NephroPOCUS ✓
@NephroP · joined 04 Nov 2018
#POCUS #MedEd education 📖 | by Abhilash Koratala MD @KoraAbhi, “Echo-friendly” Nephrologist and Intensivist I Founding Member @POCUSIAPN | X≠ medical advice
103 844Followers
311Following
38 393Posts total
173.9KViews on collected posts
โพสต์ล่าสุด
กำลังค้นหาโพสต์ใหม่…
@NephroP The key challenge seems to be translating VExUS from expert interpretation into reproducible bedside decisions. Where do you see the biggest remaining gap—acquisition, scoring, or linking congestion to outcomes? I’ve been using Sci-Quest for literature reviews:
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An absolute honor to talk about #VExUS #POCUS at #HR26 alongside some of the world’s leading hemodynamic experts who are advancing both the science and education in this space. https://t.co/1Czj9EZhJK
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@NephroP @icmteaching Also is this recorded/ available to general public?
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@NephroP Your turn 🤗 https://t.co/JVzfH7Qd1Q
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. @icmteaching, one of the greatest hemodynamic educators of our time, gives a fantastic talk on circulation - making pressures, volumes, and all the other confusing stuff feel simple and intuitive. #HR26 https://t.co/ydlPU7RKxK
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SVC Doppler #eVExUS #POCUS https://t.co/XqguekKRSe
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#POCUS #Nephpearls answer: Doc B is correct. This image is very abnormal.
When learning #VExUS, it’s easy to get fixated on waveform pulsatility and forget to look at everything else on the screen. That’s really the teaching point of this quiz.
First, notice the color bar is ht
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Interesting #POCUS image!
👨⚕️ Doc 1: Red, non-pulsatile portal vein Doppler. Looks perfectly normal.
👩⚕️ Doc 2: Nope, that’s pretty abnormal.
Who’s right❓
#Nephpearls #VExUS https://t.co/AqVfyGC7WA
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GIF
@NephroP If you compress with the probe with enough force to exceed venous pressure, the only thing left pulsating is the artery
and then with that pressure held follow the CFA to its bifurcation to confirm
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@NephroP I loved this teaching moment! A congested vein can produce a spiky diastolic Doppler signal and still look arterial. I always add the ECG when anatomy and Doppler don't match. 👏
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#POCUS #Nephpearls
Great discussion overall! The answer is femoral vein.
The main point of the question was that a pulsatile vessel ≠ an artery. Whether you’re placing an arterial line, a central venous line, or doing #VExUS, don’t reflexively identify a vessel based on https:/
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@NephroP Static image is also limited here as well, if you navigate the ultrasound proximal and distal to this location you can identify the separation of the CFA bifurcation into SFA/profunda and more easily identify the vein that is medial to the CFA, this is likely just a larg
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You’re about to place a femoral arterial line. Is this (arrow) an artery or a vein?
Some people say, “Just use pulsed-wave Doppler.” If you’re one of them, it's the thread 👇
#POCUS #Nephpearls #CriticalCare https://t.co/igJYQuMXKH
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GIF
Time to update the #VExUS resources pinned thread 🧵📌
1/ Tweetorial on image acquisition.
#POCUS #MedEd
https://t.co/IqNJIPM7Vf
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#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])
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0:05
เทียบกับบัญชีขนาดเดียวกัน
17 โพสต์จาก 90 วันที่ผ่านมา เทียบกับช่วง 100K–1M ผู้ติดตาม การเข้าถึงปกติสำหรับขนาดนี้ แต่การตอบสนองอ่อนกว่าส่วนใหญ่.
ยอดดูมัธยฐาน1 309บัญชีนี้5 983ค่ามัธยฐานของ 100K–1M
การเข้าถึง, %1.26%บัญชีนี้1.49%ค่ามัธยฐานของ 100K–1M
การมีส่วนร่วม, %0.61%บัญชีนี้0.93%ค่ามัธยฐานของ 100K–1M
| ตัวชี้วัด | บัญชีนี้ | ค่ามัธยฐานของ 100K–1M | อัตราส่วน |
|---|---|---|---|
| ยอดดูมัธยฐานต่อโพสต์ | 1 309 | 5 983 | 0.22× |
| การเข้าถึง (ยอดดู ÷ ผู้ติดตาม) | 1.26% | 1.49% | 0.85× |
| อัตราการมีส่วนร่วม | 0.61% | 0.93% | 0.65× |
บัญชีอื่นในช่วงนี้ → เปรียบเทียบกับบัญชีอื่น → ค่าอ้างอิงเหล่านี้คำนวณอย่างไร →
Growth & engagement
How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.
Views per post
15.1K13 Sep
201
9114 Sep
60
7.7K
3.5K15 Sep
14716 Sep
26.3K18 Sep
1.1K
1.3K
707
22.7K
169
3420 Sep
Last 14 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.
Engagement rate per post
0.76%13 Sep
1.49%
3.30%14 Sep
1.67%
0.49%
0.61%15 Sep
0.00%16 Sep
0.70%18 Sep
0.35%
1.07%
0.85%
0.36%
0.00%
2.94%20 Sep
Reactions — likes, reposts, replies and quotes — divided by views. Median for 100K–1M accounts is 0.93%.
What the audience does
Likes57.0%534 in total
Reposts6.5%61 in total
Replies6.5%61 in total
Quotes1.3%12 in total
Bookmarks28.7%269 in total
Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.
The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.
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