Cassidy Miller, OMS-III; Louisa Weindruch, OMS-III; John Gibson, MD –
Article Tags: POCUS
Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum
Michael C. Cooper, MD; Jodi Jones, MD; Mandy Pascual, MD; Steven Field, DO; Juan M. Rendon, MD; Christine Kulstad, MD; Bryant Dixon, MD; Kristie Pham Tu; Aman Narayan; Hunter Pyle; Khiem Hoang; Anthony Han; Dalbir Bahga MD; Aman Pandey, MD; Lynn Roppolo, MD – Point-of-care ultrasound (POCUS) is used by emergency physicians to make rapid critical diagnoses in the emergency department (ED) [1]. POCUS is now being incorporated into medical student patient assessment curricula [2, 3]. Several studies have demonstrated the feasibility of medical students using POCUS and have included teaching multiple POCUS applications to medical students simultaneously [2,4,5]. However, there are few studies demonstrating medical students’ ability to accurately perform POCUS on pediatric patients and these studies have typically included one POCUS application taught at a time [6-9].
The Beauty of Sound Waves
Ai Phi Thuy Ho, MD – “The Beauty of Sound Waves” is an artwork representing the anatomy of various organs in the human body that can be detected by ultrasound, either as normal findings or pathology.
About the Special Kidney Issue
Nathaniel Reisinger, MD; Abhilash Koratala, MD – We know what you’re thinking. we’ve heard it a thousand times: “Oh, you’re a kidney doctor who dinks around with ultrasound? What do you look for? Hydronephrosis?” You may be asking, “Is this issue just going to be a bunch of pictures of hydronephrosis and distended bladders?” And yes, for the thousandth time, in acute kidney injury it’s almost never wrong to get a kidney and bladder ultrasound as part of the initial workup.
Point of Care Ultrasound Diagnosis of Pseudoaneurysm of an Upper Extremity Arteriovenous Dialysis Graft
Forrest Lindsay-McGinn, MD; Nathaniel C. Reisinger, MD – We describe the rapid diagnosis with point of care ultrasound (POCUS) of two acute pseudoaneurysms of a bovine arteriovenous dialysis graft with superimposed cellulitis in a 44-year old male patient who presented with pain over his upper arm graft site. POCUS evaluation decreased the time to diagnosis and vascular surgery consultation.
Utility of Nephrologist-Performed Point of Care Ultrasonography in the Evaluation of Hyponatremia
Mahmud Saqib, MD; Gregory Capelli, DO; Abhilash Koratala, MD – Point of care ultrasonography can be a valuable adjunct to conventional physical examination in patients with hyponatremia that aids in clinical decision making. It can address the shortcomings of traditional volume status assessment such as the inherent low sensitivity of ‘classic’ signs such as lower extremity edema.
Point of Care Ultrasonography to Monitor Decongestive Therapy in Heart Failure: Seeing is Believing
Abhilash Koratala, MD – Point of care ultrasonography (POCUS) is a non-invasive bedside diagnostic tool that aids in clinical decision-making process. In addition, it allows to monitor the efficacy of therapeutic interventions in real time. As such, nephrologists can enhance patient care by adopting this skill, especially in those with simultaneous cardiac dysfunction and difficult to manage fluid status.
Evaluation of Venous Congestion Using Beside Ultrasonography by the Nephrology Consultant: The VExUS Nexus
Abhilash Koratala, MD – In patients with heart failure and cardiorenal syndrome, lingering congestion is associated with worse outcomes. As such, titrating diuretic or ultrafiltration therapy based on objective assessment of volume status plays a crucial role in the management of these patients. Conventional physical examination findings and parameters such as daily weight measurement are not always reliable in this setting. Recently, point of care ultrasonography (POCUS) has emerged as an attractive enhancement to bedside clinical examination in assessing fluid volume status.
Massive Lymphocele Associated with Allograft Hydronephrosis: An Ultrasound Case Study
Harini Bejjanki, MD; Kawther F. Alquadan, MD; Abhilash Koratala, MD – nsplantation. While small collections resolve spontaneously, larger, symptomatic ones may cause obstructive nephropathy requiring percutaneous or laparoscopic drainage.
POCUS Allows for Rapid Elucidation of Acute Kidney Injury in a Patient with Progressive Multiple Myeloma
Liann Abu Salman, MD; Nathaniel Reisinger, MD – A 63-year-old man with past history of multiple myeloma recently started on a regimen of daratumumab, carfilzomib, and dexamethasone was referred to our emergency department for a rapidly rising serum creatinine as high as 10 mg/dL. He complained of fatigue, nausea, and poor appetite. Exam revealed hypertension, but no edema or rales.