Ultrasound Abdomen

Indications:
 Abdominal pain
 Jaundice
 Cholelithiasis
 Cholecystitis
 Elevated liver enzymes
 Splenomegaly
 Ascites
 Abdominal mass
 Pancreatitis
 Portal vein thrombosis

Strengths:
 Fast
 Can be performed at bedside
 No ionizing radiation
 Widely available
 Can provide Doppler and color flow information
 Lower cost than CT

Weaknesses:
 Obscuring intestinal gas
 Only able to visualize 50% of bile duct stones
 Inferior anatomic detail compared with CT
 Affected by body habitus
 Cannot be used to definitely rule out abscess

Comments:
 This is often the initial diagnostic procedure of choice in patients presenting with abdominal pain or mass in RUQ and mid-abdomen. CT of abdomen is preferred in LLQ and RLQ pain or mass and in significantly obese patients.

 The presence of a sonographic Murphy sign (the ultrasonographer elicits focal gallbladder tenderness under the ultrasound transducer) has a positive predictive value greater than 90% for acute cholecystitis if gallstones are present.
 Ultrasound should be considered as an initial test in all patients with pancreatitis, especially if gallstones are suspected.

  • Imaging

Patient Instructions:
-
Sample Type:
Others
Result Time:
-
Storage & Transportation:
-
Cutoff Times:
-

30 minutes required for samples arrived at Cao Thang till receive by Laboratory

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