POCUS Journal

🚨 The newest issue of POCUS Journal (Vol 11, Issue 1) is now live!

Explore fresh research, case reports, POCUS protocols, and insights from across the global POCUS community.

Start reading: pocusjournal.com/current-issue/

#POCUSJournal #POCUS #FOAMed #MedEd #Ultrasound #MedTwitter #EchoFirst

Join us for the 20th #POCUS CME Workshops on Jan 16-17, 2027, in #Austin, TX!  Three courses: Adult Basics, #PedsPOCUS, & Advanced Cardiac. All major #Ultrasound companies on-site to test the newest #POCUS devices + lots of networking!  Don’t miss out!  Go to pocussa.org

Could bedside ultrasound uncover a congenital anomaly missed before birth?
 
When a newborn presents with significant respiratory distress, the underlying cause isn't always immediately apparent. In this case, lung POCUS revealed an unexpected finding: liver tissue within the right chest, raising suspicion for a right-sided congenital diaphragmatic hernia. The diagnosis was later confirmed through additional imaging, highlighting how bedside ultrasound can help clinicians recognize unexpected pathology and guide early clinical evaluation in the NICU.
 
This article dives into…
 
🔹 How lung POCUS helped identify a congenital diaphragmatic hernia that went undetected prenatally.
 
🔹 The key sonographic findings that pointed toward liver herniation into the right chest.
 
🔹 The potential of bedside ultrasound as an early diagnostic tool in neonates presenting with respiratory distress.
 
🔗 Article: pocusjournal.com/article/19486/
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Save the date for the Canadian Society of Echocardiography's annual meeting, the premier Canadian meeting for echocardiography, coming to Montreal April 8-10, 2027!

Follow @CSEchoCa and visit csecho.ca for upcoming information on programming, registration dates, and the call for abstracts.

#cardiologycanada #cardiacimaging #POCUS #echocardiography #montrealevents #CSEcho2027

An 84-year-old male presenting with progressive exertional shortness of breath and lower extremity edema was referred to Cardiology with concern for heart failure. He subsequently underwent point-of-care ultrasound (POCUS) assessment, which revealed several unexpected findings - including ascites, a hepatic mass, and abnormal tissue involving the inferior vena cava.

These bedside findings prompted urgent CT imaging, which revealed hepatocellular carcinoma (HCC) with extensive vascular invasion, tumour thrombus extending through the IVC into the right atrium, and pulmonary emboli.

➡️ Figure 4 shows the CT findings.
➡️ Figures 3 and 2 highlight the major abnormalities seen on POCUS.
➡️ Figure 1 shows the more subtle finding of ascites encountered during the initial examination.

Are you able to correlate the CT findings with the POCUS scans?

Together, the images illustrate an important strength of POCUS: while the examination should remain focused and clinically driven, being attentive to unexpected findings can dramatically redirect an assessment and accelerate further investigation.

🔗 Article: pocusjournal.com/article/19738/
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