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NephroPOCUS Profile
NephroPOCUS

@NephroP

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Point-of-care ultrasound #POCUS ๐Ÿ“– | by Abhilash Koratala MD @KoraAbhi , Associate Professor #Nephrology @MCW_Nephrology I๐Ÿ‘จ๐Ÿปโ€โœˆ๏ธ @POCUSIAPN | Xโ‰  medical advice

Joined November 2018
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@NephroP
NephroPOCUS
2 years
Time to update the #VExUS resources pinned thread ๐Ÿงต๐Ÿ“Œ 1/ Tweetorial on image acquisition. #POCUS #MedEd
@NephroP
NephroPOCUS
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 ๐Ÿงต #1 Let's start with basics Color Doppler identifies the flow + tells the direction (blue is away & red towards the probe [BART])
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@NephroP
NephroPOCUS
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)
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@NephroP
NephroPOCUS
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: ๐Ÿ”— #MedEd #radiology #chestxray
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@NephroP
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4 months
#POCUS guided central venous cannulation illustrations #FOAMed #Nephpearls #FOAMcc
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@NephroP
NephroPOCUS
3 months
Comparison of Pros and Cons of #Dialysis Vascular Access Types. #MedEd #FOAMed Source: JAMA. 2024;331(15):1307-1317. PMID: 38497953.
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@NephroP
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1 year
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@NephroP
NephroPOCUS
2 years
What's happening here? #Xray #MedEd
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@NephroP
NephroPOCUS
2 years
#xray obtained from an elderly patient. What is this interesting finding? #MedEd #FOAMed Image courtesy: @DrGalenMD
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@NephroP
NephroPOCUS
2 years
Whatโ€™s happening here? #xray #MedEd
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@NephroP
NephroPOCUS
2 months
July series: Recap for new #ICU / #Nephrology fellows - Basic cardiac views #FOAMed #FOAMcc #Nephpearls Image courtesy: Philips Healthcare
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@NephroP
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1 year
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@NephroP
NephroPOCUS
2 years
Basic cardiac #POCUS views image acquisition flash cards. Courtesy of Philips Healthcare #MedEd #Nephpearls #echofirst ๐Ÿงต 1/
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@NephroP
NephroPOCUS
2 years
Venous anatomy of the lower extremity. Click โ€˜ALTโ€™ for figure description ๐Ÿ”— #POCUS #MedEd #Nephrology #FOAMcc
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@NephroP
NephroPOCUS
2 years
Excellent #echofirst illustration depicting the relationship between cardiac cycle, Doppler parameters and M-mode at the mitral valve level. #MedTwitter #POCUS #Nephrology Courtesy๐Ÿ”—
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@NephroP
NephroPOCUS
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 ๐Ÿงต #1 Let's start with basics Color Doppler identifies the flow + tells the direction (blue is away & red towards the probe [BART])
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@NephroP
NephroPOCUS
4 months
#ultrasound transducer movements, standard #POCUS terminology. #FOAMed #Nephpearls #MedEd
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@NephroP
NephroPOCUS
3 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
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@NephroP
NephroPOCUS
2 years
60+ person presents with shortness of breath. Worked as manual laborer for several years. What does this #xray demonstrate? #MedEd #radiology
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@NephroP
NephroPOCUS
2 years
#POCUS image of the day: Fox tail sign - left pleural effusion visualized from the apical cardiac window. #MedEd #FOAMcc #FOAMed
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@NephroP
NephroPOCUS
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
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@NephroP
NephroPOCUS
2 years
The #xray looks nice but something bad has happened here. What could it be? #MedEd
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@NephroP
NephroPOCUS
1 year
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@NephroP
NephroPOCUS
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
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@NephroP
NephroPOCUS
2 years
Graphic representation of #echofirst parameters in the assessment of right ventricular failure. Click on 'ALT' for abbreviations #POCUS #MedEd #IMPOCUS ๐Ÿ”—
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@NephroP
NephroPOCUS
2 months
#echofirst views of the right ventricle. #POCUS #FOAMcc #Nephpearls Courtesy: Bulwer, B.E. (2022) doi 10.1007/978-3-030-83864-5_21
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@NephroP
NephroPOCUS
1 month
10 best practice tips with radial arterial catheterization. ๐Ÿ”— #POCUS #ICU #FOAMed
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@NephroP
NephroPOCUS
5 months
Beautiful illustrations of basic cardiac #ultrasound views. #POCUS #FOAMed #MedEd #Nephpearls By Dr. Veltman/Faris
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@NephroP
NephroPOCUS
2 months
The major causes of lactic acidosis and their presumed mechanisms. Courtesy: N Engl J Med 2014;371:2309-2319 #MedEd #Nephpearls #FOAMcc
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@NephroP
NephroPOCUS
1 year
