By Jane A. Smith (formerly Bates) MPhil DMU DCR
As a growing number of practitioners are hoping on ultrasound as an accredited, secure, and most economical diagnostic instrument in daily perform, its use in diagnosing stomach difficulties is readily expanding. This updated version contains insurance of easy anatomy, procedure, and ultrasound appearances, as well as the commonest pathological tactics. It serves as either a realistic, clinically proper handbook and source for pros, in addition to a useful textbook for college students getting into the sector. * Over 500 illustrations and top of the range scans in actual fact express stomach anatomy. * sensible and clinically suitable assurance addresses the troubles of either practitioners and scholars. * Succinct, finished chapters show details.
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Extra info for Abdominal Ultrasound How, Why and When
5 Transverse oblique section through the hepatic venous confluence. 6 TS through the level of the porta hepatis. 7 TS at the level of the pancreas. qxd 40 6/30/04 5:37 PM Page 40 ABDOMINAL ULTRASOUND References 1. UK Association of Sonographers. 2001 Guidelines for Professional Working Standards – Ultrasound Practice. UKAS, London. 2. Couinaud C. 1954 Lobes et segments hépatiques; note sur l’architecture anatomique et chirugicale du foie. Presse Medical 62: 709. 3. Conlon RM, Bates JA. 1996 Segmental Localisation of Focal Hepatic Lesions – A Comparison of Ultrasound and MRI.
C) False appearance of wall thickening is produced (arrow) when the angle of scan is not perpendicular to the gallbladder wall in TS. This can flush out sludge, redistending the gallbladder with clear bile. It may also help to clarify any confusing appearances of adjacent bowel loops. BILE DUCTS The common duct can be easily demonstrated in its intrahepatic portion just anterior and slightly to the right of the portal vein. 31 Double gallbladder—an incidental finding in a young woman. 32 A contracted, thick-walled gallbladder located in the gallbladder fossa on TS.
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. The sonographer should gently palpate to get an idea of the size and position of the mass and whether or not it is tender.