Pneumoperitoneum CR

2

CurvedLow frequency (2.53.5 MHZ Probe)

High frequency (7~12 MHz) soft tissue

3

Acoustic shadow

4

Comet tail artifact

5

6

Acute Abdomen

7

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 colitis8

9

Pneumoperitoneum KUB? Chest X-ray (standing) Abdomen (Left decubitus) Non-contrast abdominal CT

10

Chest X-ray (standing)

11

12

13

14

15

16

17

18

Doges Cap Sign

19

Urachus sign

20

Inverted V sign

21

Telltale triangle sign

22

Pneumoperitoneum

23

Pneumoperitoneum

24

25

26

Scissors Maneuver

J Clin Ultrasound 2004; 32:381-385

27

28

() Curtain sign

29

65 ?

?

30

31

32

33

34

SBO - Keyboard sign

35

36

Graded compression technique

37

GI tract lesions on sonography1.(>4mm) 2. 3. 4. 5. 6.(LN, fat, ascitesetc.)

38

39

40

41

42

Psoas mucle

Appendixappendix

muscle 43

Landmark of Appendix

Iliac crest

Psoas muscle44

45

46

Acute appendicitis

47

48

Acute appendicitis

49

Acute appendicitis

50

51

TVS

52

Location of appendix

53

54

55

Abscess formation

56

Mimickers Mesenteric adenitis

57

Mimickers Epiploic appendagitis

58

59

Mimickers Omentum infarction

60

61

Mimickers Rectus sheath hematoma

62

Mimickers Diverticulitis

63

64

Renal stones

65

Hydronephrosis

66

Veiled kidney sign

67

Valentino's Syndrome

Hsiu-Po Wang, M.D., and Wei-Chih Su, M.D. N Engl J Med 2006; 354:e9March 9, 200668

Psoas muscle abscess

69

Gynecologic ultrasound Longitudinal view - 1. 2.

70

Intrauterine Pregnancy

71

72

Ovarian torsion

73

Corpus luteum cyst rupture

74

Tubo-ovarian abscess

75

Retrocecal appendicitis

76

77

Special thanks to~~

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~~

Practice makes perfect !!!79

http://vimeo.com/hqmeded/videos80

Thanks for your attention !!

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