Physiology-guided management of hemodynamics in acute respiratory distress syndrome. ๐Ÿ”— #MedEd #FOAMed #FOAMcc
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@NephroP
NephroPOCUS
2 years
Basic cardiac views #MedEd #POCUS #echofirst #Nephpearls Courtesy: ๐Ÿ”— Philips Healthcare
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@NephroP
NephroPOCUS
2 months
Nice review on mechanical ventilation, particularly useful for new residents and fellows starting ICU rotation. #FOAMed #FOAMcc #ICU ๐Ÿ”—
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NephroPOCUS
2 years
Non-POCUS image of the day: Abnormality on this pediatric chest #Xray ? #MedEd #FOAMed
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@NephroP
NephroPOCUS
2 years
Summary of the BLUE, RUSH and CAUSE protocols (abbreviations below the figure). #POCUS #IMPOCUS #MedEd #FOAMcc ๐Ÿ”—
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@NephroP
NephroPOCUS
3 years
Simplified #VExUS live card with grading incorporated. #POCUS #MedEd #Nephrology
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@NephroP
NephroPOCUS
3 years
Another nice illustration of basic cardiac views #POCUS #echofirst #MedEd #Nephrology ๐Ÿ”—
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NephroPOCUS
2 years
Simplified pathophysiologic representation of cardiogenic and non-cardiogenic #pulmonaryedema . ๐Ÿ”— #MedEd #POCUS #Nephrology
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@NephroP
NephroPOCUS
2 years
Another set of cardiac #POCUS #anatomy illustrations. ๐Ÿงต #Nephpearls #FOAMed Source: 1โƒฃ Parasternal long axis
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@NephroP
NephroPOCUS
2 years
A 25-year-old pregnant woman developed severe dyspnea soon after leg and foot massage, and suffered a cardiac arrest. ๐Ÿ‘‡ #POCUS #echofirst Likely diagnosis? See thread for the answer/source #MedEd #IMPOCUS
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@NephroP
NephroPOCUS
2 years
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2 years
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@NephroP
NephroPOCUS
2 years
Routine pre-op #Xray obtained from a 55-year-old man who worked as a gemstone cutter for more than 20โ€…years. What is it showing? #MedEd #radiology
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@NephroP
NephroPOCUS
2 years
Diagnosis? #xray #MedEd
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@NephroP
NephroPOCUS
2 years
Non-POCUS #MedEd image of the day. Whatโ€™s the abnormal finding? #Xray #radiology #FOAMed
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@NephroP
NephroPOCUS
2 years
#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 ๐Ÿ”—
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@NephroP
NephroPOCUS
1 month
Status epilepticus drugs pocket card from CHEST. #FOAMed #FOAMcc #ICU
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@NephroP
NephroPOCUS
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
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@NephroP
NephroPOCUS
2 years
Nice diagram depicting assessment of organ perfusion in a patient with #shock using #POCUS + conventional parameters. #MedEd #VExUS #CriticalCare From ๐Ÿ”—
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@NephroP
NephroPOCUS
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 ๐Ÿ‘‡ #MedEd #FOAMed
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2 years
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@NephroP
NephroPOCUS
5 months
10 best practice tips for radial arterial catheterization. #POCUS #FOAMed ๐Ÿ”—
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@NephroP
NephroPOCUS
2 months
Vasopressors summary for new #ICU residents/fellows. #FOAMed #FOAMcc Courtesy: ICU Management & Practice, Volume 23 - Issue 2, 2023
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@NephroP
NephroPOCUS
3 years
Pathophysiology of #cardiorenal syndrome. From: #POCUS #MedEd #Nephrology
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@NephroP
NephroPOCUS
2 years
Nice figure illustrating the basic #echofirst views and transducer position from our friends at @ASRA_Society ๐Ÿ”— #POCUS #IMPOCUS #Nephrology #MedEd
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@NephroP
NephroPOCUS
2 years
Some key #POCUS #echofirst findings in emergencies. ๐Ÿ”— #MedEd #IMPOCUS
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@NephroP
NephroPOCUS
1 year
Ready for today's #POCUS quiz? Identify 1,2,3 and 4 #IMPOCUS #MedEd #FOAMed
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@NephroP
NephroPOCUS
3 years
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@NephroP
NephroPOCUS
1 year
Acute dyspnea in the emergency department: a clinical review๐Ÿ”— #POCUS #IMPOCUS #FOAMcc #MedEd
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@NephroP
NephroPOCUS
6 months
Cardiac #POCUS views From: J Med Ultrasonics 49, 601โ€“608 (2022) #FOAMed #FOAMcc #Nephpearls
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@NephroP
NephroPOCUS
2 years
Classic Chest #Xray Signs of Congenital Cardiovascular Abnormalities. Interesting article ๐Ÿ“–๐Ÿ‘‡๐Ÿผ ๐Ÿ”— #MedEd #radiology #criticalcare
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@NephroP
NephroPOCUS
2 years
Comprehensive infographic illustrating standard transthoracic #echofirst views. From:๐Ÿ”— #POCUS #MedEd #IMPOCUS
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@NephroP
NephroPOCUS
2 years
FAST (focused assessment with sonography in trauma) views illustrations. From ๐Ÿ”— #POCUS #IMPOCUS #MedEd
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@NephroP
NephroPOCUS
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
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@NephroP
NephroPOCUS
2 years
