@NephroP@Rajiv_Sinanan Interesting point. How often are subtle b-lines at the bases a sign of fluid intolerance vs. normal physiology?
In the ED we often are looking for the cause of SOB, in which case B-lines are anterior and obvious in pulm edema. But prob need diff approach for fluid tolerance?
@easypocus@ria_dancel@NephroP Great point! And is AC / upper arm PIVs are much more likely to fail than forearm. Safer for pressor infusions and more durable
@dan___kim Enhanced peritoneal stripe sign consistent with pneumoperitoneum.
Keeping in mind that if the colon overlies the liver (Chilaiditis sign), you can get this appearance in RUQ. Can distinguish intra- bowel air from peritoneal air by decreasing depth or switching to linear probe
@nephro_superman @NephroP@khaycock2@ThinkingCC@EchoSoliman@ArgaizR@askrenal @WBeaubien Based solely on the anecdotes of Twitter and one case series, I believe most left heart failure congestion can be safely diuresed to PV pulsatility <50%. Some with severe RH failure might not tolerate further dieresis (but they might)
@pdsalinas Good point that TAPSE and S’ are just another tool in your toolbox. Visually that is a very sad RV - a finding that even beginner US users would likely pick up on