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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.
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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.
using liver window,probe3.5 MHz and increase depth with decrease frequency of the waves.
we must adjust the gain an the focus.
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