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Mitchell Lee, J Mark Roberts, Luke Chen, Silvia Chang, Rose Hatala, Kevin W Eva, Graydon S Meneilly
OBJECTIVES: Physical examination can identify palpable splenomegaly easily, but evaluating lesser degrees of splenomegaly is problematic. Hand-carried ultrasound allows rapid bedside assessment of patients. We conducted this study to determine whether hand-carried ultrasound can reliably assess spleen size. METHODS: Patients with varying degrees of splenomegaly were studied. Two sonographers blindly measured spleen size in each patient using either a hand-carried or conventional ultrasound device in random order...
July 2014: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
C Görg, S Kunsch, A Neesse
Abdominal ultrasound is a common diagnostic procedure in internal medicine. The correct interpretation of incidental findings can be difficult at times and often results in expensive and sometimes invasive follow-up examinations. Therefore, detailed knowledge of incidental findings on abdominal ultrasound is of utmost clinical and economical importance. Incidental findings are often benign, however, an accurate evaluation and correct diagnosis is crucial for the subsequent clinical management. To this end B-mode ultrasonography is complemented by color flow Doppler sonography and contrast-enhanced ultrasonography to add dynamic information on blood flow and vessel formation...
September 2014: Der Internist
Timothy Jang, Vijai Chauhan, Christopher Cundiff, Amy H Kaji
STUDY OBJECTIVE: The objective of this pilot study was to lay the groundwork for future studies assessing the impact of emergency physician-performed ultrasound (EPUS) on diagnostic testing and decision making in emergency department (ED) patients with nonspecific abdominal pain (NSAP). METHODS: This was a prospective, noninterventional study using a consecutive sample of patients presenting to the ED with NSAP as determined by nursing triage when a participating physician was available...
May 2014: American Journal of Emergency Medicine
A Reginelli, Ea Genovese, S Cappabianca, F Iacobellis, D Berritto, P Fonio, F Coppolino, R Grassi
BACKGROUND: Intestinal ischemia is an abdominal emergency that accounts for approximately 2% of gastrointestinal illnesses. It represents a complex of diseases caused by impaired blood perfusion to the small and/or large bowel including acute arterial mesenteric ischemia (AAMI), acute venous mesenteric ischemia (AVMI), non occlusive mesenteric ischemia (NOMI), ischemia/reperfusion injury (I/R), ischemic colitis (IC). In this study different study methods (US, CT) will be correlated in the detection of mesenteric ischemia imaging findings due to various etiologies...
July 15, 2013: Critical Ultrasound Journal
Maria Antonietta Mazzei, Nevada Cioffi Squitieri, Susanna Guerrini, Amato Antonio Stabile Ianora, Lucio Cagini, Luca Macarini, Melchiore Giganti, Luca Volterrani
Acute diverticulitis (AD) results from inflammation of a colonic diverticulum. It is the most common cause of acute left lower-quadrant pain in adults and represents a common reason for acute hospitalization, as it affects over half of the population over 65 years with a prevalence that increases with age. Although 85% of colonic diverticulitis will recover with a nonoperative treatment, some patients may have complications such as abscesses, fistulas, obstruction, and /or perforation at presentation. For these reasons, different classifications were introduced through times to help clinicians to develop a correct diagnosis and guide the treatment and for the same reasons imaging is used in most cases both to realise a differential diagnosis and to guide the therapeutic management...
July 15, 2013: Critical Ultrasound Journal
Ff Coppolino, G Gatta, G Di Grezia, A Reginelli, F Iacobellis, G Vallone, M Giganti, Ea Genovese
Gastrointestinal tract perforations can occur for various causes such as peptic ulcer, inflammatory disease, blunt or penetrating trauma, iatrogenic factors, foreign body or a neoplasm that require an early recognition and, often, a surgical treatment.Ultrasonography could be useful as an initial diagnostic test to determine, in various cases the presence and, sometimes, the cause of the pneumoperitoneum.The main sonographic sign of perforation is free intraperitoneal air, resulting in an increased echogenicity of a peritoneal stripe associated with multiple reflection artifacts and characteristic comet-tail appearance...
July 15, 2013: Critical Ultrasound Journal
Paolo Fonio, Francesco Coppolino, Anna Russo, Alfredo D'Andrea, Antonella Giannattasio, Alfonso Reginelli, Roberto Grassi, Eugenio Annibale Genovese
BACKGROUND: Non traumatic gastrointestinal emergencies in the children and neonatal patient is a dilemma for the radiologist in the emergencies room and they presenting characteristics ultrasound features on the longitudinal and axial axis. The most frequent emergencies are : appendicitis, intussusceptions, hypertrophic pyloric stenosis, volvulus due to intestinal malrotation. The aim of this article is to familiarize the reader with the US features. METHODS: A retrospective analysis of 200 ultrasound examinations performed in neonatal and children patients with fever, abdominal pain, leukocytosis, vomiting and diarrhea were evaluated...
July 15, 2013: Critical Ultrasound Journal
Eugenio Annibale Genovese, Paolo Fonio, Chiara Floridi, Monica Macchi, Anna Maccaferri, Antonio Amato Stabile Ianora, Lucio Cagini, Gianpaolo Carrafiello
Acute vascular emergencies can arise from direct traumatic injury to the vessel or be spontaneous (non-traumatic).The vascular injuries can also be divided into two categories: arteial injury and venous injury.Most of them are life-treatening emergencies, sice they may cause an important ipovolemic shock or severe ischemia in their end organ and require prompt diagnosis and treatment.In the different clinical scenarios, the correct diagnostic approach to vascular injuries isn't firmly established and advantages of one imaging technique over the other are not obvious...
July 15, 2013: Critical Ultrasound Journal
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