Rama Final Flashcards
What is a hernia?
Protrusion of abdominal cavity (bowel or fat) through abdominal wall
Name 3 types of hernia
inguinal femoral umbilical epigastric semilunar incisional
What maneuver do you use to visualize hernias?
Valsalva maneuver
Where does inguinal hernia appear?
in spermatic cord or round ligament
Ultrasound appearance of hernia
interaction of peritoneal line outline contents of mass peristalsis (absent with incarceration) valsalva reducibility with pressure
signs and symptoms of appendicitis
nausea vomiting RLQ or periumbilical pain fever elevated WBC
Differential diagnosis for appendicitis
Crohn’s disease
ovarian pathology
lymphoma
neoplasm
Evaluation/Protocol for appendix
compression at RLQ longitudinal transverse peri-appendiceal fluid measurements
Landmark for appendix
Cecum
Sonographic appearance of normal appendix
not visualized
Transducer of choice for appendix
Linear 7.5-12.0 MHz
Sonographic appearance of abnormal appendix
no peristalsis bulbous tip thickened wall not compressible >6mm diameter with compression peri-appendiceal fluid hyperemia
What are the most important measurements in the carotid?
peak systolic and end diastolic
What are random biopsies?
no mass, but you want a tissue sample. Usually due to abnormal blood/urine tests
Where should the needle be places in relationship to the transducer
parallel to the transducer so you can see the entire length of the needle
What should always be done prior to a biopsy
Blood work to check coagulation time
What two tests are done/calculated to check for coagulation?
Prothrombin time (PT) and International Normalized Ration (INR)
What are the reasons for liver biopsy?
To confirm malignancy
to determine whether lesion is primary or mets
to determine cause of transplant rejection
Contraindication for US-guided procedures
uncorrectable bleeding disorder
lack of safe needle path
uncooperative patient
What are biopsied used for
to determine whether mass is benign, malignant or infectious