NephroPOCUS @NephroP Twitter profile

Pinned Tweet

NephroPOCUS

@NephroP

2 years

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

NephroPOCUS

@NephroP

2 years

#POCUS #MedTwitter #Nephpearls Many #VExUS enthusiasts asked for a #tweetorial on image acquisition pearls. Did one b4 but time for an updated one 🧵 #1 Let's start with basics Color Doppler identifies the flow + tells the direction (blue is away & red towards the probe [BART])

34

495

1K

23

317

687

Last Seen Profiles

@GoRecycleRight

@Jeannet43341045

@xxixz2

@stw_pdg

@AristoDogNFT

@DonnchadhaD

@AlphaTaxis

@ht_666_

@L6Centre

@Errorgiveaways

@bati_acl

@efc_bluemile

@suminoze

@thehoneypotcomp

@rockyterrorrd

@JeffDZ40

@leslie_eber

@DIRECTVVE

@LP_Shigeo

@BrianMcClair13

@wanchain_org

@Aspe

@ZELO96

@Kellblog

@iruuunnns

@negro_standup

@parkkjimin1010

@carolaaddams

@JeffDZ40

@Kali_Akuno

@LazyJoySuits

@almalibreArg1

@MohemmedAlkurdi

@asa_ki1

@rosamariavolei

@AURNOnline

NephroPOCUS

@NephroP

1 year

Some excellent anatomic illustrations for friends who place central lines. #POCUS #MedTwitter #Nephpearls #FOAMed Courtesy: 1. Internal jugular vein (A. Transducer placement in short axis, B. long axis)

14

665

2K

NephroPOCUS

@NephroP

2 years

A young woman recently diagnosed a periosteal femoral mass presented with dyspnea and pleuritic chest pain, and a chest x-ray was done. What is the likely diagnosis? Answer: 🔗 #MedEd #radiology #chestxray

101

260

2K

NephroPOCUS

@NephroP

1 year

Upper limb venous anatomy #POCUS #FOAMed #Nephpearls #MedEd

4

339

2K

NephroPOCUS

@NephroP

2 years

What's happening here? #Xray #MedEd

51

199

1K

NephroPOCUS

@NephroP

1 year

#xray obtained from an elderly patient. What is this interesting finding? #MedEd #FOAMed Image courtesy: @DrGalenMD

78

186

1K

NephroPOCUS

@NephroP

2 years

What’s happening here? #xray #MedEd

71

188

1K

NephroPOCUS

@NephroP

1 year

Lower extremity DVT #POCUS #anatomy #IMPOCUS #FOAMed

5

302

1K

NephroPOCUS

@NephroP

1 year

Basic cardiac #POCUS views image acquisition flash cards. Courtesy of Philips Healthcare #MedEd #Nephpearls #echofirst 🧵 1/

22

426

1K

NephroPOCUS

@NephroP

1 year

Venous anatomy of the lower extremity. Click ‘ALT’ for figure description 🔗 #POCUS #MedEd #Nephrology #FOAMcc

6

361

1K

NephroPOCUS

@NephroP

2 years

Excellent #echofirst illustration depicting the relationship between cardiac cycle, Doppler parameters and M-mode at the mitral valve level. #MedTwitter #POCUS #Nephrology Courtesy🔗

10

375

1K

NephroPOCUS

@NephroP

2 years

#MedEd image of the day: learned a new analogy - 'lung on fire' appearance caused by diffuse calcified pleural plaques secondary to chronic asbestos exposure. #Medicalstudent #radiology Image: radiopedia

7

236

1K

NephroPOCUS

@NephroP

2 years

#POCUS #MedTwitter #Nephpearls Many #VExUS enthusiasts asked for a #tweetorial on image acquisition pearls. Did one b4 but time for an updated one 🧵 #1 Let's start with basics Color Doppler identifies the flow + tells the direction (blue is away & red towards the probe [BART])

34

495

1K

NephroPOCUS

@NephroP

1 year

60+ person presents with shortness of breath. Worked as manual laborer for several years. What does this #xray demonstrate? #MedEd #radiology

74

159

993

NephroPOCUS

@NephroP

1 year

#POCUS image of the day: Fox tail sign - left pleural effusion visualized from the apical cardiac window. #MedEd #FOAMcc #FOAMed

