Ryan Paulus, DO (@docpaulus) 's Twitter Profile
Ryan Paulus, DO

@docpaulus

Clinical Reasoning | Diagnosis | Advocacy | POCUS | Family Medicine | Rural Medicine | Outdoorsman | University of North Carolina

ID: 1297186773123182594

calendar_today22-08-2020 15:00:13

139 Tweet

44 Takipçi

157 Takip Edilen

Katie Wiskar (@katiewiskar) 's Twitter Profile Photo

Nice little #VEXUS case illustrating the use of Portal Vein Doppler to track decongestion in patients with severe TR, as beautifully demonstrated in Eduardo R Argaiz's latest paper. 🧵 Patient with a Hx of HFpEF and moderate group 2 pHTN gets admitted with AKI and volume overload.

Dan Kim (@dan___kim) 's Twitter Profile Photo

I really like this checklist as a framework to introducing #POCUS to a department or clinical group, as well as tracking how your program is doing "A Clinician's Guide to Implementation of POCUS in the Outpatient Practice" Josh Overgaard Bright Thilagar 🔗doi.org/10.1177/215013…

I really like this checklist as a framework to introducing #POCUS to a department or clinical group, as well as tracking how your program is doing

"A Clinician's Guide to Implementation of POCUS in the Outpatient Practice" <a href="/OvergaardJosh/">Josh Overgaard</a> <a href="/BThilagarMD/">Bright Thilagar</a>
🔗doi.org/10.1177/215013…
POCUS Journal (@pocusjournal) 's Twitter Profile Photo

🚀 New Review Alert: POCUS for Diagnosis & Management in Heart Failure!🩺 👨‍⚕️Authors: Sabina Yampolsky; Alan Kwan; Susan Cheng; Ilan Kedan Read more: 👇🔗pocusjournal.com/article/16795/ #Cardiology #HeartFailure #POCUS #POCUSJournal #FOAMed #MedEd #ultrasound

🚀 New Review Alert: POCUS for Diagnosis &amp; Management in Heart Failure!🩺

👨‍⚕️Authors: Sabina Yampolsky; Alan Kwan; Susan Cheng; Ilan Kedan

Read more: 👇🔗pocusjournal.com/article/16795/

#Cardiology #HeartFailure #POCUS #POCUSJournal #FOAMed #MedEd #ultrasound
The Heart (@zheart11768530) 's Twitter Profile Photo

🔴 ECG Interpretation Basics Quick Reference 🔹 Rhythm and Rate 🔹 QRS / Blocks 🔹 Intervals 🔹 Axis 🔹 Chambers 🔹 ST/T/Q (Ischemia) By Dr. Zaven Sargsyan Zaven Sargsyan #CardioEd #CardioTwitter #medtwitter #cvd #ecg #Medtwitter

🔴 ECG Interpretation Basics Quick Reference
  🔹 Rhythm and Rate
  🔹 QRS / Blocks
  🔹 Intervals
  🔹 Axis
  🔹 Chambers
  🔹 ST/T/Q (Ischemia)

By Dr. Zaven Sargsyan <a href="/sargsyanz/">Zaven Sargsyan</a>
 #CardioEd #CardioTwitter #medtwitter #cvd #ecg #Medtwitter
NephroPOCUS (@nephrop) 's Twitter Profile Photo

July series for new #ICU #Nephrology fellows: Cardiac #POCUS parameters in the assessment of pulmonary hypertension #echofirst #FOAMed #Nephpearls Click 'ALT' for abbreviations Courtesy: 2022 ESC/ERS pulm HTN Guidelines

July series for new #ICU #Nephrology fellows:
Cardiac #POCUS parameters in the assessment of pulmonary hypertension
#echofirst #FOAMed  #Nephpearls 
Click 'ALT' for abbreviations
Courtesy: 2022 ESC/ERS pulm HTN Guidelines
NephroPOCUS (@nephrop) 's Twitter Profile Photo

