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diagnosis
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differential diagnosis
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sonographic features
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associated syndromes
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so many amazing facts about the liver
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description
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sonographic features
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differential diagnosis
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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:
- patient with their hand resting on their lap. palm upwards (external rotation) is best.
- palpate the anterior humeral head (bicipital groove if you can) and place the probe transversely.
- 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:
- is it in the bicipital groove? (enlocated)
- is it intact?
- assess it from the superior humeral head (at the rotator cuff interval) to the musculo-tendinous junction inferiorly.
- is there fluid or synovial thickening of the sheath.
normal appearance:
- transverse: echogenic and ovoid (proximally, it is usually against the medial edge of the bicipital groove)
- longitudinal: echogenic and fibrillar.
- 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