Epididymitis
Clinical
Epidydimitis is usually caused by Chlamydia ssp., but Neisseria gonorrhoeae is also a common pathogen. It is most often found in post-pubertal, sexually active males. It presents as a tender and erythematous (acutely inflamed) epididymis. Urethral discharge, dysuria, fever and pyuria may also be present.
Exam
Begin with the patient in the supine position. [...]
Posts Tagged ‘dilatation’
Ultrasound lectures 17 (Epididymitis)
Posted by admin on Aralık 6th, 2009
Posted in Emergency, medicine, radiologic emergencies, radiologic images, radiology, urology 
Tags: (long, (marked, 1), 7.5, a, A B Acute, A B The, abdomen, abnormal, absolutely, accessible. Always, active, Acute, Acutely, affected, Also, and, any, are, arrow, arrowheads, arterial, as, asymmetric, asymptomatic, at, be, below, but, by, caused, chlamydia, Color, common, compare, compared, cover, decreased, demonstrates, dilatation, discharge., document, doppler, dysuria, each, easily, echogenicity, Emergency, enlarged, epididymis, epididymitis, Epididymitis Clinical Epidydimitis, erythematous, essential, Exam Begin, fever, filter, Findings: 1), flow, For, found, getting, gonorrhoeae, Gray, hydrocele, hypervascularity, hypoechoic, If, image, images, in, include, increase, increased, indicated, indicates, inflamed, is, it, its, just, know, lecture, left., linear, Look, lower, lowest, males, maximum, may, Mean, measure, medicine, MHz), mid, most, move, must, Neisseria, noise., normal, not, Note, Obtain, of, often, on, opposite, or, orchitis., painful, parts, pathogen., Patient, penis, Place, position, possible, post-pubertal, present, present. Color, presents, presumed, put, pyuria, radiology, red, reflecting, respectively., right, scale, scans, scrotum., second, sensitivity, setting, settings:, sexually, show, small, so, sonographic, ssp., supine, swollen, tender, testicle., testicles, testis., that, the, through, to, towel, transducer, transverse, Ultrasound lecturers, Ultrasound lecturers 17 (Epididymitis), underside, upper, Urethral, Use, usually, vascularity, velocity, venous, vessels., visualize, white, with, you, your 
3 Comments »Ultrasound lectures 12 (Hydronephrosis)
Posted by admin on Kasım 29th, 2009
Hydronephrosis
Clinical
US demonstration of hydronephrosis is not, by itself, diagnostic of urinary obstruction. Hydronephrosis is an anatomic finding, not a functional one, and is caused by acute or chronic urinary obstruction, prostatic hypertrophy, strictures, vesicoureteral reflux (VUR), pregnancy, high urine output states, and congenital dilatation of the collecting system.
A B [...]
Posted in Emergency, medicine, radiologic emergencies, radiology Tags: (long, (P), (r/o, 1), 3), a, Absence, Acute, adjacent, affected, an, anatomic, and, appear, are, area, arrows, artery, assess, axis, be, bladder, both, by, calyces, cause, caused, chronic, collapsed, collecting, communicate, comparison, complete, comprehensive, confirms, congenital, connect, cystic, demonstration, diagnostic, dilatation, Dilation, distal, distended, documented., during, each, echogenicity, Emergency, empty, exam, Exam Obtain, filled, finding, Findings:, fluid, functional, get, high, highly, hydronephrosis, Hydronephrosis Clinical US, hypertrophy, If, image, imaged, images, include, including, index, indicated, Intrarenal, is, itself, jet, kidney, Kidneys, lecture, level, liver, longitudinal, lower, medicine, mid, minutes, Multiple, must, normal, not, observation, obstruction., Obtain, of, on, one, or, output, pelvis, pelvis. 2), poles., pregnancy, prostatic, radiology, red, reflux, renal, resistive, rounded, seen, several, should, showing, side., sonographic, spleen, states, stone, stones, strictures, suggestive, suspected., system., the, to, transverse, try, tunnel, tunnels, ultrasound, Ultrasound lecturers 12 (Hydronephrosis), upper, ureter, ureteral, ureters/ureteral, urinary, urine, vesicoureteral, views, with No Comments »Ultrasound lectures 7 (Biliary Dilatation)
Posted by admin on Kasım 6th, 2009
Biliary Dilatation
Clinical
US is approximately 90% accurate in differentiating obstructive from non-obstructive jaundice by depicting the presence of biliary dilatation. Causes for biliary dilatation are impacted gallstone in CBD or at ampulla, benign stricture, pancreatic carcinoma , cholangitis, biliary surgery, and chronic pancreatitis.
