By R. A. L. Bisset , A. N. Khan
This useful reference combines an in depth checklist of differential diagnoses with concise descriptions of vital medical and sonographic beneficial properties most typically present in belly and pelvic ultrasound stories. by way of combining gamuts with a concise description of significant scientific and sonographic good points it's designed to assist the practitioner speedy and adequately make a distinct prognosis. each one bankruptcy features a short evaluate of a selected area, within which anatomy, common measurements, and assistance for appearing a correct, entire examine are defined. Pathologic approaches in most cases pointed out with ultrasound are mentioned briefly paragraphs delivering info on reasons and sonographic visual appeal. most significantly, the authors clarify the explanation for acquiring convinced scans and why particular positive factors needs to be pointed out for an entire and worthy exam.
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Extra info for Differential Diagnosis in Abdominal Ultrasound 2nd edition
Lung volumes are low. There are bilateral granular opacities that represent collapsed alveoli interspersed with open alveoli. Because the larger bronchi do not collapse, there are prominent air bronchograms. When the process is severe enough and the majority of alveoli are collapsed, there may be coalescence of the granular opacities, resulting in diffuse lung opacity. A normal film at 6 hours of age excludes the presence of SDD. 56 ▪ FIGURE 3-4 Neonatal pneumonia. Newborn chest radiograph shows large lung volumes and coarse, perihilar markings on the right.
Persistent Pulmonary Hypertension of the Newborn Persistent pulmonary hypertension of the newborn (PPHN), or persistent fetal circulation, is a term often used in the NICU and is addressed here because it can be a source of confusion. The high pulmonary vascular resistance that is normally present in the fetus typically decreases during the newborn period. In normal conditions, after clamping the cord and with the first breaths, there is a drastic drop in pulmonary vascular resistance permitting the circulation that in utero bypasses the lungs, to perfuse the lungs.
The ideal position of an umbilical venous catheter is with its tip at the junction of the right atrium and the inferior vena cava at the level of the hemidiaphragm (see Figs. 3-4 and 3-5). The umbilical venous catheter may occasionally deflect into the portal venous system rather than passing into the ductus venosus. Complications of such positioning can include hepatic hematoma or abscess. 63 ▪ FIGURE 3-8 Anatomy of the course of the umbilical vein (UV) catheter as demonstrated by contrast injection of umbilical catheter performed because of inability to advance UV catheter.