![]() ![]() You can always change the sequence but it is advisable to stick with your choice in order not to miss any view or organ. The following steps are a suggestion to screen the abdominal parts one by one. gallbladder cancer or vascular complications in acute pancreatitis, Doppler in abdominal ultrasound diagnostics provides an excellent diagnostic tool. With these easy tools one can differentiate between vascular and nonvascular structures within the abdomen. IVC or the aorta, the usage of various Doppler studies is indicated. Remember to get your patient in a good position (supine, left lateral, right lateral) with one of your hands on the patient and the other one on the ultrasound machine.įor the sonography of the vessels within the abdomen, e.g. Overall, with the optimal settings you will be able to minimize artefacts and hypo – or hyperechoic structures. Place the focus in the region of interest. Get your machine ready with an optimal depth and gain setting. Your transducer of choice is the curved array probe, because your organs you want to screen lie deep within the abdomen. Radiology: Diagnostic tool for all mentioned above.Ībdominal ultrasound – step by step The kick off tricksĪlways use the right probe and a good position to start your examination.Anesthesiology: Patient’s fluid volume changes, FAST, etc. ![]() Pediatrics: All lesions in the child’s abdominal organs.Thoracic surgery: Pleura lesions (tumours, effusion).Trauma surgery: Free fluid in the abdomen (FAST).Endocrinology: Diabetic lesions in the pancreas, pancreatic tumours, etc.Urology: Stones, tumours or infections of the bladder, free fluid in the pouch of Douglas, etc.Nephrology: Diseases and lesions in the kidneys and urinary bladder (infections, insufficiencies, tumours, metastases).Internal Medicine: Pathogenic changes of the aorta (hypertension, atherosclerosis) and arteries, vena cava and peripheral veins.Oncology: Numerous tumours and carcinomas in the abdomen.Surgery: Appendicitis, tumours in the bowl, liver, stomach, pancreas, chronical infection of the gallbladder or stones, etc.Gastroenterology: Hepatitis, cirrhosis of the liver, metastases, lesions of the portal vein, pancreatitis, pancreatic cysts, lesions of the spleen (cysts, trauma.), infections and/or stones of the gallbladder and the cystic duct or common bile duct, tumours of the stomach and bowl, appendicitis, colitis, etc.Therefore it is a huge benefit for the patient as well as for the operateur. One of the greatest advantages of all ultrasound techniques is the fact that pathologies are detected in a noninvasive way. Most commonly used in internal medicine, other specialties such as GPs, pediatricians or as part of eFAST trauma surgeons and anaesthetists benefit from the knowledge of abdominal ultrasound to evaluate patients.įor abdominal pathologies, ultrasound should be the preferred diagnostic tool as it is fast, the machines are easily available and with the lack of radiation it is not harmful to the patients. UsageĪbdominal ultrasound is one of the most widespread uses of ultrasound in the medical field. Examples are the AIUM - the American Institute of Ultrasound in Medicine or the BMUS - the British Medical Ultrasound Society. Internationally spoken, there are much more organisations and communities that provide ultrasound training and literature for ultrasound-interested medical working staff. They are also responsible for developing and enhancing ultrasound guidelines to continue the improvement of medicine. In german-speaking European countries communities such as OEGUM in Austria, DGUM in Germany and SGUM in Switzerland provide ultrasound training as well as medical research. An amazing diagnostic tool – fast, relatively easy to learn and, by bringing to perfection, essential for treating patients in different medical fields Piezoelectric crystals and recently other modalities are drawing a painting from human organs, vessels, muscles and much more. Ultrasound – the magic of transforming the inside beauty of the human body into an outside picture.
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