Lesson 19 (Part 3)

Question 1

Groin

Answer 1

Represented by the ilioinguinal crease at the junction of the abdomen and the thigh and the adjacent areas immediately above and below

Question 2

What area of the groin is scanned?

Answer 2

Between the iliac crest and pubic symphysis

Question 3

What is a landmark in the groin?

Answer 3

Inferior Epigastric vessels

Question 4

What does the inferior epigastric vessels arise from?

Answer 4

External iliac vessels

Question 5

Where do the inferior iliac vessels course?

Answer 5

Superior/medially

Question 6

Why do we scan the groin?

Answer 6

1. Hernia’s
2. Patients present with a lump or bulge
   - clinically diagnosed
   - imaging to confirm
3. Pain without a lump usually sent for imaging

Question 7

What are 3 types of hernia’s? (3)

Answer 7

1. Inguinal
   - direct
   - indirect
2. Femoral
3. Spigelian

Question 8

What are 2 modalities that are good for identifying hernias?

Answer 8

1. CT

2. MRI

Question 9

What are 3 ultrasound advantages for the groin?

Answer 9

1. Scan patient upright and supine
2. Dynamic maneuvers
3. Ability to store video loops to see after scan

Question 10

What are 2 dynamic maneuvers for ultrasound?

Answer 10

1. Valsalva

2. Compression

Question 11

Valsalva

Answer 11

Breathing

Question 12

Compression

Answer 12

Pushing

Question 13

What patient prep is required for the groin?

Answer 13

No prep

Question 14

What type of transducer is used when scanning the groin?

Answer 14

High frequency transducer 7 to 12 MHz

- linear or curved array