Does an enourmous amount of abdominal fluid effect cardiac scans? I think it was just me being a big chicken, but I was trying to get an apical view and could not flatten out my 3S probe to get a good view. The patient’s abdomen was tense and distended. I was torn with getting the view or possibly adding more pain to my patient’s uncomfortable condition.
Any tips on scanning distended abdomens? Thanks in advance. 
Does an enourmous amount of abdominal fluid effect cardiac scans? I think it was just me being a big chicken, but I was trying to get an apical view and could not flatten out my 3S probe to get a good view. The patient’s abdomen was tense and distended. I was torn with getting the view or possibly adding more pain to my patient’s uncomfortable condition.
Any tips on scanning distended abdomens? Thanks in advance.
Comments
Regarding ascites check
Regarding ascites check out this post
http://sonopath.com/forum/cause-ascites
Regarding cardiac disease causing ascites you will have dilated hepatic veins and cvc will be larger than the aorta such as in tamponade cases checking the basic search
“tamponade”
http://sonopath.com/members/case-studies/search?text=tamponade&species=All
Regarding doiong an echocardiogram the ascites shouldn’t be an issue as your window is rigth parasternal ic 3-5 or left parasternal 3-4 to find a right auricular mass.
When ascites is cardiogenic (right chf, tamponade) or owing to thoracic disease (CVC thombus or obstrucive caudal mediastinal neooplasia) then the liver has dilated HV (small arrow) and CVC (large arrow) along with the ascites (long arrows) as in this view attached. (Image andi parkinson rdms Intrapet Imaging Baltimore MD) Hope this helps
Regarding ascites check
Regarding ascites check out this post
http://sonopath.com/forum/cause-ascites
Regarding cardiac disease causing ascites you will have dilated hepatic veins and cvc will be larger than the aorta such as in tamponade cases checking the basic search
“tamponade”
http://sonopath.com/members/case-studies/search?text=tamponade&species=All
Regarding doiong an echocardiogram the ascites shouldn’t be an issue as your window is rigth parasternal ic 3-5 or left parasternal 3-4 to find a right auricular mass.
When ascites is cardiogenic (right chf, tamponade) or owing to thoracic disease (CVC thombus or obstrucive caudal mediastinal neooplasia) then the liver has dilated HV (small arrow) and CVC (large arrow) along with the ascites (long arrows) as in this view attached. (Image andi parkinson rdms Intrapet Imaging Baltimore MD) Hope this helps
My feeling is the abdomen
My feeling is the abdomen should have been tapped before the cardiac scan because I felt like I really couldn’t get a good “push” to lay down the probe for the apical view. It was like trying to lay doen the probe into an over-inlafted beach ball with no give.
My feeling is the abdomen
My feeling is the abdomen should have been tapped before the cardiac scan because I felt like I really couldn’t get a good “push” to lay down the probe for the apical view. It was like trying to lay doen the probe into an over-inlafted beach ball with no give.
Great instructional pic by
Great instructional pic by the way! Thank you.
Great instructional pic by
Great instructional pic by the way! Thank you.
LOL that creates an
LOL that creates an interesting visual LOL. Yes sure tap it but usually a 3 s can get something on the apical but may need a bit of imaginoscope with that scenario. Thx for the cudos we try:)
LOL that creates an
LOL that creates an interesting visual LOL. Yes sure tap it but usually a 3 s can get something on the apical but may need a bit of imaginoscope with that scenario. Thx for the cudos we try:)