Download PDF by Bates J. : Abdominal Ultrasound: How, Why and When

By Bates J.

A entire consultant to stomach ultrasound, together with simple anatomy, process and ultrasound appearances including the most typical pathological procedures. could be hugely illustrated with prime quality scans, many in color.

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Additional resources for Abdominal Ultrasound: How, Why and When

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Sometimes, filling the stomach with water (which also helps to display the pancreas) and allowing it to trickle through the duodenum does the trick. Try also identifying the duct in the pancreatic head (Fig. 37) and then tracing it retrogradely towards the liver. Asking the patient to take deep breaths is occasionally successful, but may make matters worse by filling the stomach with air. It is definitely worth persevering with your technique, particularly in jaundiced patients. Techniques SOME COMMON REFERRAL PATTERNS FOR HEPATOBILIARY ULTRASOUND The main, right and left hepatic ducts tend to lie anterior to the portal vein branches; however as the biliary tree spreads out, the position of the duct There is an almost infinite number of reasons for performing abdominal ultrasound.

Could it be bowel-related? Generalized abdominal pain could be due to inflammatory or obstructive bowel conditions and knowledge of the patient’s bowel habits is helpful. ● Has the patient had any previous surgery which could be significant? 1 Always: ● take a verbal history from the patient—don’t just rely on the request card ● obtain the results of any previous investigations, including previous radiology ● consider the possibility of multiple pathologies Palpable right upper quadrant mass A palpable right upper quadrant mass could be due to a renal, hepatobiliary, bowel-related or other cause.

Raise the patient’s head as much as necessary; a comfortable patient is much easier to scan. ● Images are a useful record of the scan and how it has been performed, but don’t make these your primary task. Scan first, sweeping smoothly from one aspect of the organ to the other in two planes, then take the relevant images to support your findings. ● Make the most of your equipment (see Chapter 1). Increase the confidence level of your scan by fully utilizing all the available facilities, using Doppler, tissue harmonics, changing transducers and frequencies and manipulating the machine settings and processing options.

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