Intro to U/S Flashcards

1
Q

Diagnostic U/S

A

Non-ionizing high frequency sound waves generated from a transducer

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2
Q

How do U/S work

A

Sound waves penetrate tissue → reflected from interfaces with different acoustical properties → sound waves return to the transducer as echos

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3
Q

What do abdominal U/S tell you?

A

IDs location of organs and structures
Internal architecture of organs
Lesions
Small amounts of effusion/ fluid in cavity

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4
Q

When do U/S detect pregnancy?

A

20d

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5
Q

Patient prep for an abdominal U/S

A

Fasting 12 hr before the exam
Shave from xyphoid along costal arch to pelvic inlet
Clean surface with alcohol + acoustic gel

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6
Q

Real time B mode

A

Abdominal U/S
Fluoroscopy of diagnostic U/S

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7
Q

B-mode or brightness mode

A

Imaging all areas of the body

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8
Q

M-mode/ motion mode

A

Used for echocardiography(measures wall thickness and contraction of the heart)
Narrow, stationary U/S

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9
Q

U/S transducers

A

Abdominal: small to large flat surface with curved edges
Cardiac: small flat/ pointed surface with curved edges
Extremities- flat surface

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10
Q

Sector (transducer shape)

A

True “pie, wedge or fan” -USE
Diverging scan field, phased array (cardiac), curved liner array (abdomen)

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11
Q

Linear array transducer (transducer shape)

A

Rectangular or trapezoid shape
Higher frequency is necessary for better resolution

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12
Q

Electronic array (probe type)

A

Use of an electric pulse through crystals in the probe to generate an image (quiet)
Preferred

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13
Q

Mechanical transducer (probe type)

A

Use of mechanical parts to generate an image (noisy)

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14
Q

U/S penetration

A

Higher frequency → superficial penetration → better resolution
Lower frequency → deeper penetration → decrease resolution

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15
Q

Roll

A

Transducer in same plane, pointed cranially or caudally
Used at costal arch and pelvic canal

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16
Q

Slide

A

Move transducer to different areas of the abdomen without angling transducer

17
Q

Fan

A

Move transducer perpendicular to scan the plane (side to side)

18
Q

Rotate

A

Move 90 degrees to the starting plane
Best for cross-sectional views of structures

19
Q

Hyperechoic

A

Brighter than normal (mass, ST)

20
Q

Hypoechoic

A

Darker than normal

21
Q

Isoechoic

A

2 structures of the same echogenicity

22
Q

Anechoic

A

No internal echoes- very dark on image (fluid)

23
Q

SLK

A

Spleen more hyperechoic than liver, liver more hyperechoic than renal cortex

24
Q

Acoustic shadowing

A

Dark streak to mineralized/ dense tissue
Calculi, ribs
Reflective or refractive

25
Q

Far field/ Distant enhancement

A

Hyperechoic area distant to anechoic structure
Bladder and cysts

26
Q

Structures seen in a normal liver

A

Echogenic diaphragm
Heterogenous/ coarse in echotexture
Portal veins (echogenic borders)
Hepatic veins
Falciform fat
Cd. vena cava
Gallbladder

27
Q

Structures seen in a normal spleen

A

Homogenus in echotexture
Echogenic capsule
Splenic vessels course into parenchyma
Heady, body and tail

28
Q

Normal kidneys

A

Sagittal plane: football
Dorsal plane: lima bean
Transverse: cross section

29
Q

Normal prostate gland

A

Heterogenous echotexture
@ neck of the UB
Urethra goes through the middle
Large in intact males

30
Q

Normal uterus

A

Not normally visualized
Hypo during estrus and early pregnancy
Determines fetal viability

31
Q

When is fetal cardiac activity detected on an U/S

A

28d