PoCUS in nephrology: a new tool to improve our diagnostic skills

Author:

Romero-González Gregorio123ORCID,Manrique Joaquin24,Slon-Roblero María F24,Husain-Syed Faeq56,De la Espriella Rafael7,Ferrari Fiorenza8,Bover Jordi19,Ortiz Alberto10ORCID,Ronco Claudio31112

Affiliation:

1. Nephrology Department, University Hospital Germans Trias I Pujol , Badalona , Spain

2. IdiSNA, Navarra Institute for Health Research , Pamplona , Spain

3. International Renal Research Institute of Vicenza , Vicenza , Italy

4. Nephrology Department, University Hospital of Navarra , Pamplona , Spain

5. Department of Medicine, University of Virginia School of Medicine , 1300 Jefferson Park Avenue, Charlottesville , USA

6. Department of Internal Medicine II, University Hospital Giessen and Marburg, Justus-Liebig-University Giessen , Klinikstrasse, Giessen , Germany

7. Cardiology Department, Hospital Clínico de Valencia , Valencia , Spain

8. Intensive Care Unit, NOSA (CO) , Italy

9. REMAR-IGTP Group, Research Institute Germans Trias i Pujol (IGTP) , Badalona , Spain

10. Department of Nephrology and Hypertension, IISFundacion Jimenez Diaz UAM , Madrid , Spain

11. Professor of Medicine - University of Padova , Padova , Italy

12. Department of Nephrology, Dialysis and Transplantation , San Bortolo Hospital, Vicenza , Italy

Abstract

ABSTRACT Point-of-Care Ultrasonography (PoCUS) aims to include a fifth pillar (insonation) in the classical physical examination in order to obtain images to answer specific questions by the clinician at the patient's bedside, allowing rapid identification of structural or functional abnormalities, enabling more accurate volume assessment and supporting diagnosis, as well as guiding procedures. In recent years, PoCUS has started becoming a valuable tool in day-to-day clinical practice, adopted by healthcare professionals from various medical specialties, never replacing physical examination but improving patient and medical care and experience. Renal patients represent a wide range of diseases, which lends PoCUS a special role as a valuable tool in different scenarios, not only for volume-related information but also for the assessment of a wide range of acute and chronic conditions, enhancing the sensitivity of conventional physical examination in nephrology. PoCUS in the hands of a nephrologist is a precision medicine tool.

Publisher

Oxford University Press (OUP)

Subject

Transplantation,Nephrology

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