Correct answer: unlikely free fluid.
Seminal vesicles are a potential pitfall (confused with free fluid) when interpreting transverse #POCUS images of the male pelvis during #FAST exam.
Fanning the probe superiorly brings peritoneal space into view. Recommend scanning in long axis to confirm.
💡#Nephpearls#FOAMed
Honored to receive the Best Review award 🏆for our #VExUS#POCUS article co-authored with @EchoSoliman, @Tubulocentric and @AmirKazory.
In emerging fields like this, it’s not always about “large studies”; mastering the technique and appreciating its nuances is equally important for conducting better research. Grateful to @KargerPublisher for recognizing that, as reflected in the paper’s citations and Altmetric score. If you haven’t read it yet, here’s the link https://t.co/IzXzTm8281
#POCUS#VExUS answer: Option 4 - can't tell from this image
#Nephpearls#FOAMed
As mentioned by our friends in the thread, the image depicts hepatic artery waveform, not the portal vein. Note aliasing on color flow in the region where Doppler gate is located suggestive of high velocity flow. Anatomically, that area corresponds to that of hepatic artery.
On PW Doppler, the peak velocity is way higher than expected for a portal vein (usually <40 cm/s). Portal vein waveform from the same patient is shown below.
This question is intentionally designed as a trick to underscore a crucial pitfall that every #VExUS enthusiast should be mindful of.
Final typeset version of our fluid overload review focusing on #POCUS and other bedside methods to diagnose congestion is out.
🔗https://t.co/Isqr5bhk0s (click on PDF tab)
#VExUS#MedEd#cardiorenal
Graphical summary of the three components used to describe the standard #echofirst views:
(1) Sonographic window
(2) cardiac imaging plane
(3) the cardiac region or structure of interest.
Courtesy: Thoracic Key/Dr. Bernard E. Bulwer
#POCUS#MedEd#IMPOCUS
Trans thoracic #echofirst of the superior vena cava via parasternal window.
Click on 'ALT' for image description.
🔗https://t.co/L5pUPQ7F6f
#POCUS#IMPOCUS#Nephrology