NephroPOCUS

@NephroP

Nephrology related point-of-care ultrasonography I by Abhilash Koratala MD , Nephrologist I alumnus🐊 I Tweets=own

Vrijeme pridruživanja: studeni 2018.

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  1. Prikvačeni tweet
    6. sij

    Time for a new pinned tweet 🙂 Here are some resources for -related is structured to succinctly discuss various POCUS scenarios as well as summarize the growing body of evidence. Also, I will keep doing the short videos.

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  2. prije 3 sata

    Interesting slide. These are not disadvantages of but hurdles involved in setting up a program/US service. Moreover, billing/documentation is a way to offset the costs of the equipment. Above all, is good for our patients and enhaces 🤔

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  3. proslijedio/la je Tweet
    prije 5 sati

    Look at the axial CT scan of the abdomen. What would you expect to hear on cardiac exam? Valvular pathology/diagnosis? See thread.

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  4. proslijedio/la je Tweet
    2. velj

    M/65. Syncope, no dyspnea/pain. Sinus tach, RR 24, SpO2 95%, BP 109/70. ECG - NO signs of RV strain. signs of right heart strain = anticoagulation initiated, with preparedness for lytic if deterioration. CT confirmed pulmonary embolism 30 min later.

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  5. proslijedio/la je Tweet
    2. velj

    Thanks :) conceptualized by and written by , been teaching this since for a long time

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  6. 1. velj

    Important teaching point 😎 Here are two similar ones (tubular injury):

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  7. proslijedio/la je Tweet
    1. velj

    Nice example of a hyperechogenic kidney. Biopsy showed C3-GN with only 5% IFTA & zero obsolescent gloms; “echogenic kidneys” in isolation is never a contraindication for kidney biopsy.

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  8. proslijedio/la je Tweet
    1. velj
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  9. 1. velj

    guided placement of an intrauterine urinary catheter in the setting of disseminated intravascular coagulation. Interesting case report:

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  10. proslijedio/la je Tweet

    Tricuspid Annular Plane of Systolic Excursion (TAPSE) for the Evaluation of Patients with Severe Sepsis and Septic Shock.

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  11. proslijedio/la je Tweet
    31. sij

    Scanning done before any medical intervention. long axis: 100% insp collapse

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  12. proslijedio/la je Tweet
    31. sij
    Odgovor korisniku/ci
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  13. proslijedio/la je Tweet
    31. sij
    Odgovor korisnicima i sljedećem broju korisnika:

    M-mode line should be parallell with the direction of the annular motion to avoid angular distortion, and the motion should be measured along the steepest unbroken line to avoid structures moving in or out of the M-mode. Caliper or slope doesn’t matter, software gives vertical

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  14. 31. sij

    Interesting way of describing cardiac : 5 Es

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  15. proslijedio/la je Tweet
    31. sij
    Odgovor korisnicima

    If machine does it....it will do the vertical distance for TAPSE. If measuring manually via A4C view, I use the vertical distance. For Subcostal SEATAK, I use the slope for TAPSE.

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  16. proslijedio/la je Tweet
    31. sij
    Odgovor korisnicima

    And remember that angle deviation OVERESTIMATES TAPSE but UNDERESTIMATES S’ and other velocities.

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  17. proslijedio/la je Tweet
    31. sij

    My answer (of course)-POCUS. AAA measured 10.9 cm so not Giant AAA by definition (Giant > 11 cm). Article has case of 18 cm AAA non ruptured. Largest reported 25 cm non ruptured! Never let giant size dissuade you from AAA consideration.

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  18. proslijedio/la je Tweet
    31. sij

    Bedside Ultrasound: A Primer For Clinical Integration, 2nd Edition for international shipping:

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  19. 31. sij

    What is the correct way of doing TAPSE on cardiac ? I do the second one (peak to trough straight) [that's the way I learnt] but noticed some people/articles doing as in the first image (slope). Does it matter? (I assume it does)

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  20. proslijedio/la je Tweet
    30. sij

    Made this picture years ago.... . Note, movement is critical for recognising B lines, so stills do not do justice.

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  21. proslijedio/la je Tweet
    23. ruj 2019.

    Ok fans let’s settle this once and for all. Best probe and settings (depth, gain, frequency) for seeing B-lines.

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