IVC Abnormalities


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Narration

So we’re primarily going to use the IVC to assess fluid or hydration status from a flat collapsible IVC that could benefit from hydration versus a dilated non collapsible IVC that may be present in fluid overload or CHF. On occasion we can see other pathologies such as this IVC where we can see a hyperechoic area waving around there that is actually a clot or thrombus.

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Narration

Here's a diagram showing that thrombus in transit, it could actually benefit from lytic therapy or interventional radiology to get it out.
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Narration

The other things the IVC can be helpful with are assessing for tamponade physiology. Here we see an image of a sagittal view of the IVC in the inferior pericardium and there’s a moderate to large pericardial effusion (fluid collection around the heart) that’s preventing filling into the heart and therefore the IVC is dilated and this indicates…
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Narration

Tamponade physiology. Here’s a diagram showing that plethoric or dilated IVC with a large pericardial effusion.