UBCIMPOCUS retweeted
One of the most requested teaching topics I get from trainees on our medical wards is cirrhosis and liver disease 🩸
Which is understandable - this is an intimidating topic for many learners, as there are so many layers of complexity to consider 🤔
Here's part 1 (of several to come!) of my cirrhosis tips and tricks: a short 🧵
UBCIMPOCUS retweeted
I confess that my favourite diagnostic POCUS consults are when Nephrology consults us for volume status 😉🤓
UBCIMPOCUS retweeted
Highly, highly recommended. This was a great listen - loved heard the dissection of the trial and the new questions generated by this discussion.
@edu_kattan @AndromedaShock @emcrit
A nice chat with Scott Weingart (EmCrit) together with Eduardo Kattan digging deeper into the foundations and results of ANDROMEDA-SHOCK-2😍
emcrit.org/emcrit/andromeda-…
UBCIMPOCUS retweeted
Confession: I LOVE hyponatremia 🤓
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
UBCIMPOCUS retweeted
Cirrhosis tips and tricks part 2: Decompensating events
high yield infographic alert 🚨🔔‼️
These are what bring folks into hospital 🏩; and there are a few nuances here to unpack 🧵
UBCIMPOCUS retweeted
Thoughts?? @ThinkingCC @Thind888 @NephroP @msiuba @icmteaching @khaycock2 @MDBeni very curious to hear your opinions.
This was talked about at our @ubcimpocus Nerd Night over several 🍷🍺 and we are still a bit perturbed
UBCIMPOCUS retweeted
It’s my favorite quote to trainees. Don’t think we will ever find that single exam/modality/bio marker that will 100% rule in/rule out any condition. Doesn’t mean we will stop trying, but not gonna happen.
Tie it all together + longitudinally otherwise red herrings will get us
UBCIMPOCUS retweeted
New on our @ubcimpocus page: handy procedural
and POCUS consult checklists to serve as on-the-go resources for trainees. Formatted in easy-to-screenshot sizes.
Please use/share if they are helpful! Also found here: ubcimpocus.com/procedurecons…
UBCIMPOCUS retweeted
#POCUS trivia 🤓
Patient presents with sore throat, fever, and this scan.
What's the eponymous diagnosis? #pocuspuzzle
UBCIMPOCUS retweeted
A solution on how to remotely mentor for POCUS learners! Congrats to @USaskEM @LindenKolbenson @OlszynskiP @JeremyKatulka and Sydney Murray. @RCC_bc @UBCCPD @TracyDeLeeuw @katiewiskar @ubcimpocus @BCPoCUS @CarolineShooner @SRPCanada @CAEP_EUC
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UBCIMPOCUS retweeted
Attempting to measure respiratory variations of transvalvular flow for a patient with a moderate sized pericardial effusion - so cool to assess tamponade physiology in real-time. Have learned an incredible amount on my @ubcimpocus elective - can't recommend it enough!
UBCIMPOCUS retweeted
#POCUS puzzle! 🤓
Can you come up with a unifying diagnosis for these 2 seemingly unrelated POCUS images? (From the same patient)
Answer to come tomorrow! 😉
UBCIMPOCUS retweeted
Potential downsides/reasons to avoid:
- excessive vasoconstriction can lead to necrosis in areas with poor perfusion*
- often avoided for neuraxial procedures like LP; however epi is used in the anesthesia world for intrathecal and epidural anesthesia
pubmed.ncbi.nlm.nih.gov/2978…
UBCIMPOCUS retweeted
*It used to be maxim that epi should be avoided certain areas: digits, nose, penis, etc. However, this has likely overblown; and epi can likely be added except in areas that may have compromised perfusion for other reasons (ie severe PAD)
emdocs.net/wp-content/upload…
UBCIMPOCUS retweeted
Local anesthetic go-to:
50%Nothing I’m barbaric
50%Other/comment
10 votes • Final results UBCIMPOCUS retweeted
Local anesthesia for procedures! What is your go-to?
(More choices below!)
43%1% lido without epi
18%1% lido with epi
29%2% lido without epi
10%2% lido with epi
125 votes • Final results UBCIMPOCUS retweeted
Huge day for our @ubcimpocus program - finally, a dedicated #POCUS archiving system! 🙌🙌🙌
(Let’s not talk about how nuts it was that we didn’t have one before this 🤦🏼♀️)
Thanks to @VCHhealthcare, @CANHealthNtwrk, and @e_qpath for making this happen.
@shanearish - we did it! – at Vancouver, British Columbia
UBCIMPOCUS retweeted
#POCUS case! One of the best in a while.
50M, Hx HTN only. Comes in after travelling to a tropical country 2 weeks ago. Started having watery diarrhea at the end of the trip, as did his companions. Now also RUQ pain. No chest pain, SOB, cardiac Sx.
UBCIMPOCUS retweeted
Lung ultrasound doesn't get the attention it should. It's a basic #POCUS application, but is game-changing in the evaluation of respiratory pathology; superior to CXR; and has a steep learning curve.
Learn how to acquire excellent LUS images -
ubcimpocus.com/ubcimpocus-tu…
Our latest screencast: learn the game-changing skill of lung ultrasound in this 25-minute screencast from our own Katie Wiskar.
It's a basic application with a lot of nuance, so it's worth spending some time to get it right! #POCUS #FOAMed #ultrasound
ubcimpocus.com/ubcimpocus-tu…