@EAFischer

#Hospitalist | APD | #POCUS | #CCeEXAM testamur | Proceduralist | Allan J. Goody Bedside Medicine Series | Medstar Georgetown University Hospital

 Washington, DC
pocus.goodybedside.com
Joined June 2018
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Pinned tweet on 3D models, GIFs, #POCUS, physical exam, etc.
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Join us for the next MedStar SiTEL @SocietyHospMed approved regional POCUS course in Washington DC, part of the POCUS Certificate of Completion March 17-20, 2024 shorturl.at/NpN1G xitter.cf/EAFischer/status/18111…
Ernest Fischer, MD@EAFischer10 Jul 2024
Replying to @EAFischer
Just starting your POCUS journey? Consider joining our @SocietyHospMed approved regional POCUS course in Washington DC October 17-20, 2024 shorturl.at/iiTUH
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Ernest Fischer, MD retweeted
NephroPOCUS
@NephroP27 Dec 2024
Vascular #POCUS review - @EAFischer and team pubmed.ncbi.nlm.nih.gov/3956… Lower extremity DVT #anatomy 👇 #FOAMed #Nephpearls
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How well does HJR reflect left sided filling pressure? According to S. McGee’s pooled results, HJR has the 𝗯𝗲𝘀𝘁 𝗰𝗼𝗺𝗯𝗶𝗻𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗽𝗼𝘀𝗶𝘁𝗶𝘃𝗲 𝗟𝗥, 𝗻𝗲𝗴𝗮𝘁𝗶𝘃𝗲 𝗟𝗥 𝗮𝗻𝗱 𝗿𝗲𝗽𝗿𝗼𝗱𝘂𝗰𝗶𝗯𝗶𝗹𝗶𝘁𝘆. shorturl.at/1cqCs
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2) Know how a 𝘃𝗲𝗿𝘁𝗶𝗰𝗮𝗹 𝗱𝗶𝗺𝗲𝗻𝘀𝗶𝗼𝗻 𝗼𝗳 𝟭.𝟱 𝗰𝗺 relates to the length up the neck at different angles a. 30 deg➡️3 cm b. 45 deg➡️1.5 cm c. 60 deg➡️2.6 cm
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Bad math: 1) Know how a vertical dimension relates to the length up the neck at different angels a. 30 deg ➡️3 cm b. 45 deg ➡️2.1 cm c. 60 deg ➡️1.7 cm
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Just starting your POCUS journey? Consider joining our @SocietyHospMed approved regional POCUS course in Washington DC October 17-20, 2024 shorturl.at/iiTUH
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Pasteur (not Louis) first described HJR as a sign of TR in 1885 Rondot in 1898 actually coined the phrase HJR and noted that it didn’t just reflect TR
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That’s the history. Today it is well established that 𝗛𝗝𝗥 𝗿𝗲𝗳𝗹𝗲𝗰𝘁𝘀 𝗹𝗲𝗳𝘁 𝘀𝗶𝗱𝗲𝗱 𝗰𝗼𝗻𝗴𝗲𝘀𝘁𝗶𝗼𝗻 (in patients with heart failure) doi.org/10.1016/j.jchf.2018.…
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It is not until 1957 (𝘵𝘩𝘢𝘵 𝘐 𝘤𝘰𝘶𝘭𝘥 𝘧𝘪𝘯𝘥) that HJR is described as “present with heart failure of all etiologies”. shorturl.at/TVAaE
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In 1925 Lian (professor) and Blondel (intern… wonder who did most of the work 😂 ) reported that 𝗽𝗿𝗲𝘀𝘀𝘂𝗿𝗲 𝗰𝗼𝘂𝗹𝗱 𝗯𝗲 𝗮𝗽𝗽𝗹𝗶𝗲𝗱 𝗮𝗻𝘆𝘄𝗵𝗲𝗿𝗲 𝗼𝗻 𝘁𝗵𝗲 𝗮𝗯𝗱𝗼𝗺𝗲𝗻, not just the liver, to get the response
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𝗛𝗲𝗽𝗮𝘁𝗼-𝗷𝘂𝗴𝘂𝗹𝗮𝗿 𝗿𝗲𝗳𝗹𝘂𝘅(HJR) History, utility and how well does it perform 𝘄𝗶𝘁𝗵 𝘂𝗹𝘁𝗿𝗮𝘀𝗼𝘂𝗻𝗱 a thread
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Ernest Fischer, MD retweeted
NephroPOCUS
@NephroP24 Jun 2024
Principle of mass conservation: in the absence of valvular regurgitation/ intracardiac shunts, stroke volume is the same across each valve or orifice. #POCUS #echofirst #MedEd #Nephpearls
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