Diferencia entre revisiones de «Ultrasound (main)»

Revisión del 23:10 19 abr 2011

Gallbladder

GB wall is normally <3-4mm
CBD
- Measure from inner to inner
- Normal is up to 6mm to age 69 (add 1mm per decade thereafter)
Acalculous cholecystitis
- GB is >10cm long & >4 cm wide

AAA

Measure outer wall to outer wall from diaphragm to bifurcation
- Normal is <3cm

Cardiac

Normal aortic root is <3.8 cm (parasternal view w/ dot pointing to Lt arm)

FAST

Always point dot to pt Rt (usu at 45 degrees) or @ pt head
Morrison's Pouch
- Best seen w/ probe around mid ax to ant ax line (esp w/ pt in trendelenberg)
Splenorenal
- Place probe in post ax line

Source

By Lampe (9/04)

Authors:

@@ Línea 1: / Línea 1: @@
-==GB==
+==Gallbladder==
+*GB wall is normally <3-4mm
+*CBD
--Measure CBD from inner to inner, normal is up to 6mm to age 69, then add 1 mm per decade (ie 7 mm @ age 70 is nl)
+**Measure from inner to inner
+**Normal is up to 6mm to age 69 (add 1mm per decade thereafter)
--Nl GB wall is <3-4 mm
+*Acalculous cholecystitis
+**GB is >10cm long & >4 cm wide
--For acalculous cholecystitis the GB will be >10cm long & > 4 cm wide
 ==AAA==
+*Measure outer wall to outer wall from diaphragm to bifurcation
+**Normal is <3cm
--Measure outer wall to outer wall
--Nl aorta is <2.9 cm, must measure from below diaphragm in both planes to bifurcation!
 ==Cardiac==
+*Normal aortic root is <3.8 cm (parasternal view w/ dot pointing to Lt arm)
--In parasternal view w/ dot pointing to Lt arm, the nl aortic root (to look for type A dissection) is <3.8 cm
--One trick is to find aorta & drop probe flat under ribs to see aorta.
 ==FAST==
+*Always point dot to pt Rt (usu at 45 degrees) or @ pt head
+*Morrison's Pouch
+**Best seen w/ probe around mid ax to ant ax line (esp w/ pt in trendelenberg)
+*Splenorenal
+**Place probe in post ax line
--Always point dot to pt Rt (usu at 45 degrees) or @ pt head
--Morrisons pouch is best seen w/ probe around mid ax to ant ax line. This is the most sensitive spot to see fluid w/ pt in trendelenberg. Nd 150-500cc of blood to see here depending on skill of sonographer.
--Splenorenal put in post ax line. Nd 400-500cc blood to see
--Also chk bladder for free fluid in pelvis & pericardium for effussion
 ==Source==
 By Lampe (9/04)
 [[Category:Rads]]