10

212

973

NephroPOCUS

@NephroP

1 year

#POCUS guided central venous catheter placement (short axis): manipulation of the needle and confirmation of the tip in the vessel. Click 'ALT' for figure description Source #MedEd #FOAMed #Nephpearls

13

300

935

NephroPOCUS

@NephroP

2 years

The #xray looks nice but something bad has happened here. What could it be? #MedEd

47

125

916

NephroPOCUS

@NephroP

1 year

Friday #POCUS classics #FAST 🔗 #MedEd #IMPOCUS #FOAMed

3

240

914

NephroPOCUS

@NephroP

1 year

Optimal insertion depth of central venous catheters - Proceduralists, is this a good rule of thumb you use? #POCUS #IMPOCUS #MedED (from an Asian study ) Fig. from

24

298

913

NephroPOCUS

@NephroP

2 years

Graphic representation of #echofirst parameters in the assessment of right ventricular failure. Click on 'ALT' for abbreviations #POCUS #MedEd #IMPOCUS 🔗

2

251

897

NephroPOCUS

@NephroP

12 days

Beautiful illustrations of basic cardiac #ultrasound views. #POCUS #FOAMed #MedEd #Nephpearls By Dr. Veltman/Faris

2

271

864

NephroPOCUS

@NephroP

11 months

Physiology-guided management of hemodynamics in acute respiratory distress syndrome. 🔗 #MedEd #FOAMed #FOAMcc

3

237

835

NephroPOCUS

@NephroP

1 year

Basic cardiac views #MedEd #POCUS #echofirst #Nephpearls Courtesy: 🔗 Philips Healthcare

4

275

833

NephroPOCUS

@NephroP

1 year

Non-POCUS image of the day: Abnormality on this pediatric chest #Xray ? #MedEd #FOAMed

55

160

804

NephroPOCUS

@NephroP

2 years

Summary of the BLUE, RUSH and CAUSE protocols (abbreviations below the figure). #POCUS #IMPOCUS #MedEd #FOAMcc 🔗

4

296

811

NephroPOCUS

@NephroP

3 years

Simplified #VExUS live card with grading incorporated. #POCUS #MedEd #Nephrology

11

322

799

NephroPOCUS

@NephroP

2 years

Another nice illustration of basic cardiac views #POCUS #echofirst #MedEd #Nephrology 🔗

3

280

793

NephroPOCUS

@NephroP

2 years

Simplified pathophysiologic representation of cardiogenic and non-cardiogenic #pulmonaryedema . 🔗 #MedEd #POCUS #Nephrology

5

208

761

NephroPOCUS

@NephroP

2 years

A 25-year-old pregnant woman developed severe dyspnea soon after leg and foot massage, and suffered a cardiac arrest. 👇 #POCUS #echofirst Likely diagnosis? See thread for the answer/source #MedEd #IMPOCUS

67

190

758

NephroPOCUS

@NephroP

1 year

Another set of cardiac #POCUS #anatomy illustrations. 🧵 #Nephpearls #FOAMed Source: 1⃣ Parasternal long axis

4

201

764

NephroPOCUS

@NephroP

2 years

Basic #echofirst views #POCUS #MedEd #Nephrology 🔗

3

232

766

NephroPOCUS

@NephroP

2 years

Shock #POCUS #MedEd #CriticalCare #Nephrology

4

259

758

NephroPOCUS

@NephroP

1 year

Routine pre-op #Xray obtained from a 55-year-old man who worked as a gemstone cutter for more than 20 years. What is it showing? #MedEd #radiology

57

139

757

NephroPOCUS

@NephroP

2 years

Diagnosis? #xray #MedEd

82

148

753

NephroPOCUS

@NephroP

1 year

Non-POCUS #MedEd image of the day. What’s the abnormal finding? #Xray #radiology #FOAMed

59

114

725

NephroPOCUS

@NephroP

1 year

#echofirst #POCUS image of the day: Accessing superior vena cava though transthoracic windows is difficult but not impossible. Here are 3 must-know windows. SVC Doppler is helpful when intra-hepatic vessels are unreliable (extended (e-) #VExUS ). #FOAMcc 🔗

