By Jane Bates
Ultrasound is still the most very important diagnostic instruments in drugs and is utilized by quite a lot of healthcare pros throughout many purposes. This booklet presents a pragmatic, clinically appropriate consultant for all practitioners operating within the box of belly ultrasound. Its goal is to allow the operator to maximise the diagnostic info and realize the constraints of ultrasound scans.
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Extra resources for Abdominal Ultrasound: How, Why and When (3rd Edition)
Inferior aspect right lobe of liver Gallbladder Right kidney Shadowing from bowel A B Fig. 13 • TS through the right kidney. Left lobe of liver Head of pancreas SV SMA Tail of pancreas CBD A B IVC Aorta Fig. 14 • TS at the epigastrium. 27 2 The normal hepato-biliary system Inferior aspect left lobe of liver Ligamentum teres Stomach A B Fig. 15 • TS at the inferior edge of the left lobe. dimensional (3D) image of the liver. The dynamic nature of ultrasound, together with the variation in planes of scan, make this more difficult to do than for CT or MRI.
So get properly trained – I can’t emphasize this too much! • Have an independent practitioner assess your performance. If you don’t feel ready to do this you probably should not be scanning unsupervised • Audit your practice. Liaise with multidisciplinary teams/radiology department GENERAL POINTERS ON UPPER ABDOMINAL TECHNIQUE 22 • It is neither desirable nor possible to be prescriptive in ultrasound scanning, but there are some general approaches that help to get the best from the scanning procedure: • Scan in a systematic way to ensure the whole of the upper abdomen has been thoroughly interrogated.
Contrast Cholangiography versus ultrasonographic measurement of the ‘extrahepatic’ bile duct: a two-fold discrepancy revisited. 1: LS THROUGH THE RIGHT LOBE OF THE LIVER (Fig. 1) RL GB RK Quadratus lumborum Fig. 1: LS through the right lobe of the liver. 2: LS THROUGH THE IVC (Fig. 2) LPV ST LHV Caudate lobe Ligamentum venosum Nect of pancreas SMV Uncinate process Inferior HV RL RRA R Adr Diaphragmatic crus Fig. 2: LS through the IVC. 3: LS THROUGH THE MIDLINE, LEVEL OF THE AORTA (Fig. 3) LL ST Body of pancreas SV Caudate SMA LRV Splenic artery Oesophagus Coeliac axis Aorta Fig.