not a member yet?

for access to 100s of pathology cases and extended members only content.

click edit button to change this text. lorem ipsum dolor sit amet, consectetur adipiscing elit. 

lorem ipsum dolor sit amet, consectetur adipiscing elit. ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

click edit button to change this text. 

edit in the pane on the left. not here.

click edit button to change this text. 

edit in the pane on the left. not here.

click edit button to change this text. lorem ipsum dolor sit amet, consectetur adipiscing elit. ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

lorem ipsum dolor sit amet, consectetur adipiscing elit. ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

click edit button to change this text. lorem ipsum dolor sit amet, consectetur adipiscing elit. ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

lorem ipsum dolor sit amet, consectetur adipiscing elit. ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

description

click edit button to change this text.  test

diagnosis

click edit button to change this text. 

differential diagnosis

click edit button to change this text. 

sonographic features

click edit button to change this text. 

associated syndromes

click edit button to change this text. 

lorem ipsum dolor sit amet, consectetur adipiscing elit. ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo

lorem ipsum dolor sit amet, consectetur adipiscing elit. ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

so many amazing facts about the liver

add your heading text here

image 1 caption image 2 caption
image 1 caption image 2 caption

caption

 

caption

 

description

click edit button to change this text. 

sonographic features

click edit button to change this text. 

differential diagnosis

click edit button to change this text. 

400 anomalies

  • categorised by system
  • sonographic features
  • clinical details
  • associated syndromes

英格兰vs美国亚盘

  • let us do the deep thinking for you.
  • input your scan findings…….the system will suggest likely differential diagnoses.

the technique below demonstrates how to identify normal anatomy. remember to assess all 2022年世界杯预选赛规则图解 anatomy dynamically and thoroughly.

we scan our shoulders with the patient erect, seated on a high swivel chair for ease and ergonomics.

long head biceps (lhb)

to identify the biceps tendon:

  1. patient with their hand resting on their lap. palm upwards (external rotation) is best.
  2. palpate the anterior humeral head (bicipital groove if you can) and place the probe transversely.
  3. slide the probe superiorly and inferiorly to assess the entire tendon from the musculo-tendinous junction.

tip: when you slide down, look for the pectoralis major tendon crossing over the biceps. this is the  level of the bicipital musculotendinous junction. you must extend beyond this point to check for retraction  if a tear is suspected.

once you identify the biceps tendon:

  1. is it in the bicipital groove? (enlocated)
  2. is it intact?
  3. assess it from the superior humeral head (at the rotator cuff interval) to the musculo-tendinous junction inferiorly.
  4. is there fluid or synovial thickening of the sheath.

normal appearance:

  1. transverse: echogenic and ovoid (proximally, it is usually against the medial edge of the bicipital groove)
  2. longitudinal: echogenic and fibrillar.
  3. sheath: a trace of simple fluid is physiologically normal.

transverse biceps tendon scan plane.

tip: you will need a cranial angle on the probe to avoid anisotorphy.

transverse ultrasound long head biceps

longitudinal biceps tendon scan plane

biceps tendon ls normal ultrasound