6

201

722

NephroPOCUS

@NephroP

2 years

Extensive chest wall collaterals in a #dialysis patient with chronic superior vena cava syndrome. H/o multiple central venous catheterizations. (Image from one of my old case reports) #MedTwitter #Nephrology

12

142

714

NephroPOCUS

@NephroP

2 years

Nice diagram depicting assessment of organ perfusion in a patient with #shock using #POCUS + conventional parameters. #MedEd #VExUS #CriticalCare From 🔗

4

270

701

NephroPOCUS

@NephroP

3 years

1/ Thought of doing a quick #tweetorial on image acquisition for #POCUS friends starting to do #VExUS It's kind of "how I do it" guide and not necessarily optimized for research. 1st: Look at the IVC in both long and short axes If big, do further scans 👇 #MedEd #FOAMed

27

320

706

NephroPOCUS

@NephroP

1 year

#echofirst views #POCUS #MedEd #IMPOCUS Source 🔗

1

221

693

NephroPOCUS

@NephroP

15 days

10 best practice tips for radial arterial catheterization. #POCUS #FOAMed 🔗

1

210

692

NephroPOCUS

@NephroP

2 years

Pathophysiology of #cardiorenal syndrome. From: #POCUS #MedEd #Nephrology

4

222

672

NephroPOCUS

@NephroP

2 years

Some key #POCUS #echofirst findings in emergencies. 🔗 #MedEd #IMPOCUS

2

224

661

NephroPOCUS

@NephroP

2 years

Nice figure illustrating the basic #echofirst views and transducer position from our friends at @ASRA_Society 🔗 #POCUS #IMPOCUS #Nephrology #MedEd

4

213

654

NephroPOCUS

@NephroP

1 year

Ready for today's #POCUS quiz? Identify 1,2,3 and 4 #IMPOCUS #MedEd #FOAMed

21

107

641

NephroPOCUS

@NephroP

3 years

Fox tail sign #POCUS #IMPOCUS #MedEd

8

200

632

NephroPOCUS

@NephroP

11 months

Acute dyspnea in the emergency department: a clinical review🔗 #POCUS #IMPOCUS #FOAMcc #MedEd

2

233

632

NephroPOCUS

@NephroP

2 months

Cardiac #POCUS views From: J Med Ultrasonics 49, 601–608 (2022) #FOAMed #FOAMcc #Nephpearls

2

169

626

NephroPOCUS

@NephroP

1 year

Classic Chest #Xray Signs of Congenital Cardiovascular Abnormalities. Interesting article 📖👇🏼 🔗 #MedEd #radiology #criticalcare

4

151

624

NephroPOCUS

@NephroP

2 years

Comprehensive infographic illustrating standard transthoracic #echofirst views. From:🔗 #POCUS #MedEd #IMPOCUS

10

207

614

NephroPOCUS

@NephroP

2 years

#Hyponatremia algorithm: If serum Na is low, osmolality should be low. If not, exclude osmotically active substances (e.g. hyperglycemia) and pseudo hyponatremia. After that, most helpful parameter is physical exam (= #POCUS #VExUS ). #MedEd

6

176

608

NephroPOCUS

@NephroP

2 years

FAST (focused assessment with sonography in trauma) views illustrations. From 🔗 #POCUS #IMPOCUS #MedEd

3

171

611

NephroPOCUS

@NephroP

1 year

What's happening here? History: Middle-aged patient with a history of anterior myocardial infarction one year ago. Answer and source will be posted in a few hours. #echofirst #POCUS #MedEd #IMPOCUS

43

140

601

NephroPOCUS

@NephroP

3 years

Nice illustrations of #echofirst cardiac views👇 #POCUS #MedEd

4

218

607

NephroPOCUS

@NephroP

2 years

Another FAST infographic (focused assessment with sonography in trauma) From 🔗 #POCUS #MedEd #anesthesia

4

194

602

NephroPOCUS

@NephroP

2 years

Schematic of #echofirst findings in acute pulmonary embolism. From: 🔗 #POCUS #IMPOCUS #MedEd

8

197

606

NephroPOCUS

@NephroP

1 year

#Xray from an elderly person with dysphagia. What did they aspirate? Unfortunately, not a good outcome. From doi 10.12701/YUJM.2016.33.2.162 #FOAMed #FOAMcc

