Vein jugular ultrasound

Internal Jugular Vein Thrombosis on POCUS
Here's a great ultrasound showing an unexpected MASSIVE internal jugular vein

Internal Jugular ... Here's a great ultrasound ... MASSIVE internal jugular ... is why we use ultrasound ... POCUS #clinical #ultrasound

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Right Internal Jugular Vein Thrombosis on POCUS

The right internal jugular vein is viewed on ultrasound demonstrating

Right Internal Jugular ... Vein Thrombosis ... vein is viewed ... on ultrasound demonstrating ... POCUS #clinical #ultrasound

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Internal Jugular Vein Valves on POCUS - Longitudinal View

- Dr. Robert Jones @RJonesSonoEM

#Internal #Jugular #IJ #Vein

Internal Jugular ... Vein Valves on ... RJonesSonoEM #Internal #Jugular ... #IJ #Vein #Valves ... clinical #long #ultrasound

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Internal Jugular Vein Valves on POCUS - Transverse View

- Dr. Robert Jones @RJonesSonoEM

#Internal #Jugular #IJ #Vein

Internal Jugular ... Vein Valves on ... RJonesSonoEM #Internal #Jugular ... #IJ #Vein #Valves ... clinical #Transverse #ultrasound

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Internal Jugular Vein Distension with Valsalva Maneuver on POCUS

Inserting a central line but the target vein

Internal Jugular ... Vein Distension ... but the target vein ... #Internal #Jugular ... POCUS #Clinical #Ultrasound

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Internal Jugular Vein Branches Mnemonic
Medical Schools Let Confident People In
M - Middle Thyroid Vein
S - Superior

Internal Jugular ... Vein Branches Mnemonic ... Middle Thyroid Vein ... L - Lingual Vein ... rev.med #Internal #Jugular

Turbulent Flow in the Internal Jugular Vein on POCUS secondary to a distal thrombus.

You're going to

in the Internal Jugular ... Vein on POCUS secondary ... 🏽 You put the ultrasound ... POCUS #clinical #ultrasound

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Neck vasculature: Internal jugular vein for central venous catheter placement

#CentralVenousCatheterization #Management #CentralLine #Anatomy #Jugular

vasculature: Internal jugular ... vein for central ... CentralLine #Anatomy #Jugular

Hepatojugular Reflux (Abdominojugular Test) on Physical Exam

Firm pressure over the liver elicits distension of the jugular

distension of the jugular ... vein. ... cardiology #JVP #neck #jugular

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distension of the jugular ... vein. ... cardiology #JVP #neck #jugular

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Internal Jugular Vein Anatomy on JVP Examination
Where can I find the IJ?
- Look where SCM attaches

Internal Jugular ... Vein Anatomy on ... #Internal #Jugular ... #Vein #Anatomy

Jugular Vein Identification via Compression - JVP Evaluation - See Hi-Res .mp4 Version: https://www.grepmed.com/images/13287

Not sure if

Jugular Vein Identification ... not seeing the vein

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Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever

Internal Jugular ... Vein Rouleaux Flow ... Flow #Internal #Jugular ... #IJ #Vein #POCUS

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Deep Vein Thrombosis Ultrasound Pocket Card
Deep Vein Thrombosis Scanning Sites:
• Common Femoral Vein
•

Deep Vein Thrombosis ... Ultrasound Pocket ... Card Deep Vein ... Common Femoral Vein ... pocus #diagnosis #Ultrasound

Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in

visible in the jugular ... vein in patients ... backwards into the jugular ... vein through the ... #Video #Neck #Jugular

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Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused

large systolic jugular ... to pulsatile IJ vein ... Cardiology #Neck #Jugular

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Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein

Patient with severe pulmonary hypertension and severe tricuspid regurgitation.

in the Cephalic Vein ... Jugular vein pulsation

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Transducer location to evaluate the femoral vein and normal ultrasound images showing common femoral artery (A)

evaluate the femoral vein ... and normal ultrasound ... fully compressible vein

Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of

Six-step approach to ultrasound-guided ... localization of the vein ... • Identify vein ... Use compression ultrasound ... #CentralLine #Ultrasound

Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A

backwards into the jugular ... vein through the ... #Video #Neck #Jugular

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Clinical features of varicose vein disease and Trendelenburg Brodie test for venous valve competence
Varicose veins result

features of varicose vein ... competence Varicose veins ... communicating veins ... #varicose #veins

Lemierre's Syndrome - Classic Syndrome and Variations
Complication of pharyngitis, in adolescents and young adults, with septic

thrombophlebitis, of internal jugular ... veins, and pulmonary

Transducer location to evaluate the popliteal vein and normal ultrasound images showing popliteal artery (A) and

the popliteal vein ... and normal ultrasound ... fully compressible vein

Jugular Venous Distension on PhysicalExam

#JVP #Distension #Elevated #PhysicalExam #Clinical #Cardiology #Neck #Video #Jugular

