Beruflich Dokumente
Kultur Dokumente
Lateral
Superior
Later Medial
Mid
Mid
Media Inferior
AK\backup\Abdomen I\Protocols
Bladder Wall Area of Transverse 3-6 mm This is an AP measurement for
thickening a distended bladder wall
o Only performed if
abnormalities are
suspected
Urinary Protocol
Tips
Roll the patient up LLD and RLD, if necessary, to see kidneys better
o Use the liver on the right as a window
o Use the spleen on the left as a window
If urinary obstruction is a concern, use color Doppler to look for bladder jets to verify open
ureter
If patient has a Foley catheter and the bladder is of concern, ask the patients nurse for
permission to clamp the bag shut at the beginning of the study so the bladder will fill while
you scan - REMEMBER TO UNCLAMP WHEN STUDY IS COMPLETE
Coronal Scanning
o Sometimes, especially on the left, the kidney can be seen best scanning coronally.
Anterior and posterior images can be obtained from the coronal scan plane.
The medial and lateral images cannot be obtained from this plane.
Therefore, anterior, mid, and posterior images in coronal should documented.
The renal parenchyma, sinus, and capsule will be seen in each image
Label Coronal - Anterior, Mid, or Posterior
Pathology Seen
o Gray scale sagittal and transverse images
o Gray scale sagittal and transverse images with 3 measurements (length, width, and
height)
o Color Doppler image to document the presence of blood flow
o Spectral Doppler image to document type and velocity of blood flow
o For hydronephrosis, demonstrate connection of the dilated pyramids to the renal pelvis
and include ureter images if the ureter is dilated.
o For renal calculi, move the focal zone to the level of the calculus to aid in
demonstrating posterior shadowing
AK\backup\Abdomen I\Protocols
o If a pathology is seen in the bladder, roll the patient onto their side to determine if the
pathology is mobile or attached to the bladder wall.
Image
Image 21
Liver
Liver SagTXMPV
AK\backup\Abdomen I\Protocols