Description
Venous Excess Ultrasound (VExUS) - Fluid Overload and Venous Congestion Assessment
Step 1: IVC Diameter: If >2cm, proceed to step 2
Step 2: Hepatic Vein Doppler
Step 3: Portal Vein Doppler
Step 4: Renal Vein Doppler
Interpretation:
Grade 0 (no congestion): IVC < 2cm
Grade 1 (Mild congestion): IVC >2cm and any combo of Normal or Mildly Abnl Patterns
Grade 2 (Moderate congestion): IVC >2cm and ONE Severely Abnl Pattern
Grade 3 (Severe congestion): IVC >2cm and > 2 Severely Abnl Patterns
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