Administrators, Editors, Administrators
3,484
edits
Changes
Jump to navigation
Jump to search
m
→General screening: Spaced
==Planning==
;Choice of exam
For patients presenting with symptoms that are less specific for any certain organ, such as unspecific acute [[abdominal pain]], consider an '''[[abdominal/pelvic CT]] ''' instead. ;At least 6 hours of fasting<ref group="notes">Otherwise high risk of intestines obscuring the organ of interest.<br>- {{NU Hospital Group}}</ref> Exceptions: *The target structures are known to be superficial to any intestines*The case is emergent enough to justify a suboptimal exam
==Locations==
==General screening==
===Upper abdomen===For symptoms of the upper abdomen, it is a proper custom to perform a general screening of the following organslocations:
*'''Pancreas''', mainly for dilatation of the pancreatic duct, or obvious tumors.
*'''Liver''', for echogenicity and focal changes. <br>''In case of suspected pathology, see: [[Ultrasonography of the liver]]''
*'''Hepatorenal recess''' for ascites.*'''Biliary tract''', for gallstones (see ''[[Ultrasonography of gallstones]]'') and dilatation of the intrahepatic or extrahepatic bile ducts. The common bile duct is normally up to 8 mm.<ref name="HoeffelAzizi2006">{{cite journal|last1=Hoeffel|first1=Christine|last2=Azizi|first2=Louisa|last3=Lewin|first3=Maité|last4=Laurent|first4=Valérie|last5=Aubé|first5=Christophe|last6=Arrivé|first6=Lionel|last7=Tubiana|first7=Jean-Michel|title=Normal and Pathologic Features of the Postoperative Biliary Tract at 3D MR Cholangiopancreatography and MR Imaging|journal=RadioGraphics|volume=26|issue=6|year=2006|pages=1603–1620|issn=0271-5333|doi=10.1148/rg.266055730}}</ref>''Further information: [[Ultrasonography_of_the_biliary_tract#Basic_screening|Basic screening of the biliary tract]]''.[[File:Maximum length of spleen on ultrasonography.jpg|thumb|180px|Maximum length of the spleen.]]
*'''Spleen''', mainly for size, where 11 cm is a common cutoff. <br>''In case of suspected pathology, see: [[Ultrasonography of the spleen]]''
Also, it is generally easy to have a quick glance at the kidneys just to exclude hydronephrosis. <br>''In case of suspected pathology, see: [[Ultrasonography of the urinary system]]''
;Report
{|class="wikitable"
|
Example in a normal case:
<br>Gallbladder with thin wall and no gallstones. Normal width of the intra-and extrahepatic bile ducts.
<br>Liver with normal echogenicity and no focal lesions.
<br>Normal head and body of the pancreas.
<br>Normally sized spleen.
{{Public Domain example}}
|}
{{Reporting}}
===Lower abdomen===
Ultrasonographies of the lower abdomen can generally be focused on the condition requested in the referral.
===Aneurysm===
*[[Ultrasonography of abdominal aneurysm|[Ultrasonography of '''abdominal aneurysm''']]
===Cirrhosis===
*[[Ultrasonography of cirrhosis|Ultrasonography of '''cirrhosis''']]
===Epigastric bulding===
*[[Ultrasonography of epigastric bulging|Ultrasonography of '''epigastric bulging''']]
{{Bottom}}
