US abdomen (summary)

Changed by Vikas Shah, 7 Feb 2017

Updates to Article Attributes

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Ultrasound abdomen is one of the tests that is commonly used in the assessment of patients with abdominal pain. It is particularly useful for the assessment of solid organs and fluid-filled structures.

Reference article

This is a summary article; we do not have a more in-depth reference article.

Summary

  • indications
    • abdominal pain
    • altered liver function tests
    • jaundice
    • renal symptoms (consider renal US)
  • contraindications
    • none really
    • large patients can be challenging to image with ultrasound
  • procedure
    • patient fasted for 4 hours
      • maximises distension of the gallbladder
      • not required post cholecystectomy
    • patient scanned supine
      • oblique and lateral positions may be used during the study
  • important pathology
  • similar studies
    • US renal
      • just the kidneys and bladder are imaged
    • US pelvis
      • exclusively for female patients
      • performed with full bladder
      • uterus, ovaries and adnexa
      • can be performed TA (transabdominal) or TV (transvaginal)
    • CT abdomen
      • will give a greater degree of information about the whole abdomen
      • better assessment of the proximal small bowel and most of the large bowel than with ultrasound (distal small bowel and proximal large bowel is well seen on ultrasound)
  • -<li>better assessment of the bowel than with ultrasound</li>
  • +<li>better assessment of the proximal small bowel and most of the large bowel than with ultrasound (distal small bowel and proximal large bowel is well seen on ultrasound)</li>

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