# #193 Venous Congestion & VEXUS Interview with Dr. Ross Prager

Page: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/193-venous-congestion-vexus-interview-with-dr-ross-prager
Text version: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/193-venous-congestion-vexus-interview-with-dr-ross-prager.md
Podcast: [Core IM | Internal Medicine Podcast](https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389)
Published: 2025-11-19T09:30:48+00:00
Episode link: https://www.coreimpodcast.com/2025/11/19/venous-congestion-vexus/
Audio file: https://pscrb.fm/rss/p/audio2.redcircle.com/episodes/5d24bef5-3b8c-4c29-8510-1334fc224b21/stream.mp3
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JSON: https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/193-venous-congestion-vexus-interview-with-dr-ross-prager
Duration seconds: 2084

## Resource

Why is venous congestion not the same as volume overload? How can looking at IVC as well as doppler on the hepatic vein, portal vein, and/or intrarenal vein help? Can venous congestion explain someone's delirium? Or be at play in septic shock? What are the limitations of the VEXUS score? 🔹 Sponsor: Oakstone CME Use the code "CORE30" for 30% off: https://www.coreimpodcast.com/MKSAP 🔹 Transcript and Shownotes (00:00) | Volume overload vs. Venous Congestion (05:49) | Venous Congestion and AKI, mortality, possible delirium (10:10) | Measuring Venous Congestion and the Role of VEXUS (15:05) | Common Mistakes and Best Practices of VEXUS score (23:13) | Assessing Fluid Tolerance and Risks with Venous Doppler in Acute Care (25:29) | Fluid vs. Vasopressor Strategy Guided by Venous Assessment Tags: CoreIM, Internal Medicine, Critical Care, Nephrology, Cardiology, Fluid Management, POCUS, Ultrasound, Doppler, Hospital Medicine, Clinical Reasoning, Medical Education Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

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## Transcript

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