Abdominal Sonography Review Flashcards
What artifact is shown occurs when a sound beam hits a structure in a non- perpendicular manner resulting in a loss of echogenicity?
Anisotrophy
What artifact is caused by many small highly reflective interfaces?
Comet tail, often seen in the gallbladder
What artifact is may be seen emanating from the bowel or posterior to gas?
Dirty shadowing
What artifact is seen arising from cystic structures and appear as narrow shadows originating from the edges?
Edge shadowing
Name an artifact that produces a strong speculative reflector and results as a copy deeper than the anatomy? It can also be seen in Doppler.
Mirror image
What artifact is often seen posterior to fluid filled structures such as cysts, pleural effusions and acites?
Posterior enhancement
Acoustic enhancement
Through transmission
What artifact is seen during the bending of an ultrasound beam when it passes an interface with dissimilar aspects of sound and are non perpendicular?
Refraction
What artifact is seen as an echogenic region in the anterior aspect of a gallbladder or other fluid filled structures?
Reverberation artifact
What type of artifact appears as a solid streak or chain of parallel bands coming away from a structure?
Ring down artifact
What artifact is seen posterior to bone, calculus, gallstones and renal stones?
Shadowing
What are low level echoes within fluid, mimicking sludge, debris or pus within a fluid filled structure?
Side lobes
What artifact may create false echoes in the urinary bladder?
Slice thickness artifact
What adjustments can be made when there is an absent Doppler signal?
Decrease PRF
Decrease wall filter
Increase spectral gain
Open sample gate
What adjustments can be made when aliasing occurs?
Increase the PRF
Increase angle of insonation
Adjust baseline
Switch to a lower transducer
How can Doppler noise be fixed?
Reduce color gain settings or adjust wall filter
What artifact occurs behind strong granular and irregular surfaces like crystals, calculi, or calcifications?
Twinkle artifact
What disease may result as an decrease in the lab value Alkaline phosphatase?
Wilson’s disease
Hypothyroidism or hyperthyroidism uses what lab value to determine it?
Thyroid stimulating hormone (up,hypo)
Thyroxine (T4) (up,hyper)
Triiodothyronine (T3) (up,hyper)
A patient with chloecystitis most likely has an elevation in what lab?
WBC count
What lab value would be most helpful in evaluating a patient that has has recent trauma?
Hematocrit
Low values can indicate a hemmorhage