By Bates J.

A entire consultant to stomach ultrasound, together with uncomplicated anatomy, strategy and ultrasound appearances including the commonest pathological procedures. might be hugely illustrated with top of the range scans, many in color.

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Extra info for Abdominal Ultrasound: How, Why and When

Sample text

Scan first, sweeping smoothly from one aspect of the organ to the other in two planes, then take the relevant images to support your findings. ● Make the most of your equipment (see Chapter 1). Increase the confidence level of your scan by fully utilizing all the available facilities, using Doppler, tissue harmonics, changing transducers and frequencies and manipulating the machine settings and processing options. GENERAL POINTERS ON UPPER-ABDOMINAL TECHNIQUE Scanning technique is not something that can be learnt from a book.

Stones lodged in the gallbladder neck or cystic duct may result in a permanently contracted Stones may pass from the gallbladder into the common duct, or may develop de novo within the common duct. Stones in the CBD may obstruct the drainage of bile from the liver, causing obstructive jaundice. Due to shadowing from the duodenum, ductal stones are often not demonstrated with ultrasound without considerable effort. Usually they are accompanied by stones in the gallbladder and a degree of dilatation of the CBD.

Abnormalities of the hepatic vein waveform are therefore highly unspecific and should be taken in context with the clinical picture. As you might expect, the pulsatile nature of the spectrum decreases towards the periphery of the liver, remote from the IVC. 21 The relationship of the biliary duct to the portal vein varies as the vessels become more peripheral. In (A) the duct lies anterior to the LPV; in (B) the duct is posterior to the LPV. from the right intercostal space to maintain a low angle with the vessel.

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