By Jane A. Smith (formerly Bates) MPhil DMU DCR
As increasingly more practitioners are hoping on ultrasound as an accredited, secure, and affordable diagnostic software in daily perform, its use in diagnosing belly difficulties is readily expanding. This up to date version comprises assurance of uncomplicated anatomy, approach, and ultrasound appearances, as well as the most typical pathological methods. It serves as either a pragmatic, clinically suitable handbook and source for pros, in addition to a useful textbook for college students coming into the sphere. * Over 500 illustrations and top of the range scans essentially convey belly anatomy. * functional and clinically suitable assurance addresses the troubles of either practitioners and scholars. * Succinct, finished chapters exhibit small print.
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Extra info for Abdominal Ultrasound How, Why and When
CBD = common bile duct. Further management of gallstones passing into the small intestine may impact in the ileum, causing intestinal obstruction (Fig. 11B). Biliary reflux and gallstone pancreatitis A stone may become lodged in the distal common bile duct near the ampulla. If the main pancreatic duct joins the CBD proximal to this, bile and pan- ERCP demonstrates stones in the duct with greater accuracy than ultrasound, particularly at the lower end of the CBD, which may be obscured by duodenal gas and also allows for sphincterotomy and stone removal.
On the right. This is an extension of the right lobe over the lower pole of the kidney, with a rounded margin (Fig. 16), and is worth remembering as a possible cause of a palpable right upper quadrant ‘mass’. To distinguish mild enlargement from a Reidel’s lobe, look at the left lobe. If this also looks bulky, with a rounded inferior edge, the liver is enlarged. A Reidel’s lobe is usually accompanied by a smaller, less accessible left lobe. 3 LS through the right lobe of the liver and right kidney.
4 Longitudinal oblique section through the CBD. 5 Transverse oblique section through the hepatic venous confluence. 6 TS through the level of the porta hepatis. 7 TS at the level of the pancreas. qxd 40 6/30/04 5:37 PM Page 40 ABDOMINAL ULTRASOUND References 1. UK Association of Sonographers. 2001 Guidelines for Professional Working Standards – Ultrasound Practice. UKAS, London. 2. Couinaud C. 1954 Lobes et segments hépatiques; note sur l’architecture anatomique et chirugicale du foie. Presse Medical 62: 709.
Abdominal Ultrasound How, Why and When by Jane A. Smith (formerly Bates) MPhil DMU DCR