I cannot stress enough how crucial it is to develop a systematic approach to doing ultrasounds. Not only will this approach help develop an anatomic mind map, it will also safeguard you from accidentally overlooking organs.
When examining each individual organ, the same theory applies. This will ensure you look at each organ in its completeness, reducing the chance of an abnormality being missed.
The only way to improve your ability to track through organs is by repetition; repeating and practising the same manoeuvres over and over again. In time, you will notice you will be able to detect subtle changes you wouldn’t have been able to before.
Suggested scanning procedure
Starting at the bladder and moving anti-clockwise:
- bladder
- prostate/uterus
- left kidney
- left adrenal
- spleen
- liver
- gall bladder
- right kidney
- right adrenal
- stomach
- duodenum and pylorus
- pancreas
- small intestine
- large intestine
- lymph nodes
- mesenteric lymph node
- iliac lymph node
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