Jugular Venous Distension ... #Neck #Video #Jugular

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Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between

Below [RA +

Antecubital Vein ... the antecubital veins ... venoconstriction of arm veins ... inaccessible, arm veins ... #Antecubital #Vein

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Corrigan's Pulse seen on Carotid / Jugular Ultrasound

You’re preparing to put in an IJ central line

seen on Carotid / Jugular ... Ultrasound You ... see this on your ultrasound ... POCUS #Clinical #Ultrasound

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Central line placement: verifying wire placement on POCUS
Prior to dilation of a central vein. Confirm wire

dilation of a central vein ... brachiocephalic vein ... pocus #clinical #ultrasound

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Q-Tip Visualization of Jugular Venous Pulsations on Physical Exam

Akbar @ordinaryEKG

#QTip #Jugular #Venous #Pulsations #JVP #JVD #PhysicalExam

Visualization of Jugular ... ordinaryEKG #QTip #Jugular

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Jugular Venous Distension on Physical Exam - Sitting Down (90°) vs Supine (45°)

Dr. Eduardo R

Jugular Venous Distension ... Argaiz @ArgaizR #Jugular

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Jugular Venous vs Carotid Arterial Pulsations on Physical Exam

Jugular Venous Pulsations
• Well appreciated by inspection than

Jugular Venous vs ... Physical Exam Jugular ... Clinical #Video #jugular

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Femoral Deep Vein Thrombosis on POCUS
Hint: it's not a basketball.

- Dr. Philippe Rola https://twitter.com/ThinkingCC

#DeepVein #Thrombosis #DVT

Femoral Deep Vein ... Femoral #Clinical #Ultrasound

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Atrial Flutter on Jugular Neck Examination

What does the neck / JVP exam suggest about the patient’s

Atrial Flutter on Jugular ... Atrial #Flutter #Jugular

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Appendicitis on Abdominal Ultrasound

Noncompressible tubular structure with adjacent hyperechoic peri-appendiceal fat.

Dr. J. Christian Fox @jchristianfox

#Appendicitis #Appendix

Appendicitis on Abdominal Ultrasound ... Noncompressible tubular ... Appendix #POCUS #Ultrasound

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Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous

the Wk: Portal vein ... procedures - Arizona Ultrasound ... #POCUS #Liver #Ultrasound

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Hepatic Portal Venous System Drainage Anatomy
1) Most of the blood from abdominal organs goes into the

hepatic portal vein ... using the hepatic veins

of the internal jugular ... vein

Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to

) on Abdominal Ultrasound ... stretched out portal vein ... CommonBileDuct #clinical #ultrasound

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Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
• With Every Beat

Abnormal Jugular ... saipeeps #JVP #Jugular

Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used

Dilated Abdominal Veins ... Blood Flow Vein ... • Normal veins ... Azygos inlet, only veins ... wall & abdominal veins

Portal Vein Thrombosis - Anticoagulation and Management Algorithm
When to start anticoagulation for portal vein thrombosis

#PVT #PortalVein

Portal Vein Thrombosis ... anticoagulation for portal vein ... PortalVein #Portal #Vein

Jugular Venous Pulse - POLICE Mnemonic - How to tell JVP from carotid pulse
P - Palpation:

Jugular Venous Pulse ... sitting erect #Jugular

Femoral DVT on POCUS

That crazy moment when you're putting in a femoral arterial line in a

in the femoral vein ... POCUS #Clinical #Ultrasound

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Jugular Venous Pressure Waveform Patterns
A. Tricuspid Regurgitation
B. Tricuspid Stenosis
C. Constrictive Pericarditis
D. Atrial Septal Defect
E. Atrial Fibrillation
F.

Jugular Venous Pressure ... Complete AV Block #Jugular

Kussmaul's Sign in Constrictive Pericarditis on Physical Exam

- Susan Joseph MD @SusanJosephMD

#Kussmauls #Sign #Pericarditis #physicalexam #clinical

cardiology #neck #jugular

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PhysicalExam #JVP #Jugular

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Restrictive Cardiomyopathy vs Constrictive Pericarditis
- Mitral inflow
- Tricuspid inflow
- Hepatic vein flow
-

inflow - Hepatic vein ... - Pulmonary vein

Renal Tubular Disorders

• Distal Renal Tubular Acidosis (Type 1)
• Proximal Renal Tubular Acidosis (Type

Renal Tubular Disorders ... • Distal Renal Tubular ... Proximal Renal Tubular ... Hyperkalemic Renal Tubular ... #RTA #Renal #Tubular

