Great Vessels And Liver Flashcards
1
Q
What does he patient need to do to prepare for a abdominal Aorta scan?
A
Fasting
2
Q
What does the Abdominal aorta look like in an ultrasound?
A
- tubular structure
- Tapers from cranial to caudel end
- Contains smooth bright walls
- Lumen appears anechoic
- Non- compressible
3
Q
When scanning the liver is there anything that the patient needs to do to prepare?
A
Fasting
4
Q
Where is the Liver located?
A
- Occupies the major portion of the right hypochondrium region
- Superiorly reaches the diaphragm
5
Q
What is the sonographic appearance of the liver
A
- Homogenous
- Mid grey organ
- Same or slight increase in echogenicity compared to the right kidney cortex
- Smooth!
6
Q
What landmarks will we be looking for in a liver?
A
- Hepatic veins
- Portal veins
- Hepatic artery
- Bile ducts
- Main lobar fissure and ligamentum venousum
7
Q
How will we position a patient for a liver scan?
A
- Left posterior oblique
- Supine
- Left Lateral Decubitus
- Right posterior oblique (left lobe of liver)
8
Q
What are some scanning windows and breathing techniques we will use for the liver?
A
- Start with the midline
- Sub coastal (just beneath and along the inferior portion of the rib cage)
- Intercoastally
- Coronal
- Deep breath
9
Q
Why would someone come in for a liver sonography?
A
- Increased liver enzymes
- Right upper quadrant pain
- Hepatitis screen
- Fatty liver
10
Q
What is the normal measurement of the liver?
A
13 and 17 cm
11
Q
What is a variant of a normal liver
A
Reidel lobe
12
Q
What is a reidel lobe
A
- Inferior margin of the right lobe of the liver should come to a point anterior to the lower pole of the right kidney
- When the inferior margin extends past the lower pole of the right kidney with a rounded margin
- Usually accompanied by a smaller less accessible left lobe
