It’s time for a new #VExUS drawing ✍️ #POCUS #Nephpearls ⚠️ Always interpret in conjunction with #echofirst

🚨 New #VExUS post on NephroPOCUS.com Confused by abnormal hepatic vein Doppler waveforms? This post breaks them down using physiology, making it easier to connect waveform changes to the underlying hemodynamics. 🔗nephropocus.com/2026/06/15/c… #POCUS #echofirst #Nephpearls If a component of VExUS feels difficult, the answer is to understand it better, not to eliminate it altogether. Simplification can be helpful to some extent, but oversimplification often comes at the cost of losing valuable physiological information.

Hepatic vein Doppler. S>D or S<D? Answer the poll below honestly and then see the image with EKG. #POCUS #VExUS #Nephpearls

#POCUS #Nephpearls #FOAMed Modified #VExUS incorporating femoral vein Doppler (based on Joyal et al., PMID: 41931445). This approach essentially replaces intrarenal Doppler with the femoral vein stasis index and introduces a few additional modifications, including incorporation of IVC collapsibility and defining severe hepatic vein abnormality as either S-wave absence (i.e., S/D = 0) or S-wave reversal (i.e., S/D <0).