
#firstecho
#MedEd
. All 👀 on the blue colour entering Left Atrium during Systole👇🏻Video adapted from the fabulous
@echocardiac
@pocusmeded
@pocusfoamed
@IM_POCUS
@The_echo_lady
@POCUSIAPN
@ABCDEcografia
1
52
146
Visualization of different lung lobes depends on transducer position. The upper, middle, and lower lung lobes can be visualized as the transducer is moved from the anterior to posterior chest wall.
@FAMUSultrasound
@IMPOCUSFocus
2
51
145
Bowel Obstruction Parameters 👇🏻 from
@trigeminy_henry
⇨ Fluid-filled bowel, ∅ > 2.5 cm ⇨ "To-and-fro" movement ⇨ Plicae circulares = "keyboard sign" ⇨ Wall edema
@pocusmeded
@pocusfoamed
2
40
140
‘Dynamic air-Bronchograms 👉 a specific sign for Pneumonia
They are mobile hyperechogenic small particles that move back & forth within the 🫁 bronchioles with respiration
#POCUS
#lung
#MedTwitter
Video from 🔗
@icmteaching
3
53
140
I couldn't resist creating this nice Pneumothorax Flow Chart inspired by:
@dr_melissabyrne
@KalagaraHari
@FAMUSultrasound
@AcutemedSarbc
5
48
140
Candle Flame Sign - seen in Mitral Stenosis: Higher velocities close to the valve & in the centre of the jet
@pocusmeded
@pocusfoamed
@IM_POCUS
@pocus_today
@POCUSEcho
5
40
133
Annotated 7th
#firstecho
view for
@BSEcho
Level 1 - Minimum DataSet: PSAX Basal 2D looking at LV walls, coronary supply & MV leaflets. Video adapted from - great
#MedEd
@EchoFoundations
website.
@IMPOCUSFocus
@pocusfoamed
@echocardiac
@purviparwani
@NBE_96
2
46
128
Can't get over how visible this Dynamic Air Bronchogram is 👇
🔗
5
41
132
Part 1 ⇨ Deadly Diagnoses NOT to miss ⛔️ when asked to quickly “sign off” an
#ECG
from
@rob_buttner
Thanks Rob
#MedEd
#medicalstudent
@acutemedicine
#MedTwitter
#CardioTwitter
1
41
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Apical 4 Chamber 2D view
#firstecho
@BSEcho
Level 1 Minimum DataSet, LV wall and coronary supply.
@PracticalPOCUS
@FUSICuk
@IMPOCUSFocus
#CardioTwitter
@POCUSIAPN
@POCUSEcho
@The_echo_lady
#MedEd
@pocusfoamed
@echocardiac
0
37
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➀ Pulsus Paradoxus as seen on ArtLine monitoring 👇🏻 from DOI: 10.1183/09031936.00138912
#MedEd
#medicalstudent
#MedTwitter
2
25
118
Sliding = NO Pneumothorax. NO sliding ≠ Pneumothorax ⇨❗️Other causes of NO Sliding: stiff lungs (COPD/ Asthma), effusions, apnoea, adhesions/ consolidations, chest tubes, main stem intubation, pneumonectomy/ transplant, blebs.
@pocusfoamed
@pocusmeded
0
47
118
Hepatization of Left
#Lung
→ Consolidation
Lung is Deaerated ⇨ seen as a Solid Structure ← similar to Parenchymal Organs (eg Liver or Spleen)
Other Causes 👇
→ atelectasis
→ infarction
→ contusion
→ malignant
@pocusmeded
@pocusfoamed
#MedTwitter
0
38
118
0
39
113
Lung 🐝-Lines Characteristics 👇
→ Vertical
→ Maximal Depth
→ Move with Lung Sliding
→ Erase the A-lines
@pocusfoamed
#lung
#MedEd
#MedTwitter
1
31
112
Loculated Pericardial Effusion 👇 from
@jchristianfox
@pocusfoamed
@pocusmeded
@ABCDEcografia
@IMPOCUSFocus
4
38
114
Such simplistic but good Cardiac Tamponade infographic👇🏻 from
@UltrasoundJelly
for all
#firstecho
lovers
@POCUS_spain
@pocusmeded
@pocusfoamed
@The_echo_lady
@ABCDEcografia
@EchoCases
1
43
113
PLAX 2D
#firstecho
with annotations.