54

82

572

NephroPOCUS

@NephroP

2 years

Graphic representation of #echofirst parameters in the assessment of RV failure. DTI, Doppler tissue imaging; ET, ejection time; FAC, fractional area change; IVCT, isovolumic contraction time; IVRT, isovolumic relaxation time #MedEd #POCUS #IMPOCUS

7

207

581

NephroPOCUS

@NephroP

2 years

Types of #cardiorenal syndromes 🔗 #Nephrology #POCUS

4

187

574

NephroPOCUS

@NephroP

1 year

Non-POCUS #MedEd image of the day: What's happening here? #FOAMed #radiology

67

93

563

NephroPOCUS

@NephroP

2 years

#POCUS basics: #Hydronephrosis appears as branching, interconnected anechoic area in the renal collecting system. Qualitative grading👇 Image courtesy: Sheehan KN, et al. Open Journal of Internal Medicine, 2022, 12, 1-12 #IMPOCUS #Nephrology #MedEd

6

183

563

NephroPOCUS

@NephroP

11 months

Likely cause? #FOAMed #Nephrology

90

62

554

NephroPOCUS

@NephroP

11 months

#POCUS assisted hemodynamic assessment 🔗 #IMPOCUS #MedEd #Nephpearls #FOAMcc 1️⃣

2

192

559

NephroPOCUS

@NephroP

1 year

#echofirst #POCUS image of the day: Long axis and short axis views of the left ventricle demonstrating coronary artery territories as well as 17 myocardial segments (to identify regional wall motion abnormalities). From 🔗. #MedEd #IMPOCUS

2

159

555

NephroPOCUS

@NephroP

10 months

#POCUS guided Subclavian Vein Cannulation Using a Micro-Convex #Ultrasound Probe. 🔗 🎥Video in thread #MedEd #IMPOCUS #FOAMcc #FOAMed

7

156

560

NephroPOCUS

@NephroP

11 months

Prone Positioning for Acute Hypoxemic Respiratory Failure and ARDS: A Review 🔗 👇Diagram showing the effect of the prone position on ventilation and perfusion. #MedEd #FOAMed #FOAMcc

2

131

535

NephroPOCUS

@NephroP

2 years

45 yo presents with worsening dyspnea on exertion, palpitations and vague chest pain. #CXR 👇 Likely diagnosis? #POCUS image and link to the case will be posted in a few hours. #MedEd

34

138

526

NephroPOCUS

@NephroP

1 year

🚨 #POCUS image of the day. What's happening here? #echofirst #MedEd #FOAMcc Courtesy 🔗

58

93

527

NephroPOCUS

@NephroP

9 months

#POCUS image of the day: Myxomatous Mitral-Valve Prolapse Courtesy: #MedEd #FOAMed #FOAMcc

6

139

529

NephroPOCUS

@NephroP

2 months

Parasternal long axis #POCUS #FOAMed #FOAMcc #Nephpearls

5

137

531

NephroPOCUS

@NephroP

3 months

LVOT VTI-based algorithm in hemodynamic #shock #POCUS #FOAMed #Nephpearls Click ‘ALT’ for abbreviations Courtesy 🔗

5

193

529

NephroPOCUS

@NephroP

2 years

#Physiology #MedEd Right heart cath characteristic waveforms 🔗

4

146

513

NephroPOCUS

@NephroP

2 years

Interesting article on chest imaging signs. 🔗 #MedEd #radiology #CriticalCare

4

136

508

NephroPOCUS

@NephroP

1 year

Beautiful drawings of the basic #echofirst views by Drs. Veltman & Faris (4 slides). #POCUS #FOAMed #FOAMcc

3

134

508

NephroPOCUS

@NephroP

10 months

#POCUS assessment of RV function: pearls and pitfalls #MedEd #echofirst #FOAMcc 🔗

1

173

506

NephroPOCUS

@NephroP

11 months

Urine sodium for guiding diuretic therapy in #heartfailure 🔗 #MedEd #medicine

4

179

502

NephroPOCUS

@NephroP

2 years

Myocardial segments and coronary supply refresher. #POCUS #echofirst #MedEd

2

170

502

NephroPOCUS

@NephroP

6 months

Normal size of thoracic aortic segments. #FOAMed #MedEd #POCUS 🔗

3

152

501

NephroPOCUS

@NephroP

7 months

NG tube #Xray All good?