In the transverse image, the common bile [...]
Posted in medicine, radiologic emergencies, radiology Tags: (IHBD), (PV), 40%, 7mm. Dilated, 9.7, 90%)., a, Absence, accurate, Acquire, adjacent, adults, Also, ampulla, and, anterior, appearance, Approximately, are, arrow, arrowhead)., arrowheads, arrows, artery. Sonographic, as, at, be, become, benign, bile, biliary, Biliary Dilatation, blood, by, carcinoma, Causes, CBD, cholangitis, chronic, Color, common, Confirm, Confluence, considered, create, depicting, diameter, differentiating, differentiation, dilatation, Dilatation Clinical US, dilated, distal, document, doppler, double-barrel, duct., ducts, easy. 3), Emergency, enlarged, exceeds, far, Findings: 1), flow, For, from, gallbladder, Gallstone, head, hepatic, If, image, images, impacted, in, include, interface., intrahepatic, is, its, jaundice, lecture, left., liver, liver/diaphragm, lobe, longitudinal, makes, may, measure, measured, measurement)., medicine, merging, mm, non-obstructive, ö, oblique, obstructive, Obtain, of, or, pancreatic, pancreatitis. In, patency, Patient, placed, portal, position, possible, posterior, presence, radiology, red, resembling, reveals, right, seen, Shotgun, shotgun. 2), sign, stellate, stricture, structures, supine, surgery, the, their, to, tortuous, transverse, tubes. Dilated, tubes. Shotgun, tubular, ultrasound, Ultrasound lecturers 7 (Biliary Dilatation), used, vein, veins;, vessels., view, views, visualized. Exam Begin, with No Comments »Ultrasound lecturers 6
Posted by admin on Ekim 19th, 2009
Acute Cholecystitis
Clinical
Acute cholecystits is most commonly casued by impaction of a gallstone in the gallbladder (GB) neck obstructing the GB and resulting in inflammation of the GB wall. Ischemia and infection may result. Patients present with pain, right upper quadrant tenderness, and leukocytosis. About 70% of [...]
Posted in Emergency, medicine, radiologic emergencies, radiology Tags: (long, (marked, (Murphy's, 3), 3mm. Exam Begin, 70%, a, About, Acquire, Acute, Acute Cholecystitis, adjacent, AIDS. Image, Also, and, any, applying, are, arrow, arrowheads, arrows, as, ascites, at, axis, be, between, biliary, by, can, casued, CBD, CHF, Cholecystitis, cholecystits, Clinical Acute, commonly, costal, Criteria Gallstones Sonographic, Criteria Wall, decubitus, demonstrate, demonstrates, Diffuse, dilatation, document, echogenic, edema, evaluate, exam, filled, finding, fluid, fluid The, focal, For, from, full, fundus, gallbladder, Gallstone, have, head, hepatic, hepatitis, however, If, image, images, impacted, impaction, in, indicative, infection, inflammation, into, is, Ischemia, lateral, lecture, left., length, leukocytosis., levels., liver, longitudinal, lumen, Major, margin. Diagnosis, markedly, maximum, may, measure, measured, medicine, mm Pericholecystic, mobile, mobility., most, move, moved, much, neck, neither, nor, normal, oblique, obstructing, obtained, of, or, over, pain, pancreatic, Pancreatitis, parenchyma, Patient, patients, pericholecystic, perpendicular, pockets, portal, position, positions., possible, posterior, present, pressure, PUD, quadrant, radiology, red, representative, result., resulting, right, seen, sensitive, sepsis, show, sign, sign Minor, sludge, specific, stone, stones, supine, surrounding, tenderness, the, there, they, thickened, thickening., thickness, this, through, to, transducer, transverse, ultrasound, Ultrasound lecturers 6, upper, upright, vein, views, wall, with 1 Comment »