Bedside #POCUS during ward emergencies is associated with improved diagnosis and outcome. #FOAMed #FOAMcc 🔗 ccforum.biomedcentral.com/articles/10.11… (*lung point should correspond to abolished lung sliding arm of the figure)

Bedside #POCUS during ward emergencies is associated with improved diagnosis and outcome.
#FOAMed #FOAMcc
🔗 ccforum.biomedcentral.com/articles/10.11…
(*lung point should correspond to abolished lung sliding arm of the figure)
NephroPOCUS (@nephrop) 's Twitter Profile Photo

Cardiac #POCUS parameters in the assessment of pulmonary hypertension #FOAMed #Nephpearls Click 'ALT' for abbreviations Courtesy: 2022 ESC/ERS pulm HTN Guidelines

Cardiac #POCUS parameters in the assessment of pulmonary hypertension
#FOAMed  #Nephpearls 
Click 'ALT' for abbreviations
Courtesy: 2022 ESC/ERS pulm HTN Guidelines
The Heart (@zheart11768530) 's Twitter Profile Photo

🔴Point-Of-Care Ultrasound Screening for Proximal Lower Extremity DVT⤵️ 🔹Lower limb venous #anatomy for #DVT #POCUS 🔹jove.com/t/64601/point-… #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded

🔴Point-Of-Care Ultrasound Screening for Proximal Lower Extremity DVT⤵️ 

 🔹Lower limb venous #anatomy for #DVT #POCUS 

 🔹jove.com/t/64601/point-…  
 #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded
POCUS Med Ed (@pocusmeded) 's Twitter Profile Photo

Reason #678376 why #pocus is essential to good medicine: Chest X-rays are not reliable enough. This is a patient with known lung cancer who presented to a hospital with acutely worsening hypoxic respiratory failure. They have a known large right lung mass. CXR:

Reason #678376 why #pocus is essential to good medicine: Chest X-rays are not reliable enough. 

This is a patient with known lung cancer who presented to a hospital with acutely worsening hypoxic respiratory failure. They have a known large right lung mass. CXR:
POCUS Med Ed (@pocusmeded) 's Twitter Profile Photo

Using lung ultrasound to inspect the lung pleura can help differentiate types of pulmonary disease. In cardiogenic pulmonary edema, the lung pleura is smooth and regular with widely spaced B-lines. In contrast, with pulmonary fibrosis (seen here), the pleura is thickened and

POCUS Med Ed (@pocusmeded) 's Twitter Profile Photo

In contrast, thickened and irregular pleura with subpleural consolidations or hypoechoic interruptions are seen with pneumonias, fibrosis, or acute respiratory distress syndrome. This was seen in a study of ARDS patients, for example, which found that: - 100% of patients with

POCUS Med Ed (@pocusmeded) 's Twitter Profile Photo

For rales on auscultation, the odds ratio was 5.1. For orthopnea, the odds ratio was 6.9 For elevated NT-proBNP, the odds ratio was 14.3 For Multiple B-lines in multiple rib spaces with lung ultrasound, the odds ratio was an astounding 53.7! The sensitivity and specificity of

POCUSmedicine (@pocuspeek) 's Twitter Profile Photo

🔍 Parasternal Long Axis (PLAX) View – vital for assessing LV function, valvular pathology, and effusions in dyspneic/shock patients; meta-analyses show 85-95% accuracy for EF estimation vs echo Expert annotated PLAX image 👇 Acquire PLAX like a pro! youtube.com/watch?v=2b0I2D… ⚡

🔍 Parasternal Long Axis (PLAX) View – vital for assessing LV function, valvular pathology, and effusions in dyspneic/shock patients; meta-analyses show 85-95% accuracy for EF estimation vs echo

Expert annotated PLAX image 👇

Acquire PLAX like a pro! youtube.com/watch?v=2b0I2D…

⚡
Roy Dayan (@roydayan1) 's Twitter Profile Photo

Aside from the distinction between static and dynamic air bronchograms, the use of pulsatile color Doppler (lower scale for detecting lower velocities) suggests intrapulmonary shunts and pneumonia versus atelectasis. Nice article in the comments