Sonopath Forum

Do you know about the SonoPath SDEP Sonographer Certification?

Hi everyone:) I’m not sure all of you are aware that for those who have attended at least one of our 3 day SDEP labs on abdomen or echo, we now offer SDEP sonographer certification in both of those areas.

Today we had an interesting back-and-forth with one of our registrants who is going through the certification process. As the issues he is having are common to all of us as we go through not just certification, but advancement of our skills as we try to perfect the SDEP protocol and produce that SUPERB diagnostic scan, I thought sharing the process today would exemplify how we at SonoPath take education a step further as we “Foster the Art of Veterinary Medicine^TM“

here it is:

“I have a ? about the colon. If I follow the colon cranially then I need to follow it around the transverse to the ascending before hitting theilium and ICC valve. Is that correct? Is there another way to catch the ascending colon and follow it back to the ilium?

I hope I am clear on this question.

I seem to have some trouble on these deep chested dogs following the cystic duct to the D pap. I will work on it. Not much compression there to get closer. Seems like I am always looking at a distance on these deepchested dogs. I need to increase my fanning. Many times I am actually doing that in real time and not so good when making the cine. Important to fan if I am getting a telemed consult.

Another issue is getting the R kidney intercostal. I drop the tail but often can’t get that CVC in view through the R intercostal approach- not sure why.

Thanks for taking the time to review my work. You can be sure I will be working on my technique. It will make me a better ultrasonographer.”

Comments

Catlady59

December 15, 2017 at 9:14 pm -

I do know that the cecum is

I do know that the cecum is generally located in the area between the kidneys, so another way to find it is to start at the RK, lighten up and drop the probe tail and look for it in this area.

When you are getting the right kidney intercostal, and drop the tail to look for the RADR, realize that yes you will be deeper; you might be imaging the RADR at 5-7 cm instead of 2-4. And often the RK does not disappear from view but the CVC and aorta should appear below the kidney. use your hand as a beer can and let the dog’s weight lay on your hand, that may help.

Alternatively flip the dog to lay on its left side, find the RK intercostal and raise the tail to look for the CVC, aortal and RADR.

My experience with the CBD and D-Pap on big chested dogs is the right intercostal is the best, same idea with the beer can. And slide dorsally closer to the spine, correct Eric?

RESPONSE from Dr. Lindquist:

I agree with Diane… I find the ICJ either following the colonic dirty shadow from position 3 cranially to transverse and it hooks like a J with the ileum on the right or I find the ileum that has a thicker muscular usually swiping between the kidneys in the middle of the Bears-in-the-Forest 15-17 and look for dirty shadow on left meeting the muscle bound ileum on the right adjusting pressure to let it drop in on the probe.