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Related Concept Videos

Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
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Ultrasound I: Abdominal Ultrasonography01:20

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Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
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Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

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Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
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Ultrasonography01:17

Ultrasonography

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Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
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Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

Ultrasound II: Endoscopic Ultrasound and FibroScan

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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
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Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
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Right Upper Quadrant Pain: Ultrasound First!

Margarita V Revzin1, Leslie M Scoutt1, Joseph G Garner2

  • 1Department of Diagnostic Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut, USA.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|June 7, 2017
PubMed
Summary

Right upper quadrant (RUQ) pain often stems from biliary issues. Ultrasound is the primary imaging tool for diagnosing gallstones and cholecystitis, guiding management effectively.

Keywords:
acute cholecystitisbiliary coliccholedocholithiasisgallbladderright upper quadrant painultrasound

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Area of Science:

  • Radiology
  • Medical Imaging
  • Gastroenterology

Background:

  • Acute right upper quadrant (RUQ) pain is a frequent clinical presentation.
  • Biliary and hepatic pathologies are the most common causes of RUQ pain.
  • Accurate diagnosis is crucial for appropriate patient management.

Observation:

  • Ultrasound is the recommended first-line imaging modality for evaluating RUQ pain.
  • It effectively differentiates medical and surgical causes of upper abdominal pathology.
  • Understanding ultrasound's capabilities and limitations is key for accurate diagnosis.

Findings:

  • Ultrasound can diagnose gallstones and cholecystitis.
  • It provides sufficient information for patient management in many cases.
  • A range of RUQ pathologies are suitable for initial ultrasound evaluation.

Implications:

  • This review highlights the importance of ultrasound in diagnosing RUQ pain.
  • It emphasizes the role of ultrasound in guiding clinical decision-making.
  • Optimizing ultrasound use can improve diagnostic accuracy and patient outcomes.