139

70

489

NephroPOCUS

@NephroP

1 year

#POCUS basics IVC ultrasound short and long axes #MedEd #IMPOCUS #FOAMed 🔗

1

122

494

NephroPOCUS

@NephroP

3 years

#POCUS #IMPOCUS #Nephrology image of the day: Back to basics of lung #ultrasound : A-lines and B-lines See 🧵for brief explanation. #MedEd

7

170

487

NephroPOCUS

@NephroP

1 year

Normal #anatomy of the heart and major thoracic vessels with correct positioning of various lines. (IABP = intra-aortic balloon pump) Courtesy: #MedEd #xray #radiology

0

117

475

NephroPOCUS

@NephroP

2 years

Simplistic representation of Pathophysiology of #cardiorenal disease. Do not ignore the venous congestion component. Use #VExUS #POCUS to gather objective data. #MedEd #Nephrology 🔗

7

159

472

NephroPOCUS

@NephroP

2 years

#POCUS for intubation confirmation. 🔗 #MedEd #CriticalCare

11

130

477

NephroPOCUS

@NephroP

17 days

#POCUS guided central line placement 🔗 #FOAMed #Nephpearls #FOAMcc

1

174

484

NephroPOCUS

@NephroP

1 year

#POCUS guided subclavian vein cannulation 🔗 #MedEd #FOAMed

14

159

475

NephroPOCUS

@NephroP

1 year

#POCUS #anatomy quiz: What are the structures labeled 1, 2 and 3? #MedEd #IMPOCUS

25

68

469

NephroPOCUS

@NephroP

10 months

Extracardiac #POCUS signs of fluid overload. (A) Internal jugular vein (IJV), (B) inferior vena cava (IVC), (C) hepatic venous flow, (D) portal venous flow, (E) optic nerve diameter, (F) transcranial Doppler, (G) 🫁 B-lines, and (H) renal interlobar vein Doppler. #MedEd …

0

164

472

NephroPOCUS

@NephroP

2 years

Principal pathogenic mechanisms of #AKI in the context of sepsis or major surgery. Use #POCUS to identify & monitor hemodynamic AKI #Nephrology #MedEd From: 🔗 DAMPs = damage-associated molecular patterns PAMPs = pathogen-associated molecular patterns

4

166

472

NephroPOCUS

@NephroP

2 years

Systemic consequences of pulmonary hypertension and right-sided #HeartFailure 🔗. #MedEd #POCUS #FOAMed CVP = central venous pressure; GI = gastrointestinal; LMCS = left main compression syndrome; PA = pulmonary artery, RAP = right atrial pressure

0

156

463

NephroPOCUS

@NephroP

11 months

Injury to alveolar–capillary barrier 🫁 From ARDS review 🔗 #FOAMed #FOAMcc #CriticalCare

1

127

464

NephroPOCUS

@NephroP

4 years

Now that we have several #VExUS #POCUS resources from different educators, I'm going to put them together as a thread and pin to my profile #IMPOCUS #FOAMed 1/ Recent case showing improvement in Doppler indices (helped guiding decongestive therapy in a pt. with minimal symptoms)

NephroPOCUS

@NephroP

4 years

Time to follow up on #VExUS #POCUS Today's images will demonstrate the improvement in congestion with IV diuretic therapy. #tweetorial 1/ Portal vein - note the pulsatility is ~55% (<30% taken as normal) & the whole waveform is above the baseline now = improvement!! #IMPOCUS

9

61

134

18

224

461

NephroPOCUS

@NephroP

11 months

#POCUS answer: A (1,2,3,6) #MedEd #IMPOCUS

NephroPOCUS

@NephroP

11 months

#POCUS quiz of the day: What structures are seen in this image? (pick from options 1-7) POLL in thread #Nephpearls #MedEd #FOAMcc

7

42

264

3

120

452

NephroPOCUS

@NephroP

9 months

#echofirst windows and views Very nice illustration if you have patience to go through it! #POCUS #Nephpearls #FOAMed #MedEd Source: Bulwer BE, Thoracic Key