MEDS12002 Lecture Notes - Lecture 1: Pseudoaneurysm, Lymph Node, Fat Necrosis
Sonographic Characteristics: interpretation
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Document Summary
Patient history (previous tests, surgery, signs & symptoms) Measurements of any kind- pathology, organ size, volumes. Drawing , location, position, relative size, contour, echogenicity, etc. A differential diagnosis to answer the clinical question". Indicate or highlight urgency of results for timely treatment or further investigation. Limitations: often you will have problems with bowel gas overlying the pancreas. Ways to overcome this include: deep inspiration/expiration, distend the abdomen against the probe (ask the patient to push their stomach out as if they are pregnant, give the patient an oral water load (2-3 glasses). Equipment selection: highest frequency curved linear array probe as possible, start with 6mhz and work down to 2 or 3 for larger patients, assess the depth of penetration required and adapt. The gallbladder should be able to be scanned using a 7mhz as it is so superficial. Paediatric and thin pts should be scanned with a 7mhz also.