By Tarina Lee Kang, John Bailitz
Clinical Ultrasound: A How-To Guide is focused on the beginner to intermediate clinician sonographer. The book’s easy-to-follow kind and visually attractive bankruptcy structure enables the short keep in mind of information and abilities had to use scientific ultrasound in daily perform. Authored via specialists in emergency medication medical ultrasound from around the usa, this pocket-sized, functional advisor is a useful source for these utilizing scientific ultrasound in daily practice.
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Additional info for Clinical Ultrasound: A How-To Guide
Consider CT scan or US of aorta as clinically indicated Y Treat appropriately based on clinical diagnosis or CT findings. SPECIAL CONSIDERATIONS • A large AAA may compress the ureter with resultant hydronephrosis. ” Always consider AAA as a diagnosis and visualize the aorta in any patient over 45 or with risk factors for AAA who presents with first-time flank, abdominal, or back pain. • Pregnancy—The gravid fetus exerts pressure on ureters, and hydronephrosis may be a normal finding often more pronounced on the right due to the slightly right-sided position of the typical gravid uterus.
Turn the probe at a slightly oblique angle to fit the probe head within the plane of the intercostal space to visualize the kidney in the kidney’s long axis. • Improve visualization of the k idney by asking the patient to take a deep breath and hold for 5 to 10 seconds to open the intercostal space and displace kidney inferiorly. • Turn the probe 90 degrees counterclockwise to visualize the kidney in the short axis. • Make broad sweeps in the superior/ inferior and anterior/posterior planes to the entire organ.
An undulating flap inside the aortic lumen may be better seen on the long axis view of the aorta (*). • Additionally, check the parasternal long axis view to visualize the aortic root and the descending thoracic aorta for aneurysm and dissection. 27 Abdominal Aorta INTEGRATION OF FINDINGS AAA in hypotensive patient Y Ruptured AAA until proven otherwise: emergent vascular surgery consultation Y Obtain CT scan and consult vascular surgery N AAA in stable patient N Aortic dissection Y Emergent CT scan and cardiothoracic or vascular surgery consultation SPECIAL CONSIDERATIONS • In a patient with undifferentiated shock, bedside ultrasound evaluation of the abdominal aorta helps narrow the differential diagnosis.
Clinical Ultrasound: A How-To Guide by Tarina Lee Kang, John Bailitz