Ultrasound

Hepatobiliary Ultrasound Introduction to Emergency Ultrasound

Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why ultrasound? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why ultrasound? ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Academic Emergency Medicine 1999

RUQ Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GB Variable Location ,[object Object],[object Object],[object Object],[object Object]

GB US Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GB US anatomy - vascular ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Technique Main Lobar Fissure between gallbladder and right portal vein

Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],4

Anatomy Consideration ,[object Object],[object Object]

Anatomy Consideration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GB – Imaging Pitfalls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Porta Hepatis ,[object Object],[object Object],[object Object],[object Object]

CBD US Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Landmark methods for finding CBD ,[object Object],[object Object],[object Object],[object Object],[object Object]

Landmark methods for finding CBD ,[object Object],[object Object],[object Object]

Porta Hepatis - Pitfalls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

U/S Gallstone Findings ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Journal of Emergency Medicine 2001

Sludge ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Various Stages of Sludge Normal layering Clumpped 29559978 RUQ sludge filled GB29559978_2.2.2005.18.37.5_5.avi

Sludge versus Stones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cholecystitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Later finding

Pathophysiology ,[object Object],[object Object],[object Object],[object Object]

Cholecystitis: US Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sonographic Murphy’s sign ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Journal of Emergency Medicine 2001

Wall Thickness ,[object Object],[object Object],[object Object],[object Object],[object Object]

Wall thickness ,[object Object]

Other causes of thickened walls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Increased Transverse Diameter ,[object Object],[object Object],[object Object],[object Object]

Pericholecystic Fluid ,[object Object],[object Object],[object Object],[object Object]

Choledocolithiasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Choledocolithiasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Intrahepatic Cholestasis -Too many tubes -best seen in transverse L liver

Liver Masses ,[object Object],[object Object]

Pitfalls – Bowel Gas ,[object Object],[object Object],[object Object],[object Object]

And so remember ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tips for improving view ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pitfalls ,[object Object],[object Object],[object Object]

Ultrasound

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Ultrasound

Editor's Notes