@pocusfoamed
@BSEcho
@IMPOCUSFocus
#medEd
@Pocus101
#CardioTwitter
@echocardiac
@POCUSEcho
@ABCDEcografia
0
47
111
0
39
108
#Lung
#POCUS
has a much higher sensitivity for the 𖨬 of Pneumonia than CXR → 93% compared to 54%
‘Shred Sign’ is the appearance of the irregular and shaggy edge of the deaerated lung separated from the partially deaerated lung
@pocusfoamed
@AIM_POCUS
@pocusmeded
@TaotePOCUS
1
50
110
Transverse illustration of the upper abdomen that demonstrates the dependent compartments where free intraperitoneal fluid may collect.
The free fluid in hepatorenal pouch
(Morison's pouch) and in splenorenal pouch (red spaces)
@pocusfoamed
@FAMUSultrasound
1
32
105
Longitudinal illustration of the right paramedian abdomen which demonstrate the dependent compartments where free intraperitoneal fluid may collect.
Blood collects in Morison's pouch and then flows to pelvis through the right paracolic gutter
@IMPOCUSFocus
0
26
102
1
39
100
Annotated PSAX Outflow 2D
#firstecho
view required for
@BSEcho
Level 1 Minimum DataSet 👇🏻
#MedEd
@IMPOCUSFocus
@pocusmeded
#MedTwitter
@pocusfoamed
@ABCDEcografia
1
36
102
says the best diagnostic accuracy for predicting Fluid Responsiveness is measuring the IVC ∅ at 4 cm caudal to the cavo-atrial junction (site 4)
@pocusmeded
@POCUSbot
@echocardiac
#echofirst
#MedTwitter
2
39
93
@NephroP
Sorry posted from a different account earlier 🤦🏻♀️. Had to delete it. Here with the corrections 👇
1
20
99
Left Pleural Effusion vs Pericardial Effusion from
@NephroP
for
#echofirst
@IMPOCUSFocus
@POCUSIAPN
@pocusfoamed
@echocardiac
@EmergencyEcho
0
38
97
7
33
98
Lumbar Puncture using
#POCUS
. Goal No 3👇🏻from this YouTube video ⇨
@IMPOCUSFocus
@pocusmeded
@pocusfoamed
@PracticalPOCUS
1
30
92
14
14
92
Simplified LVEDD (LV end-diastolic ∅) and LVESD (LV end-systolic ∅) using M-Mode for
#firstecho
👇🏻
@pocusmeded
@pocusfoamed
@pocus_today
@PracticalPOCUS
@IMPOCUSFocus
@echocardiac
@ABCDEcografia
@BSEcho
1
34
89
Lung 🐝-Lines Characteristics 👇
→ Vertical
→ Maximal Depth
→ Move with Lung Sliding
→ Erase the A-lines
@pocusfoamed
#lung
#MedEd
#MedTwitter
0
22
90
1st view (annotated) required for
@BSEcho
Level 1 Minumum Data Set
#firstecho
: PLAX 2D
@MedEd
@pocusmeded
@MedTwitter
@pocusfoamed
@EchoFoundations
@The_echo_lady
. More to come
2
26
89
Hydronephrosis 👇🏻 from
@JMoeller_EUS
@pocusfoamed
@pocusmeded
@FAMUSultrasound
@pocusmeded
@NephroP
@pocus_today
@IMPOCUSFocus
0
38
87
Hepatic Vessels and Bile Ducts anatomy for POCUS
@pocusfoamed
@IMPOCUSFocus
@JediPocus
@POCUSpeek
@Pocus101
@PracticalPOCUS
1
25
84
Candle Flame Sign ⇆ seen in Mitral Stenosis → higher velocities close to the valve & in the centre of the jet
@pocusfoamed
@echocardiac
@pocusmeded
@UHNM_ECHO
@EchoCases
#CardioTwitter
#MedTwitter
#MedEd
0
26
84
Lung Point: the point where lung sliding meets no lung sliding. Seen in the pneumothorax. This was the case of a middle-aged woman with a large left pneumothorax. This was drained, but we scanned it prior to repeating CXR to see if it was fully re-expanded. It wasn't, but at
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87
Interested in POCUS in constipation👇 Would like POCUS to spare the need for DRE. Anyone with good papers/ images I can explore?
#POCUS
#medEd
@NephroP
@Wilkinsonjonny
3
29
85
I am watching these videos over and over. They are an absolute gem.
1
27
80
TAPSE used to evaluate right ventricular longitudinal systolic function.
#echofirst
flashcard 👇🏻 from
@NephroP
RV systolic dysfunction is a predictor of CV mortality in
#heartfailure
and
#dialysis
patients.
@pocusfoamed
@IMPOCUSFocus
@echocardiac
1
29
80
Visualization of different lung lobes depends on transducer position. The upper, middle, and lower lung lobes can be visualized as the transducer is moved from the anterior to posterior chest wall.
