Gallbladder Scanning Protocols скачать в хорошем качестве

Gallbladder Scanning Protocols

#Gallbladder. #Fasting patient. #Patient Positioning. #Phrygian cap. #Colour Doppler. Gallbladder scan protocol. The role of ultrasound, first and foremost always tailor your scan to the clinical signs, always take a thorough history including previous cancer diseases, blood results, family history and past surgery perform. An initial overall scan without lmaging to get an idea of what pathology there might be and how it might relate to the patient's current complaint. Often you will have problems with bowel gas overlying the gallbladder. Ways to overcome this include rolling the patient into a left lateral decubitus or erect position, use the liver as a window especially when rolling the pattent onto their left side. Deep inspiration, expiration, distend the abdomen against the probe that is, asked the patient push their stomach out as if they are pregnant. Six hours, no food or drink, preferably book the appointment in the morning to reduce bowel gas. Patient position generally, the gallbladder is best viewed in the left lateral decubitus position however, it can be viewed with the patient supin and erect. Erect views may be useful to determine if stones are mobile or impacted in the neck. Equipment setup use the highest frequency probe to gain adequate penetration this will be between a two to seven megahertz range curved linear array or sector probe with color Doppler capabilities. Start with 6 megahertz and work down to two or three megahertz for larger patients assess the depth of penetration required and adapt. The gallbladder should be able to be scanned using a seven megahertz as it is so superficial Pediatric and thin patients should be scanned with a 7 megahertz also and it Narrows the dynamic range. Common pathologies frequently encountered include: 1. Folds to phrygian cap. Polyp. Calculi. Sludge. Cystitis. Adenomyomatosis. Gallbladder carcinoma. Scanning technique looking supine, left lateral decubitus and erect, use the liver as a window especially when rolling the patient onto their left side measure the wall 10 centimeters in length check with colored Doppler for increased vascularity of the wall. Assess the cystic duct, neck, body and fundus and the liver inclusive this procedure may also be referred to as a liver biliary scan because the liver often is examined as well due to its proximity and close functional relationship to the gallbladder, phrygian cap next. Do a basic hard copy Imaging, report, document the normal Anatomy, any pathology found in two planes, including measurements and any vascularity. Thank you.