1/ Point of Care Ultrasound (POCUS) Case Series: Pearls & Pitfalls Webinar is now freely available on SHM’s YouTube! 7 cases chosen for this round from our submissions.

Here is the Link:

Key pearls & pitfalls shared here in this mini-tweetorial
2/ Stephen Ferraro, MS4 from @UWMedicine presented a case on 'Septated Development'. Dr. Zhang @IMUS_Spokane provided faculty discussion

👉Clinical exam + POCUS = powerhouse tool!
👉Septations = marker of badness
👉Serial POCUS: helps guide progression, & thoracentesis
3/ Dr. Heyne @medpocus @MGHMedicine presented a case of dry cough/hypotension in a 40 y.o.
Dr. Salame @jerrysalame79 provided faculty discussion.

👉COVID Cardiac involvement ~ 20%
👉POCUS a ‘must’ in Covid+ patients, if:

✔ EKG changes
✔ High/rising trops
✔ Hypotension
4/ Dr. Hron, PGY-3 @umnmedresidency presented with
Dr. Verner from @_HealthPartners providing expert discussion.

Lung POCUS:
👉Similar to chest CT for dyspnea & hypoxemia (sens, 85%; spec, 93%).
👉100% sens for >100mL effusions. Can detect as low as 5mL!
5/ Jina Bai, PA-C @WeillCornell presented on 'Catfished! Bladder Ultrasound.' Dr. Roy-Burman provided faculty discussion.

👉Bladder vol is easy to measure
👉Distinguish hydro from cysts
👉Bladder is post & inf to symphysis pubis. Consider other fluid-filled structures on ddx.
6/ Dr. Weinstein from @NorthwellHealth presented with Dr. @LMKurian providing discussion

👉Blue protocol helpful for dyspnea
👉All POCUS should be integrated POCUS. Don’t anchor on 1 organ system
👉Tamponade is a clinical dx but also hard to call tamponade if IVC is collapsing
7/ Dr. Kwan @UNC_SOM presented with Dr. @ria_dancel providing discussion

👉Common cardiac mass-like structures include thrombi & vegetations – 2 conditions should not rule out with POCUS but could rule in if grossly abnormal.
👉Moderator band & trabeculations often mimics!
8/ Dr. Williams from @EmoryMedicine presented with Dr. @bboesch providing discussion

👉Move from “Can you scan the IVC for volume status?” to “Can you evaluate volume status with POCUS?”
👉IVC = RAP/CVP relationship is good but CVP = volume status is not good.
9/ Watch the full webinar here:

Next case series webinar in September. Case submissions fielded in August. Stay tuned via @SocietyHospMed
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