Core ultrasound findings: Difference between revisions
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*Volume calculated with measurements on 3 axes | *Volume calculated with measurements on 3 axes | ||
===[[ | ===[[Cardiac ultrasound|Cardiac]]=== | ||
*Pericardial effusion | *Pericardial effusion | ||
**None, Small (<1cm), Mod (1-2cm), Large (>2cm) | **None, Small (<1cm), Mod (1-2cm), Large (>2cm) | ||
| Line 38: | Line 38: | ||
**Present, Absent | **Present, Absent | ||
*Gallbladder wall thickening | *Gallbladder wall thickening | ||
** | **Anterior wall <4mm | ||
*Common Bile duct dilatation | |||
**Normal <4mm +1mm for every decade over 40 | |||
***Measure from inner to inner wall | |||
*Sonographic Murphy’s | *Sonographic Murphy’s | ||
**Present, Absent | **Present, Absent | ||
===[[ | ===[[IVC ultrasound|IVC]]=== | ||
*Diameter measured 2cm caudal from hepatic vein | *Diameter measured 2cm caudal from hepatic vein | ||
**<1.5cm, 1.5-2.5cm, >2.5cm | **<1.5cm, 1.5-2.5cm, >2.5cm | ||
| Line 52: | Line 55: | ||
**Fracture, Joint effusion, Complete tendon rupture or Partial tendon rupture | **Fracture, Joint effusion, Complete tendon rupture or Partial tendon rupture | ||
===[[ | ===[[Pelvic ultrasound (transabdominal)]]=== | ||
*Definitive pregnancy | *Definitive pregnancy | ||
**NDIUP or IUP | **NDIUP or IUP | ||
| Line 59: | Line 62: | ||
*Fetal heart rate in BPM | *Fetal heart rate in BPM | ||
===[[ | ===[[Pelvic ultrasound (transvaginal)]]=== | ||
*Definitive pregnancy | *Definitive pregnancy | ||
**NDIUP or IUP | **NDIUP or IUP | ||
Latest revision as of 18:41, 11 August 2017
Background
- ED ultrasounds are focused point-of-care studies utilized to answer basic questions
- The majority of these questions are yes/no or present/absent
Findings on Classic Exams
Aorta
- Greatest diameter in cm (complete study is from celiac to bifurcation)
Bladder
- Volume calculated with measurements on 3 axes
Cardiac
- Pericardial effusion
- None, Small (<1cm), Mod (1-2cm), Large (>2cm)
- Squeeze
- Poor, Mod, Good, Hyperdynamic
- RV:LV ratio
- <1:1, 1:1, >1:1
- Aortic root in cm (measured outside to inside)
DVT
- Identify noncompressible vessels
- Greater Saph DVT, Fem DVT, Pop DVT
E-FAST
- Free fluid
- None, Morison’s, LUQ, Pelvic
- Pericardial effusion
- Pneumothorax
- None, R, L, B/L
- Hemothorax
- None, R, L, B/L
Gallbladder
- Gallstones/sludge
- Present, Absent
- Pericholecystic fluid
- Present, Absent
- Gallbladder wall thickening
- Anterior wall <4mm
- Common Bile duct dilatation
- Normal <4mm +1mm for every decade over 40
- Measure from inner to inner wall
- Normal <4mm +1mm for every decade over 40
- Sonographic Murphy’s
- Present, Absent
IVC
- Diameter measured 2cm caudal from hepatic vein
- <1.5cm, 1.5-2.5cm, >2.5cm
- IVC collapse
- No collapse, <50% collapse, >50% collapse
MSK
- Identify presence of absence of exam indication
- Fracture, Joint effusion, Complete tendon rupture or Partial tendon rupture
Pelvic ultrasound (transabdominal)
- Definitive pregnancy
- NDIUP or IUP
- Free Fluid
- No significant, Small, Mod, Large
- Fetal heart rate in BPM
Pelvic ultrasound (transvaginal)
- Definitive pregnancy
- NDIUP or IUP
- Free Fluid
- No significant, Small, Mod, Large
- Fetal heart rate in BPM
- Ovary assessment
- No cysts, Simple cyst, Complex cyst
Renal
- Hydronephrosis
- No significant, Mild, Mod, Severe
- Stones
- Present, Absent
- Ureteral jets
- Not visualized, R, L, B/L
Ocular
- Describe abnormal findings
- No posterior echoes, Retinal detachment, Vitreous detachment, Posterior echoes of uncertain etiology
- Optic nerve sheath diameter in mm
Soft Tissue
- Cobblestoning
- Present, Absent
- Abscess
- Present, Absent
- Foreign body
- Present, Absent
Thoracic
- B lines
- <3, ≥3
- Pneumothorax
- None, R, L, B/L
- Pleural effusion
- None, R, L, B/L
- Consolidation
- None, R, L, B/L