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When scanning the distal CBD and head of pancreas by abdominal ultrasound probe, what would you do to improve the visualization of these structures ?

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Question added by Medya Bahaa Aldeen Ahmed
Date Posted: 2015/01/07
murad aziz khan
by murad aziz khan , medical officer , kaisha and jam curative clinics

by transverse section across the head of pancreas we should rotate the probe to left shoulder and then tilted upward this is the right angle for watching distal CBD .

I've also heard that drinking a lot of water is necessary for that, so you have to do it to improve the visualization of these structures. Also, if I had to go through something like that, I'd take hemp protein powder to calm down, but I'm pretty sure it's not recommended, and it won't help the procedure. But I just hate health checkups, I'm always worried about hearing something bad about my health. 

HAMISI ATHUMAN
by HAMISI ATHUMAN , Radiographer/Sonographer , ST.JOSEPH HOSPITAL-MBWENI

  • First,Patient preparation fasting6-8hrs prior to examination to avoid digestive motility and gases.Also drinking water will help easier visualization of the pancreas head from overlying duodenum.
  • Then scanning scanning using high frequency probe and then transverse scanning on the epigastric region to visualize the head of pancreas while rotrating the probe to towards left shoulder and tilting upaward.

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HASSAN HUSSEIN SULTAN
by HASSAN HUSSEIN SULTAN , Freelance Radiographer , Medical Radiology and Imaging

Preparation of the patient nothing by mouth 6/8 hours prior to the examination. Since the duct passes along the anterior border of the portal vein and travel posterior to the first portion of duodenum to course inferior and somewhat posterior in the parenchyma of the head of pancreas, preasumarable prior to that an intake of 1 to 2 glass of water for the patient is recomnded to visualise the pancreas head from the duodenum.

High frequency abdominal probe is recomended, starting with transverse section accross the head of pancreas and rotating the the probe to the left angled towards the shoulder, and upwards as well tiltition. This angle will definetly shows the CBD.

 

shaimaa mohamed salah
by shaimaa mohamed salah , king fahad specialist hospital , King Fahad specialist hospital in Dammam

using liver window,probe3.5 MHz and increase depth with decrease frequency of the waves.

bendjelloul meriem
by bendjelloul meriem , polyclinic , polyclinic

we  must adjust the gain an the focus.

mamura azimova
by mamura azimova , midwife from 1985-1992, 1993-Obstetrician-Gynecology , Birth Delivery Hospital #3

Preparation of patient is taking a great chance to do best sonar

fasting and cleaning colon. For good visualization of pancreas patient should drink water and for visualisation of  CBD left lateral position

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