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
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@NephroP
NephroPOCUS
17 days
Ocular #POCUS pocket card. Courtesy @Pocus101 #FOAMed #FOAMcc
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@NephroP
NephroPOCUS
2 years
Schematic of #echofirst findings in acute pulmonary embolism. From: ๐Ÿ”— #POCUS #IMPOCUS #MedEd
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@NephroP
NephroPOCUS
3 years
Nice illustrations of #echofirst cardiac views๐Ÿ‘‡ #POCUS #MedEd
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@NephroP
NephroPOCUS
2 years
Another FAST infographic (focused assessment with sonography in trauma) From ๐Ÿ”— #POCUS #MedEd #anesthesia
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@NephroP
NephroPOCUS
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
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@NephroP
NephroPOCUS
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
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@NephroP
NephroPOCUS
2 years
Types of #cardiorenal syndromes ๐Ÿ”— #Nephrology #POCUS
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@NephroP
NephroPOCUS
2 years
Non-POCUS #MedEd image of the day: What's happening here? #FOAMed #radiology
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@NephroP
NephroPOCUS
2 years
#POCUS basics: #Hydronephrosis appears as branching, interconnected anechoic area in the renal collecting system. Qualitative grading๐Ÿ‘‡ Image courtesy: Sheehan KN, et al. Open Journal of Internal Medicine, 2022, 12, 1-12 #IMPOCUS #Nephrology #MedEd
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@NephroP
NephroPOCUS
2 years
#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 ๐Ÿ”—. #MedEd #IMPOCUS
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@NephroP
NephroPOCUS
1 year
#POCUS assisted hemodynamic assessment ๐Ÿ”— #IMPOCUS #MedEd #Nephpearls #FOAMcc 1๏ธโƒฃ
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@NephroP
NephroPOCUS
1 year
#POCUS guided Subclavian Vein Cannulation Using a Micro-Convex #Ultrasound Probe. ๐Ÿ”— ๐ŸŽฅVideo in thread #MedEd #IMPOCUS #FOAMcc #FOAMed
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1 year
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@NephroP
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1 year
Prone Positioning for Acute Hypoxemic Respiratory Failure and ARDS: A Review ๐Ÿ”— ๐Ÿ‘‡Diagram showing the effect of the prone position on ventilation and perfusion. #MedEd #FOAMed #FOAMcc
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1 year
#POCUS image of the day: Myxomatous Mitral-Valve Prolapse Courtesy: #MedEd #FOAMed #FOAMcc
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@NephroP
NephroPOCUS
2 years
45 yo presents with worsening dyspnea on exertion, palpitations and vague chest pain. #CXR ๐Ÿ‘‡ Likely diagnosis? #POCUS image and link to the case will be posted in a few hours. #MedEd
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@NephroP
NephroPOCUS
8 months
LVOT VTI-based algorithm in hemodynamic #shock #POCUS #FOAMed #Nephpearls Click โ€˜ALTโ€™ for abbreviations Courtesy ๐Ÿ”—
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6 months
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@NephroP
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1 year
๐Ÿšจ #POCUS image of the day. What's happening here? #echofirst #MedEd #FOAMcc Courtesy ๐Ÿ”—
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@NephroP
NephroPOCUS
3 months
Standardized myocardial segmentation and nomenclature. #FOAMed #FOAMcc #POCUS #MedEd Look at the PSAX first and imagine the plane of apical views. Makes it much easier to comprehend. Img source:
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NephroPOCUS
2 months
Thoracic #POCUS for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment. #FOAMed #FOAMcc ๐Ÿ”—
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@NephroP
NephroPOCUS
2 years
#Physiology #MedEd Right heart cath characteristic waveforms ๐Ÿ”—
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@NephroP
NephroPOCUS
2 years
Interesting article on chest imaging signs. ๐Ÿ”— #MedEd #radiology #CriticalCare
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1 year
#POCUS assessment of RV function: pearls and pitfalls #MedEd #echofirst #FOAMcc ๐Ÿ”—
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NephroPOCUS
2 years
Beautiful drawings of the basic #echofirst views by Drs. Veltman & Faris (4 slides). #POCUS #FOAMed #FOAMcc
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4 months
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1 year
Urine sodium for guiding diuretic therapy in #heartfailure ๐Ÿ”— #MedEd #medicine
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11 months
Normal size of thoracic aortic segments. #FOAMed #MedEd #POCUS ๐Ÿ”—
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3 years
Myocardial segments and coronary supply refresher. #POCUS #echofirst #MedEd
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1 year
#POCUS basics IVC ultrasound short and long axes #MedEd #IMPOCUS #FOAMed ๐Ÿ”—
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1 year
NG tube #Xray All good?
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3 years
#POCUS #IMPOCUS #Nephrology image of the day: Back to basics of lung #ultrasound : A-lines and B-lines See ๐Ÿงตfor brief explanation. #MedEd
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NephroPOCUS
2 years
Normal #anatomy of the heart and major thoracic vessels with correct positioning of various lines. (IABP = intra-aortic balloon pump) Courtesy: #MedEd #xray #radiology
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