Ultrasound: Signs: Difference between revisions

(Text replacement - "abscess " to "abscess ")
Line 2: Line 2:


==[[Aortic ultrasound]]==
==[[Aortic ultrasound]]==
* Seagull Sign: Take-off of the celiac trunk and bifurcation to hepatic and splenic arteries.


==[[Bladder ultrasound]]==
==[[Bladder ultrasound]]==
Line 8: Line 9:


==[[Cardiac ultrasound]]==
==[[Cardiac ultrasound]]==
* McConnell's Sign: Right apical hyperkinesis in acute right heart strain with relative akinesis of the RV free wall, as seen in the apical 4 chamber view; typically in the setting of large PE


==[[DVT ultrasound]]==
==[[DVT ultrasound]]==
Line 21: Line 23:
*SIN Sign: Stone-in-neck
*SIN Sign: Stone-in-neck
*Double Barrel Shotgun Sign: CBD is markedly dilated to same size as the portal vein, giving “double barrel shotgun” appearance
*Double Barrel Shotgun Sign: CBD is markedly dilated to same size as the portal vein, giving “double barrel shotgun” appearance
*WES (wall-echo-shadow) sign: A contracted gallbladder filled with stones


==[[Ultrasound: In Shock and Hypotension]] & [[IVC ultrasound]]==  
==[[Ultrasound: In Shock and Hypotension]] & [[IVC ultrasound]]==  

Revision as of 18:21, 16 February 2018

Ultrasound: Appendix

Aortic ultrasound

  • Seagull Sign: Take-off of the celiac trunk and bifurcation to hepatic and splenic arteries.

Bladder ultrasound

  • Twinkle Sign: rapid alternation of color immediately behind a stationary echogenic object, acquiring a false appearance of movement
    • Can indicate stone in the UVJ

Cardiac ultrasound

  • McConnell's Sign: Right apical hyperkinesis in acute right heart strain with relative akinesis of the RV free wall, as seen in the apical 4 chamber view; typically in the setting of large PE

DVT ultrasound

FAST exam

Foreign Body

Biliary ultrasound

  • Playboy Bunny Sign: Confluence of the middle and right hepatic veins into the inferior vena cava
  • Exclamation Point Sign: Portal vein and medial longitudinal fasciculus (MLF)
  • Mickey Mouse Sign: Portal Vein (face), CBD (right ear), and hepatic artery (left ear)
  • SIN Sign: Stone-in-neck
  • Double Barrel Shotgun Sign: CBD is markedly dilated to same size as the portal vein, giving “double barrel shotgun” appearance
  • WES (wall-echo-shadow) sign: A contracted gallbladder filled with stones

Ultrasound: In Shock and Hypotension & IVC ultrasound

Ultrasound: Lungs and Thoracic

  • Spine Sign: anechoic or hypoechoic fluid is present in the pleural space allowing continued visualization of the spine superior to the diaphragm

Ultrasound: MSK

  • Swirling: probe pressure creates turbulence in abscess air/fluid level

Ultrasound: Nerves

Ocular ultrasound

Other

  • Donut Sign: thicker outer ring is made up of the thickened wall of the returning limb of the intussusceptum and the thinner outer wall of the intussuscipiens

Ultrasound: Pelvic

  • Donut Sign (Bagel Sign in OB literature): ectopic pregnancy
  • Cheerio Sign: TVUS finding of thin walled cystic structure measuring ~6 mm; double decidual sign; + pregnancy (IUP vs NIUP)

Renal ultrasound

  • Twinkle Sign: rapid alternation of color immediately behind a stationary echogenic object, acquiring a false appearance of movement
    • Can indicate stone in the UVJ

Testicular ultrasound

  • Buddy View: both testicles in view for landmarking

Vasculature

  • Target Sign: needle tip in the middle of the vessel
  • Swinging Bell: needle tip back and forth within vessel
  • Bubbles: saline flush with probe over heart for vessel placement confirmation

See Also