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Pneumoperitoneum

CR

CurvedLow frequency (2.53.5 MHZ Probe)

High frequency (7~12


MHz)
soft tissue

Acoustic shadow

Comet tail artifact

Acute Abdomen



Acute Abdomen

I G Get HIV
I : Inflammatory disease e.g. acute
appendicitis/cholecystitis
G : Gynecologic emergency e.g. ectopic pregnancy,
ovarian torsion
H : Hollow organ perforation
I : Ileus (Mechanical)
V : Vascular emergency e.g. AAA, ischemic colitis
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Pneumoperitoneum
KUB?
Chest X-ray (standing)
Abdomen (Left decubitus)
Non-contrast abdominal CT

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Chest X-ray (standing)

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Doges Cap Sign

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Urachus sign

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Inverted V sign

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Telltale triangle sign

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Pneumoperitoneum

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Pneumoperitoneum

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Scissors Maneuver

J Clin Ultrasound 2004; 32:381-385

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()

Curtain sign

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65
?

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SBO - Keyboard sign

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Graded compression technique

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GI tract lesions on sonography


1.(>4mm)
2.
3.
4.
5.
6.(LN, fat, ascitesetc.)

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Psoas mucle

Appendix
appendix

muscle

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Landmark of Appendix

Iliac crest

Psoas muscle
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Acute appendicitis

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Acute appendicitis

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Acute appendicitis

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TVS

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Location of appendix

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Abscess formation

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Mimickers Mesenteric adenitis

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Mimickers Epiploic appendagitis

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Mimickers Omentum infarction

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Mimickers Rectus sheath hematoma

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Mimickers Diverticulitis

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Renal stones

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Hydronephrosis

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Veiled kidney sign

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Valentino's Syndrome

Hsiu-Po Wang, M.D., and Wei-Chih Su, M.D.


N Engl J Med 2006; 354:e9March 9, 2006

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Psoas muscle abscess

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Gynecologic ultrasound
Longitudinal view -
1. 2.

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Intrauterine Pregnancy

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Ovarian torsion

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Corpus luteum cyst rupture

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Tubo-ovarian abscess

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Retrocecal appendicitis

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Special thanks to~~

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~~

Practice makes
perfect !!!
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http://vimeo.com/hqmeded/videos
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Thanks for your attention !!

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