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Appendix Ultrasound

Appendix Ultrasound The vermiform appendix is a finger like projection off of the base of the cecum, it can become inflamed and require surgical removal. Appendicitis Symptoms: mid abdomen to RLQ pain rebound renderness nause, diarrhea or vomiting elevated white blood cells, not always the case pain when walking or lifting right leg Scanning: Use a linear probe 7-9 mHz. Try others if difficult to image patient. Patinets are scanned in supine and left lateral decubitus. Start at the RUQ image the Liver, RT Kidney and Gallbladder, sometimes the appendix may be tucked up there. Ask patient where maximum point of pain is. The normal location of the appendix is usually McBurney's point - halfway between anterior iliac spine and umbilicus Use guided compression of the ascending colon down to the cecum appendix can vary in location and be behind the cecum or retrocecal, deep in the pelvis, behind the bladder, draped over the iliac vessels, in the RUQ or midline near spine. Normal Appendix: less than 0.6 cm compressible may contain air bubbles or fluid is smooth does not contain haustra Positive Appendix: greater than 0.6 cm hyperemic non compressible free fluid, may be present in normals, if complex or debris filled in the presence of appendicitis consider rupture image sources http://theradiologyassistant.nl http://ultrasoundcases.info    / jtouliatos1   John Touliatos MD http://bartleby.com http://anatomyatlases.org Music: Heathens twentyone pilots Covered by Henry Stax http://henrystaxgtr.com