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Ultrasound

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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],[object Object]
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]
Porta Hepatis ,[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]
Cholelithiasis
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
Cholelithiasis
Cholelithiasis
Cholelithiasis
Cholelithiasis
Cholelithiasis
Cholelithiasis - WES sign
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
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]
Liver Masses
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]

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Ultrasound

Editor's Notes

  1. ???Better at End of talk regarding Pitfalls????
  2. Nl layering on L, clumped on R