Clinical Ultrasound: A How-To Guide by Tarina Lee Kang, John Bailitz

By Tarina Lee Kang, John Bailitz

Clinical Ultrasound: A How-To Guide is concentrated on the amateur to intermediate clinician sonographer. The book’s easy-to-follow type and visually attractive bankruptcy format enables the fast keep in mind of data and abilities had to use medical ultrasound in daily perform. Authored via specialists in emergency drugs scientific ultrasound from around the usa, this pocket-sized, sensible advisor is a invaluable source for these utilizing scientific ultrasound in daily practice.

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M-mode imaging will reveal a seashore sign (waves/barcode crashing on the grainy beach of lung artifact—lower left) of the normal lung, and only a barcode over the pneumothorax (lower right *). INTEGRATION OF FINDINGS Positive findings and unstable Y N Positive findings and stable Y Emergent OR management Basic trauma procedures such as chest tube placement for clinically significant hemo or pneumothorax followed by definitive imaging such as computed tomography N Negative findings and unstable Y N Negative findings and stable Y Evaluation of injury not detected on TUS such as retroperitoneal or pelvic bleeding, multiple long bone fractures, blood loss onto the floor, or mesenteric injury Further evaluation based on mechanism and other clinical findings SPECIAL CONSIDERATIONS • Trauma for pediatric patients has yielded less and sometimes ­conflicting data.

Gallbladder short axis 3. Bile ducts 35 36 Clinical Ultrasound: A How-To Guide GALLBLADDER LONG AXIS Transducer Placement • Place the transducer in the longitudinal plane under the right costal margin at the midclavicular line with the indicator pointing toward the patient’s head. • Rock the transducer cephalad to caudad to improve visualization of the gallbladder. • Slide the transducer medial and lateral so that the entire organ is visualized, to avoid missing stones in the more dependent portions of the gallbladder fundus.

For pneumothorax, please see Chapter 1, Trauma. • For lung scanning, set the depth to 18 cm. • Turn off all image post-­processing on your US system such as ­harmonics and cross-beam, which may remove the artifacts necessary to identify ­normal and abnormal lung. 19 20 Clinical Ultrasound: A How-To Guide Recommended Views • Divide each hemithorax into four quadrants. First, visualize a square ­bordered by the sternum and the posterior axillary line, clavicle and ­costal margin. Then section into superior and inferior halves at the n­ ipple line, ­followed by anterior and posterior quadrants at the anterior axillary line.

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