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Reposted by Jeff Kott

josh farkas 💊 @pulmcrit.bsky.social · 26/03/2026

missing sepsis - bad misdiagnosing another catastrophe as “sepsis” - also bad it almost makes me think that maybe we should specially train people how to identify and differentiate these disease processes and provide personalized care 🤔

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Jeff Kott @jrkott27.bsky.social · 27/03/2026

B-cell therapies deserve to have a good chance at taking the title! I will say that’s a harmful attitude to take for a specialty having such difficulty recruiting. Most of the VEXUS-AKI data is being led by intensivists, not nephrologists. Personally I don’t think we should forfeit skills

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Jeff Kott @jrkott27.bsky.social · 08/03/2026

Our patient? Now safely on diuretics. 🌊➡️🟡 #POCUS takes the guesswork out of your management. 🟢IVC/#VExUS is just the beginning. You can take it even further and evaluate: 1️⃣ RV Pressure/Function 2️⃣ LV Systolic Function/Output 3️⃣ LV Diastolic Function/Pressure And more!

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Jeff Kott @jrkott27.bsky.social · 08/03/2026

Our patient? 🔴 Portal Vein: >50% Pulsatility 🔴 Intrarenal Vein: Loss of systolic flow This is #VExUS Grade 3! 🚨🌊 Despite being "net even" and having no peripheral edema, the kidneys are congested. This isn't just ATN! It's Congestive Nephropathy.

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Jeff Kott @jrkott27.bsky.social · 08/03/2026

#VExUS lets us see how that high pressure is affecting flow through our major organs. 🩸🌊 Is the kidney "congested" or just the IVC? See the "how-to" and grading below, courtesy of @nephropocus.bsky.social : 🔗 nephropocus.com/2020/12/12/w... #NephMadness #MedTwitter

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Jeff Kott @jrkott27.bsky.social · 08/03/2026

👀The IVC was large and non-variable with respiration. Great, so CVP is high. Does that mean our AKI is more than just ATN? Well, lets take it one step further with #VExUS. Is that pressure is actually "backing up" and causing our AKI? 🌊

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Jeff Kott @jrkott27.bsky.social · 08/03/2026

Let's start with our 🍞 & 🧈: Inferior Vena Cava (IVC) US. IVC is our surrogate for CVP: 🔴 Big + non-variable = ⬆️ CVP 🔴 Small + variable = ⬇️ CVP ⚠️ Remember: IVC 🚫🟰 Fluid responsiveness. So, how does our patient look?

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Jeff Kott @jrkott27.bsky.social · 08/03/2026

We dove deep into the data for the #NephMadness POCUS Region this year, but let's talk real-world implementation 👴CKD3b 🫁 Septic shock 💧 3 days in, "net even," no edema. On RA 📉 Cr 3.3 ➡️ 4.5. Easy diagnosis of ATN, right? Fluids? Diuretics? Watch and Wait? or #POCUS! 🧵👇

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Jeff Kott @jrkott27.bsky.social · 05/03/2026

POCUS for Vascular access is a win-win. Both dialysis patients and nurses agree: POCUS makes fistula cannulation easier and more precise. 💉 #Nephmadness Read more about how POCUS can help individualize your patient care ⬇️ ajkdblog.org/2026/03/01/nep… #Nephmadness @nephmadness.bsky.social

ajkdblog.org

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Jeff Kott @jrkott27.bsky.social · 05/03/2026

Worried about obstruction? POCUS cuts diagnosis from hours to minutes. ⏱️ Rising Cr during diuresis or SOB at "dry weight"? Stop guessing with physical exams and I/Os. POCUS gives you real-time volume assessment when it matters most. #POCUS #NephMadness #Nephrology

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Jeff Kott @jrkott27.bsky.social · 05/03/2026

“It’s not what you look at that matters, it’s what you see” #POCUS is a non-invasive tool, that allows us to see physiology in motion and track how our treatments transform it in real time. #ER / #CriticalCare have lead the way, but how does it fit in nephrology? #Nephmadness

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Jeff Kott @jrkott27.bsky.social · 03/03/2026

Stop guessing, start scanning. 🔍 POCUS is changing the game for our sickest patients by bringing real-time physiology to the bedside. Dive into the @NephMadness POCUS region now! ⤵️ ajkdblog.org/2026/03/01/nep… #nephmadness

ajkdblog.org

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Jeff Kott @jrkott27.bsky.social · 28/03/2025

Coming down to last few days! Make sure to submit your bracket! www.tourneytopia.com/AJKD/NephMad... #nephmadness

tourneytopia.com

NephMadness 2025: Home

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Reposted by Jeff Kott

Matthew Sparks @nephrosparks.bsky.social · 01/03/2025

#NephMadness 2025 is here!!! ajkdblog.org/2025/03/01/w...

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