Answers are grounded in this paper and cite their sources.
Case illustrates the impact of point-of-care ultrasound on assessing leg edema post-transplant, suggesting better management options.
A 65‐year‐old man, one year post combined heart‐kidney transplant, presented with acute kidney injury, dyspnea, and progressive leg edema unresponsive to escalating diuretics. Despite suspicion for volume overload, multi‐organ point‐of‐care ultrasound (POCUS) revealed bilateral A‐lines without B‐lines or effusions, a small collapsible inferior vena cava, and preserved biventricular function, all inconsistent with cardiogenic congestion. The edema was attributed to sirolimus‐associated lymphedema. Diuretic cessation and transition from sirolimus to everolimus improved renal function. This case illustrates the utility of integrated multi‐organ POCUS in challenging assumptions about volume status and underscores the importance of contextualizing findings across multiple sonographic windows.
No takes yet. Share an insight, caveat, or question.
Boyle et al. (2026) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: