Abdominal ultrasound at the emergency bed

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Phan Ngoc Toan - Emergency Medicine Doctor - Emergency Department - Vinmec Danang International Hospital.
Emergency abdominal ultrasound is one of the most frequently performed bedside emergency examinations today when the patient is in a state of shock, danger, and unable to move.

1. What is the effect of abdominal ultrasound?

Abdominal ultrasound is the most widely used diagnostic method in clinical medicine today. Ultrasound captures images of the abdomen in real time, helping doctors see the internal structure of internal organs and detect abnormalities if any.
Like other ultrasound methods, abdominal ultrasound uses a transducer that emits ultrasound waves and records and emits images so it is fast, effective, and safe for human health. Currently, there is no record of abdominal ultrasound harming the patient's health.
Abdominal ultrasound is now used in routine health checks and diagnoses specific diseases such as:
Liver disease: Cirrhosis, Hepatitis B, fatty liver, benign liver tumors malignant and malignant, liver abscess,...

Abnormalities of the genitourinary system in organs: Ovarian cysts, uterine fibroids, prostate cancer, pus-filled fallopian tubes, ovarian cancer, prostatitis,... Abnormalities of the digestive system chemistry such as: intussusception, digestive tumors, appendicitis, small bowel inflammation, intestinal volvulus,... Abnormalities of the biliary tract: cholangiocarcinoma, gallstones, cholecystitis, gallbladder polyps, malformations of the bile ducts bile,... Abnormalities of the pancreas: Trauma, stones, acute pancreatitis, chronic pancreatitis, congenital pancreatic abnormalities, various types of pancreatic tumors,... Abnormalities of the urinary system: trauma, Urinary tract tumor, obstruction, malformation, obstruction of the excretory tract such as ureteral stone, cystitis, nephritis, kidney cancer, bladder cancer, bladder stone, kidney stone,... Spleen pathology : splenic abscess, splenic lymphoma, splenomegaly, splenic tumors,... Retroperitoneal diseases: retroperitoneal fibrosis, retroperitoneal tumor. In addition, an abdominal ultrasound can evaluate the amount of fluid in the abdomen, pericardium, or pleural space. Ultrasound images are also valuable in detecting abdominal fluid pathologies, aortic aneurysms.

2. Abdominal ultrasound at the emergency bed

Abdominal-pelvic ultrasound is an integral component of critical care ultrasound (CCUS – see lung ultrasound). CCUS of the abdomen and pelvis typically evaluates patients for a sepsis origin and acute abdominal pain of undetermined etiology.
Patients with acute or severe pain are usually in the supine position for abdominal ultrasound examination. Focus areas for scanning include the hepatobiliary fossa (Morrison's pouch), the splenic fossa, the right upper quadrant, the left upper quadrant, the bilateral iliac fossa, the sacrum and the uterus. A phased probe (1 - 5 Mhz) or a curved probe (1 - 3 Mhz) can be used for abdominal scanning.

3. Indication of abdominal ultrasound at the emergency bed

Indications for emergency abdominal ultrasound in the following cases:
Abdominal trauma Patient in shock Ultrasound assesses the amount of intra-abdominal fluid for patients with acute pancreatitis after surgery Suspected of having fluid, blood, ruptured abdominal aortic aneurysm, gallstones, urinary stones, fluid retention - pyelonephritis, abscess ... Suspicion of ruptured ectopic pregnancy Suspicion of pleural effusion, pneumothorax hollow visceral rupture Instructions for performing aspiration procedures - pleural effusion, placing drainage of the intra-abdominal fluid... Abdominal ultrasound is one of the indispensable checks in the package of General health examination. general at Vinmec International General Hospital. The ultrasound process is carefully performed by experienced and highly qualified sonographers, radiologists, modern ultrasound systems, high technology, providing detailed and clear images. , detects very small irregular images. This helps to detect the disease and the early signs of disease, which greatly helps in the treatment process later.
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