Emergency Ultrasound Course For Radiologists.

1. Emergency Ultrasound Course
Introduction To Acute Abdomen
By:
Dr/ Ismail Sayed Ismail
Radiologist
is
Great doctor

2. Emergency Ultrasound Course
• Acute abdomen (introduction).
• Sonographic signs in ER cases.
• Bowel ultrasound (introduction).
• Acute appendicitis.
• Bowel causes of acute abdomen.
• Urological causes of acute
abdomen.
• Hepatobiliary causes of acute
abdomen.
• Gynaecological causes of acute
abdomen.
• Vascular causes of acute abdomen,
AAA, …
• Neck emergencies.
• Scrotal emergencies.
• Chest emergencies.
• Paediatric emergencies.
• MSK emergencies.
• Vascular emergencies
(Role of Doppler in ER cases).
• Trauma :
Abdominal trauma: Fast scan,
e-FAST, retroperitoneal trauma, …
Trauma in pregnancy.
Scrotal trauma, neck trauma.
MSK and vascular trauma).

3. Case (01)
Clinician :-
Exclude Urolithiasis ?
Lab. results :-
Not done yet.
C / P :-
80-years-old female patient, was referred for
an ultrasound examination to because of acute
right lumbar pain.

7. Ruptured AAA
presenting as renal
colic

8. Case (02)
Clinician :-
? ? ? Cholecystectomy done few years
ago
Lab. results :-
Mild leukocytosis.
C / P :-
Middle age female patient, presented in the
post-partum period with acute abdomen, pelvic
pain and right upper quadrant pain.
No bleeding. Mild fever is noted.
History of CS 2 weeks ago.

11. Perihepatitis /
Fitz-Hugh-Curtis
syndrome
presenting as RUQ
pain

12. Case (03)
Clinician :-
Suspected cholecystitis
Lab. results :-
Are pending.
C / P :-
28y male patient, sent form ER, with acute onset
of severe epigastric pain, nausea and vomiting.
History of repeated similar yet milder episodes
2-3 hours after meal, sometimes at night 2 hours
after sleep.

13. • .

14. • .

15. • .

16. Duodenal ulcer
presenting as
biliary colic

17. Knowledge.
• You see what you know.
• You know what you read.
• Read more to know more.

18. Experience.
• You see what you are
looking for.
• You see what others
can not see.

19. Creativity.
• You do what others
can not do.

21. ➢ It refers to a
Sudden / rapid onset of,
Severe abdominal pain (in absence of trauma).
That may require hospitalization + surgical intervention.
➢ Diagnosis should be urgent and specific based on all data,
Clinical,
Laboratory and
Imaging (ultrasound, …).
➢ Report should be delivered immediately either,
Verbal or
Written.
What is
acute abdomen

22. What are the
common causes

23. What are the
life threatening causes

24. What is the appropriate
imaging modality ?
X-ray
US
CT
No
Imaging

26. • .

28. Pain > Location / Onset / Criteria

38. Echogenic Fat