By Jane A. Smith (formerly Bates) MPhil DMU DCR

As a growing number of practitioners are counting on ultrasound as an permitted, secure, and comparatively cheap diagnostic instrument in daily perform, its use in diagnosing belly difficulties is readily expanding. This up to date version contains insurance of uncomplicated anatomy, process, and ultrasound appearances, as well as the most typical pathological tactics. It serves as either a realistic, clinically correct handbook and source for pros, in addition to a useful textbook for college students coming into the sphere. * Over 500 illustrations and top quality scans essentially express stomach anatomy. * functional and clinically correct assurance addresses the troubles of either practitioners and scholars. * Succinct, finished chapters exhibit details.

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Extra resources for Abdominal Ultrasound How, Why and When

Example text

PV = portal vein. 13 TS through the right kidney. 14 TS at the epigastrium. CBD = common bile duct. 15 TS at the inferior edge of the left lobe. 16 LS through the right lobe, demonstrating a Reidel’s lobe extending below the right kidney. ) The segments of the liver It is often sufficient to talk about the ‘right’ or ‘left’ lobes of the liver for the purposes of many diagnoses. However, when a focal lesion is identified, especially if it may be malignant, it is useful to locate it precisely in terms of the surgical seg- ments.

Use a combination of sub- and intercostal scanning for all upper-abdominal scanning. The different angles of insonation can reveal pathology and eliminate artefact. ● Don’t limit yourself to longitudinal and transverse sections. Use a variety of planes and THE LIVER Normal appearance The liver is a homogeneous, mid-grey organ on ultrasound. It has the same, or slightly increased echogenicity when compared to the cortex of the right kidney. Its outline is smooth, the inferior margin coming to a point anteriorly (Fig.

33). Stones that don’t shadow ● Ensure they are stones and not polyps by standing the patient erect and watching them ● You may miss pathology if the gallbladder is folded and the fundus lies underneath bowel. Always try to unfold it by positioning the patient (Fig. 30). ● A fold in the gallbladder may mimic a septum. Septa are comparatively rare and have been over-reported in the past due to the presence of folding. Pathology or artefact? Sometimes the gallbladder may contain some echoes of doubtful significance, or be insufficiently distended to evaluate accurately.

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