Vascular Lesions: Spider Angioma, Spider Vein, Cherry Angioma

#Vascular #Spider #Angioma #Vein #Cherry #Comparison #Dermatology #Skin

Angioma, Spider Vein ... Spider #Angioma #Vein

Differentiation Between Nephrotic Syndrome and Nephritic Syndrome
== Nephrotic Syndrome ==
Onset - Insidious
Edema - ++++
Blood

pressure - Normal Jugular ... pressure - Raised Jugular

Central Retinal Artery Occlusion (CRAO) vs Central Retinal Vein Occlusion (CRVO) - A Comparison Table

Clinical Features,

Central Retinal Vein ... Occlusion #Artery #Vein

Kussmaul's Sign - Jugular

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Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
• PUMP: LV contractility, RV strain, tamponade
• TANK: IVC

Rapid Ultrasound ... Aorta and deep veins ... protocol #diagnosis #Ultrasound

Central Retinal Vein Occlusion (CRVO)
- Pathophysiology not fully understood; possibly due to thrombus located in

Central Retinal Vein ... central retinal vein ... Central #Retinal #Vein

Varicocele: Pathogenesis and clinical findings
Primary:
- Anatomically: the left spermatic vein drains into the left renal

left spermatic vein ... the left renal vein ... The left renal vein ... in left renal vein ... left spermatic vein

Figure 2. Axillary vein

#Anatomy #Axillae #Axillary #Vein #Basilic #Artery #Subscapular

Axillary vein ... Axillae #Axillary #Vein

Non-ischemic CRVO - Fundoscopy Ocular Examination

Non-ischemic Central Retinal Vein Occlusion (CRVO)

Dr. Sebastian Vega @oftalmopo

#Nonischemic #CRVO

Central Retinal Vein ... Central #Retinal #Vein

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#AWaves #JVP #jugular

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Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &

Dilated Abdominal Veins ... abdominal wall veins ... lead abdominal vein ... obstruction #abdominal #veins ... PhysicalExam #Epigastric #Veins

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Schematic Diagram of Specific Transport Defects in some Renal Tubular Disorders

#Diagnosis #Nephrology #Nephron #Transport #Defects #Sites

in some Renal Tubular ... #Sites #Renal #Tubular

Pulsatile internal jugular vein on POCUS and Lancisi's sign in severe Tricuspid Regurgitation

Abhilash Koratala MD @NephroP

Pulsatile internal jugular ... vein on POCUS and ... @NephroP #jugular ... #vein #POCUS #Lancisi

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Hepatic Vein Waveform

a wave - atrial contraction (end diastole)
S - ventricular systole
v - increasing RA pressure

Hepatic Vein Waveform ... #Hepatic #Vein

Sinuses #Cerebral #Vein

Canon A waves on Physical Examination

Associated with complete heart block. Notice the relatively slow HR. Echocardiography

cardiology #JVP #Jugular

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Intestinal Ascariasis on Point of Care Ultrasound (POCUS)

Ultrasound of tubular structure with echogenic walls in dilated

Point of Care Ultrasound ... (POCUS) Ultrasound ... of tubular structure ... Intestinal #Ascariasis #Ultrasound

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Vasculitis - Break down based on vessel size
Distribution of vessel involvement by large vessel vasculitis,

medium arteries and veins ... from aorta to veins ... capillary, venule, and vein

Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric

Cirrhosis Portal Vein ... PVT) Mesenteric Vein

Cholecystitis on Gallbladder POCUS

The landmark for the gallbladder is the portal vein, usually seen superiorly

is the portal vein ... POCUS #clinical #ultrasound

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Jugular Waveform Components
• a wave - due to atrial contraction: It occurs just before

Jugular Waveform ... #Waves #Jugular

Femoral Triangle - Inguinal Anatomy
- Structures, Borders and Content
- Lateral → Medial:Femoral Nerve, Femoral

Artery, Femoral Vein

Jugular Vein Identification via Compression - JVP Evaluation

Not sure if the JVP is normal or if

Jugular Vein Identification ... not seeing the vein ... sargsyanz #Jugular ... #Vein #Venous #

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Central Retinal Vein Occlusion (CRVO) - Fundoscopy Ocular Examination

Dr. Sebastian Vega @oftalmopo

#CRVO #Central #Retinal #Vein #Occlusion

Central Retinal Vein ... Central #Retinal #Vein

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Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal

in the portal vein ... and free hepatic vein ... syndrome (hepatic vein ... Pre-Hepatic • Portal vein