@FAMUSultrasound
@IMPOCUSFocus
@pocusmeded
@pocusfoamed
0
29
78
HepatoRenal Recess or hepatorenal space or referred to as subhepatic space) it is a paravertebral space and and is the most fluid-dependent of the abdominal cavity spaces when the patient is supine
@pocusfoamed
@pocusmeded
@FAMUSultrasound
0
20
76
#POCUSfirst
Transverse image of the main portal vein as it bifurcates into right & left branches👇🏻
@pocusfoamed
@NephroP
@pocus_today
@pocusmeded
@FAMUSultrasound
0
18
74
4/4 - the 9th
@BSEcho
Minimum DataSet for Level 1 (PSAX Apex 2D)
#firstecho
@MedEd
@pocusfoamed
@echocardiac
@ACCinTouch
@IMPOCUSFocus
@nbe_96
#medtwitter
@FOAMcc
@purviparwani
2
27
75
Lung 🐝-Lines characteristics: Vertical, maximal Depth, Move with lung sliding, Erase the A-lines
@FAMUSultrasound
@IMPOCUSFocus
@PracticalPOCUS
@POCUSIAPN
@pocusfoamed
@IMPOCUSFocus
@GeneralistUS
#lung
#MedEd
#MedTwitter
@IM_Crit_
1
20
76
Annotated PSAX Outflow 2D👇🏻 for
#firstecho
🤩
@ABCDEcografia
@The_echo_lady
@POCUSEcho
@pocusmeded
@pocus_today
@IMPOCUSFocus
@POCUSpeek
@pocusfoamed
@PracticalPOCUS
0
24
74
Ultrasound of the Liver. Image adapted from ‘Grey’s surface anatomy and ultrasound’.
@POCUSpeek
@pocusmeded
@NHSmallwood
@IMPOCUSFocus
@pocusfoamed
#MedEd
#MedTwitter
@NephroP
1
14
75
Lung 🐝-Lines characteristics: Vertical, maximal Depth, Move with lung sliding, Erase the A-lines
@FAMUSultrasound
@IMPOCUSFocus
@PracticalPOCUS
@POCUSIAPN
@pocusfoamed
@IMPOCUSFocus
@GeneralistUS
#lung
#MedEd
#MedTwitter
0
26
75
👇
#POCUS
#echofirst
exercise:
Identify the aortic valve cusps. Which is non-coronary/right/left?
No congenital heart disease
Parasternal view obtained with a handheld device
#MedEd
#Nephpearls
14
40
158
0
22
74
Annotated 8th
#firstecho
view for
@BSEcho
Level 1 - Minimum DataSet: PSAX Mid 2D looking at VL walls, coronary supply & MV leaflets. Video adapted from .
#MedEd
@EchoFoundations
@IMPOCUSFocus
@pocusfoamed
@purviparwani
@escardio
#eacvi
0
23
68
Left Kidney (longitudinal image) 👀 marked dilatation of the renal pelvis ↗︎ with only mild dilatation of the renal calyces ↷
3
14
68
Pneumothorax 🫁 POINT ⇦ beautifully explained /demonstrated
@IMPOCUSFocus
@GeneralistUS
@EMUGs_
@FAMUSultrasound
#MedEd
#MedTwitter
#ultrasound
#medicalstudent
0
23
70
Lung Sliding ⇄ ‘shimmering’ movement between the Visceral & Parietal Pleura
‘Seashore Sign’ ← seen when using M-mode, confirms it
The anterior horizontal lines ⇄ Chest Wall
The middle bright horizontal line ⇄ Pleura
The sand-like pattern ⇄ 🫁 Parenchyma
@pocusfoamed
1
20
73
Right PLAPS: PE - pleural effusion, AL - atelectatic lung, * - the shred sign - sign of consolidation = subpleural hypoechoic areas with an irregular 'shredded' border
@pocusmeded
@pocusfoamed
1
15
68
Right Ventricular Walls ← Beautifully Annotated
#firstecho
views👇 from
@Ed_Alania
@pocusfoamed
@seahorse4000
#MedEd
1
28
64
The ureters appear as fine tubular structures in the posterior bladder wall ✅
@pocus_today
@pocusmeded
@NephroP
@pocusmeded
@pocusfoamed
0
13
62
The 17th
@BSEcho
Minimum DataSet View for Level 1 (SubCostal IVC 2D)
#firstecho
@MedEd
@pocusfoamed
@echocardiac
@ACCinTouch
@IMPOCUSFocus
@nbe_96
#medtwitter
@FOAMcc
@purviparwani
#FOAMcc
#FOAMed
@POCUSpeek
1
18
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