case_images: PMC9994294_01
case_images: Sonographic image demonstrating a small inferior vena cava (maximal diameter). Online Video S1 demonstrates the respiratory variation. Image was obtained using a phased array transducer from the subxiphoid window with the probe orientation marker towards patient's head.
case_images: pocusj-07-15339-g001.jpg
case_images: PMC9994294_01_pocusj-07-15339-g001.jpg
case_images: pocusj-07-15339-g001
case_images: We performed point of care ultrasound which revealed a small IVC less than 1 cm in maximal diameter with 100% collapse with inspiration suggestive of low right atrial pressure (Figure 1, online Video S1).
case_images: Venous Doppler images demonstrating normal hepatic, portal, and intra-renal vein waveforms. In hepatic vein, S = systolic wave, D = diastolic wave (normally, S is greater than D). For portal and intra-renal veins, a continuous pattern without distinct S and D waves is considered normal. Images were obtained using a curvilinear transducer from the lateral aspect, just below the diaphragm. Pulsed-wave Doppler was utilized to obtain the waveforms with simultaneous EKG gating. Human body image licensed from shutterstock
case_images: pocusj-07-15339-g002.jpg
case_images: PMC9994294_01_pocusj-07-15339-g002.jpg
case_images: pocusj-07-15339-g002
case_images: A venous excess Doppler ultrasound (VExUS) evaluation was performed to exclude systemic venous congestion which revealed normal waveforms in the hepatic, portal, and intra-renal veins (Figure 2).