Vascular
What is the difference between the portal triad and the porta hepatis.
The portal triad is the what and the porta hepatis is the where.
Which two organs should be homogenous in echotexture?
Spleen and liver
What is the water technique?
Hepatomegaly
Enlarged liver
Postprandial RUQ pain
gallbladder
Both the splenic v and main portal vein appear red when scanning with color (on typical settings), why?
They are both flowing towards the transducer
What term describes the sinus of the kidney?
Hyperechoic
Choose two parts to answer:
If the area underneath an object is darker-
1) What is the term for that?
2 or 3) Why does it happen? OR What organ or pathology would you see it with?
1) Posterior shadowing
2) Because the sound hits a hard object and returns to the machine
3) Stones
What three vessels make up the main portal vein?
SMV, IMV, and splenic vein
Flank pain with hematuria
Kidneys
If you see the seagull sign what vessels are you viewing and in which scan plane?
Celiac and aorta in trv plane
You take a liver kidney interface image on a patient. The liver appears fatty. How would you describe the echotexture on your worksheet?
The liver is hyperechoic to the renal cortex.
Choose two parts to answer:
If the area underneath an object is brighter-
1) What is the term for that?
2 or 3) Why does it happen? OR What organ or pathology would you see it with?
1) Posterior enhancement
2) Because the sound is traveling quickly/easily through said object
3) Bladder, cyst, anything fluid-filled
This image demonstates the main lobar fissure's relationship to the gb fossa and the RPV. Which image are you taking?
Sag RLL, RPV shot
A patient presents to the ER with jaundice and abnormal LFTs. They have a history of alcoholism.
Liver
The vessel travels a longer path than the lt renal artery and passes posterior to the IVC
RRA
Use echogenicity terms to describe a cyst.
Anechoic with posterior enhancement
What artifact do you get at the top of a bladder and how do you compensate for it?
Volume averaging artifact and lower near field TGCs
Kidney stones
An asymptomatic patient presents to an outpatient clinic with an ultrasound script. The diagnosis code indicates a history of smoking.
Aorta
List the branches of the main portal vein
Right-ant and post
Left-medial and lateral
Use echogenicity terms to describe a gallstone
Echogenic mobile focus with posterior shadowing
When using color doppler the colors are blue or red, why?
It indicates to or away from the transducer.
Where does the left gonadal vein drain into?
Left renal vein
A young patient presents to the ER after a car accident. The ER doctor orders a FAST scan to evaluate for trauma and hemorrhage.
Spleen (and liver)