{"podcast":{"title":"Core IM | Internal Medicine Podcast","slug":"core-im-internal-medicine-podcast-60389","podcast_index_feed_id":60389,"rss_url":"https://feeds.redcircle.com/2c03e755-c428-4b8e-9150-95ef1ed2492b","website_url":"https://redcircle.com/shows/core-im-internal-medicine-podcast","image_url":"https://media.redcircle.com/images/2025/6/13/2/b2137ab0-0bbb-43a6-aaaa-b4b07adec3de_fcdc-ce25-48d2-986c-b209f60d7ebb_496745-915727.jpg","author":"Core IM Team","episode_count":218,"summary":"Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges","last_synced_at":"2026-06-17T20:18:12.014085+00:00","page_url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389"},"episode":{"title":"#193 Venous Congestion & VEXUS Interview with Dr. Ross Prager","slug":"193-venous-congestion-vexus-interview-with-dr-ross-prager","published_at":"2025-11-19T09:30:48+00:00","page_url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/193-venous-congestion-vexus-interview-with-dr-ross-prager","show_page_url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389","url":"https://www.coreimpodcast.com/2025/11/19/venous-congestion-vexus/","audio_url":"https://pscrb.fm/rss/p/audio2.redcircle.com/episodes/5d24bef5-3b8c-4c29-8510-1334fc224b21/stream.mp3","summary":"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 Our Sponsors: * Check out Branch Basics and use my code branchbasics.com/COREIM for a great deal: https://branchbasics.com * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Quince for high-quality clothes with affordable pricing and use code quince.com/coreim Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy","meta_description":"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 ve…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2084,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/193-venous-congestion-vexus-interview-with-dr-ross-prager/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/193-venous-congestion-vexus-interview-with-dr-ross-prager.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}