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Flashcards in Test 2 review Deck (44)
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1

Body position 

1

Supine

2

Body Postition

2

Prone

3

Body Position

3

Right Lateral Decubitus

4

Body Position

4

Right Posterior Oblique

5

Body Position 

5

Sitting Semi-Erect

6

Body Position

6

Sitting Erect

7

Body Position 

7

Left Lateral Decubitus

8

Body Position 

8

Left Posterior Oblique

9

Liver Location

Right and Left hypochondrium

greater part of epigastrium

inferior to diaphragm

in contact with right kidney and IVC

Aorta lies posterior to left lobe

10

Pancreas Body Location

organ part lies inferior to the left lobe of liver

11

Subphrenic space

between the liver and diaphragm

common for abcess formation

12

Right subphrenic space

morrison's pouch

common for periotoneal fluid or blood to collect

13

Pancreas tail location

lies anterior to the left kidney

posterior to the left colic fixture and transverse colon

14

Pancreas neck location

lies directly anterior to the portal splenic confluence or SMV

15

Pancreas Head location

most inferior portion of gland

anterior to the IVC

right of the portal-splenic confluence

inferior to the MPV and caudate lobe

16

Gallbladder location

Lies on Visceral surface of liver

Main lobar fissure is sonographic landmarkleading to the fossa

17

Right Kidney location

Lies in retroperitoneal cavity near the posterior wall

just below diaphragm

slightly lower than left

Right lobe of liver pushes it inferior

18

Left Kidney location

lies in retropertoneal cavity near posterior wall

posterior to pancreas tail

medial of spleen

 

19

Spleen location

 located between the stomach and the diaphragm in the left hypochondriac region

20

2.5-5MHz

Transducer Prefuencey for Adult abdominal scans

21

5-7MHz

Transducer Frequency for pediatric abdominal scans

22

23

Liver Function Tests

 

AST

ALT

LDH

Alk phos

Bilibrubin

PT

Albumin 

Globulins

24

Liver scanning

TGC adjusted to balance near and far echos

overall gain-adjusted to adequatley penetrate the entire right lobe and a smooth homogeneous pattern

depth posterior right lobe positioned at the lower border of screen

focuses near the posterior border

transducer freq.  Avg adult 2.5-5MHz, pediatric 5-7MHz

25

Liver Scanning evaluation

size in the longitudinal plane

attentuation of the parechyma

texture

presence of hepatic vascular structures, ligaments and fissures

26

Kidney

Cortex

Hilum

pyramids

calyx

 

27

Kidney Function

excretes waste

regulates composition of the blood by filtration of harmful wastes, conserving water and metabolites in the body

 

28

Kidney lab tests

Urinalysis,

Urine pH,

Protein,

Specific Gravity,

Blood, BUN,

Serum Creatinine,

Hematocrit,

Hemoglobin,

Creatinine clearance

29

Kidney imaging

always bilateral exam

nephrectomy-long and trvs image of the renal fossa looking for fluid collection

patiens should be hydrated

liver and spleen used and window

deep inspiration will allow approx 2 cm downward shift of kidneys for better visualization

start with RT longitudinal lateral-median then transverse sup-inferior making sure to scan beyond outer contours

30

Reidels Lobe

Right liver lobe normal variant

more prevalent in Women