Positive DVT study showing thrombus in the femoral vein (v), adjacent to the femoral artery (a)

in the femoral vein ... greater saphenous vein ... demonstrates that the vein

Central Retinal Vein Occlusion (CRVO) on Fundoscopy Ocular Examination

Dr. Sebastian Vega @oftalmopo

#CRVO #Central #Retinal #Vein #Occlusion

Central Retinal Vein ... Central #Retinal #Vein

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PhysicalExam #JVD #jugular

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paradoxical rise in jugular

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Renal Tubular Acidosis - Diagnosis Algorithm
• Hyperkalemic Type 4 RTA
• Hypokalemic Type 1 RTA

Renal Tubular Acidosis ... #RTA #Renal #Tubular

Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
- Absent a wave - Atrial fibrillation, sinus

Abnormal Jugular ... tamponade #Abnormal #Jugular

Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
• Sinus tachycardia
• Atrial flutter

Narrow Complex - Regular ... Monomorphic - Regular ... tachycardia • Regular ... with wide QRS • Regular

Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized

lack of fall) of jugular ... Clinical #JVP #Neck #Veins

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Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
• Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT

Narrow-Complex: • Regular ... variable block) Regular-Complex ... narrow #irregular #regular

Renal Tubular Acidosis (RTA) Diagnosis and Management
• Distal (type 1) RTA
• Proximal (type 2)

Renal Tubular Acidosis ... #rta #Renal #Tubular

DVT DEEP VEIN THROMBOSIS

lower limb deep vein

Causes of Gallbladder Wall Thickening - Differential Diagnosis
• Physiologic: Contracted gall bladder in a non-fasting

Adenomyomatosis, Cystic vein ... radiology #POCUS #ultrasound

Right Sided Heart Failure Mnemonic: "AW HEAD"
ANOREXIA & NAUSEA

WEIGHT GAIN

HEPATOMEGALY

EDEMA (BIPEDAL)

ASCITES

DISTENDED

DISTENDED NECK VEIN

Cellulitis - Deep Vein

Central Retinal Vein

Renal Tubular Acidosis (RTA)
Type 1 - Failure of secretion
Type 2 - Bicarbonate wasting
Type 4 -

Renal Tubular Acidosis ... diet #Renal #Tubular

Tinnitus - Objective (can be heard/auscultated) - 10% - Differential Diagnosis Algorithm
Vascular - Arterial:
• Atherosclerosis

Shunt • High Jugular ... Bulb • Glomus Jugulare

Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior

Central retinal vein ... occlusion - Retinal vein ... Central retinal vein ... occlusion (Retinal vein ... Branch retinal vein

Parathyroid Hormone (PTH) Effect in Calcium and Phosphorus
Calcium - Net Effect Hypercalcemia:
↑ intestinal

reabsorption ↑ tubular ... reabsorption ↓↓ tubular

Jugular Venous Pressure

Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS involves the creation of a low-resistance pathway between a hepatic vein

between a hepatic vein ... of the portal vein ... thrombocytopenia • Portal vein

Fig. 1
A) Subclavian and axillary vein anatomy. Position of the probe on the axillary vessels with

Subclavian and axillary vein ... ) The axillary vein ... the subclavian vein

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Cerebellar Veins - Cerebellum Venous Drainage Anatomy

By @rev.med

#Cerebellum #Venous #Drainage #Anatomy #Cerebellar #veins

Cerebellar Veins ... Anatomy #Cerebellar #veins

Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P

Narrow vs Wide, Regular ... Irregular Narrow - Regular ... 140-280, very regular ... Wide - Regular:

Renal Tubular Acidosis

Renal Tubular Acidosis ... Hyperkalemic Renal Tubular ... #RTA #Renal #Tubular

Distal Renal Tubular Acidosis (RTA) Type 1

Totally scuppers the kidney's acidification mechanism. Will be

Distal Renal Tubular ... urine in distal tubular

Venous Anatomy - Veins of the Foot

By @rev.med

#Veins #Foot #podiatry #anatomy #venous #drainage

Venous Anatomy - Veins ... By @rev.med #Veins

Atlas of Urine Microscopy Findings
• Epithelial cells - Normal
• Renal tubular cells - Acute

Normal • Renal tubular ... cells - Acute tubular ... cast” - Necrotic tubular ... indicating acute tubular

Jugular venous distension

Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should

gas on hepatic ultrasound ... traversing the portal vein ... portal #venousgas #ultrasound

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Syndrome Hepatic vein

Extra-Hepatic Portal Vein

Anatomic Snuff Box
• 3 'P' Muscles - Abductor Pollicis Longus, Extensor Pollicis Brevis, Extensor Pollicis

Artery, Cephalic Vein

Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
• Portal vein thrombosis
• Splenic

Prehepatic: • Portal vein ... thrombosis • Splenic vein

Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
- No lung sliding/barcode sign
- Lung point (hard

Associated Lung Ultrasound ... A-Lines - Deep Vein ... #Lung #POCUS #ultrasound

Suspected Deep Vein

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