{"id":317,"date":"2018-07-01t12:14:34","date_gmt":"2018-07-01t02:14:34","guid":{"rendered":"\/\/www.iolishoes.com\/?page_id=317"},"modified":"2021-07-04t16:15:34","modified_gmt":"2021-07-04t06:15:34","slug":"lumps-bumps-normal","status":"publish","type":"page","link":"\/\/www.iolishoes.com\/lumps-bumps-normal\/","title":{"rendered":"lumps &#8211; bumps normal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"317\" class=\"elementor elementor-317\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-459cc4b0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"459cc4b0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-790f0ce4\" data-id=\"790f0ce4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5e365e2e elementor-widget elementor-widget-menu-anchor\" data-id=\"5e365e2e\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"protocol\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-87323c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"87323c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3d4f8453\" data-id=\"3d4f8453\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-52790d8c elementor-widget elementor-widget-spacer\" data-id=\"52790d8c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d3cbace elementor-widget elementor-widget-text-editor\" data-id=\"1d3cbace\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h1 style=\"text-align: center;\">scan protocol<\/h1>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-46f5d1e2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"46f5d1e2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5ebfdf68\" data-id=\"5ebfdf68\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5c297329 elementor-widget elementor-widget-text-editor\" data-id=\"5c297329\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"role_of_ultrasound\"><\/span>role of ultrasound<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li><em>location<\/em>\u00a0&#8211; label surrounding anatomy, use a body marker on the film.<\/li><li><em>compare<\/em>\u00a0to the other side<\/li><li><em>measure <\/em>in 3 planes:<ol><li style=\"list-style-type: none;\"><ol><li>ap<\/li><li>long<\/li><li>trans<\/li><\/ol><\/li><\/ol><\/li><li><em><strong>volume<\/strong><\/em> if fluid<\/li><li><em>echogenicity<\/em>\u00a0&#8211; hypo,hyper,isoechoic,anechoic, calcified compared to the surrounding tissue<\/li><li><em>texture<\/em>: homo.heterogeneous, simple or complex<\/li><li><em>surrounding tissue<\/em>\u00a0: check the lump for spread into the muscle has it broken the fascia,the skin or invasion anywhere else<\/li><li><em><strong>mass effect:<\/strong><\/em> is it compressing any vessels or ducts<\/li><li><em><strong>posterior:<\/strong><\/em> shadowing ,enhancement or no change<\/li><li><em>vascularity:\u00a0<\/em>non-detected, present &#8211; increased or decreased.<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3a8030e3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3a8030e3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3bb0b482\" data-id=\"3bb0b482\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-40c01003 elementor-widget elementor-widget-text-editor\" data-id=\"40c01003\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"limitations\"><\/span>limitations<span class=\"ez-toc-section-end\"><\/span><\/h3><p>if there has been any intervention, sutures or gas in the overlying tissue will obscure detail.<strong>\u00a0<br \/><\/strong><\/p><p>if the patient is obese it will limit visibility.<\/p><p>if the patient is unable to show the sonographer the correct\u00a0 region of interest.<\/p><p>if the patient is disabled and cannot move into a position that gives easy access to the area.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1957c1f0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1957c1f0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-23891e60\" data-id=\"23891e60\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dd9d6a7 elementor-widget elementor-widget-text-editor\" data-id=\"dd9d6a7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"patient_preparation\"><\/span>patient preparation<span class=\"ez-toc-section-end\"><\/span><\/h3><p>depending on the position of the lump on the patient, make sure the patient and the sonographer are comfortable. usually if the patient is\u00a0 lying down the patient will stay still.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-378be4b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"378be4b6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1f030e87\" data-id=\"1f030e87\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-41463c21 elementor-widget elementor-widget-text-editor\" data-id=\"41463c21\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"equipment_setup\"><\/span>equipment setup<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li>use of a high resolution probe (7-15mhz) is essential when assessing superficial structures.<\/li><li>careful scanning technique to avoid anisotropy (and possible misdiagnosis).<\/li><li>use panoramic to get both edges in the same image<\/li><li>look with and without harmonics and compound imaging<\/li><li>may need to use a curved linear array robe if it travels deep or it is a high attenuating lesion with calcification etc<\/li><li>beam steering or compounding can help to overcome anisotropy in linear structures such as tendons.<\/li><li>good colour \/ power \/ doppler capabilities when assessing vessels or vascularity of a structure.<\/li><li>be prepared to change frequency output of probe (or probes) to adequately assess both superficial and deeper structures.<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-51bf2dc1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"51bf2dc1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-58a1b5ea\" data-id=\"58a1b5ea\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7b329c56 elementor-widget elementor-widget-text-editor\" data-id=\"7b329c56\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"common_pathology\"><\/span>common pathology<span class=\"ez-toc-section-end\"><\/span><\/h3><div id=\"customlg298002mid\">normal anatomy and assymetry may be misintepretedas a lump\/swelling.<\/div><ol><li><div id=\"customlg298002mid\">lipoma<\/div><\/li><li><div id=\"customlg298002mid\">sebaceous cyst<\/div><\/li><li><div id=\"customlg298002mid\">haematoma<\/div><\/li><li><div id=\"customlg298002mid\">granuloma<\/div><\/li><li><div id=\"customlg298002mid\">neuroma<\/div><\/li><li><div id=\"customlg298002mid\">lymph node<\/div><\/li><li><div id=\"customlg298002mid\">branchial cleft cyst<\/div><\/li><li><div id=\"customlg298002mid\">mandibular abscess<\/div><\/li><li><div id=\"customlg298002mid\">muscle herniation<\/div><\/li><li><div id=\"customlg298002mid\">abdominal wall fibromatosis<\/div><\/li><li>cyst<\/li><li>cellulitis<\/li><li>foreign body<\/li><li>fat necrosis<\/li><li>sarcoma<\/li><li><a href=\"\/\/www.iolishoes.com\/hernia-normal-2\/\">hernia<\/a><\/li><li>superficial thrombophlebitis<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-517e2eb3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"517e2eb3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-19709328\" data-id=\"19709328\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1528ae00 elementor-widget elementor-widget-text-editor\" data-id=\"1528ae00\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h1 style=\"text-align: center;\">scanning technique<\/h1>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d2ee336 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d2ee336\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5a30a32b\" data-id=\"5a30a32b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-460696da elementor-widget elementor-widget-text-editor\" data-id=\"460696da\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li>this will vary depending on the position of the lump.<\/li><li>the main thing is to have plenty of gel !!<\/li><li>try to get the patient to sit or stand in a position that it can be easily felt.<\/li><li>make sure the patient and the sonographer are comfortable.<\/li><\/ul><p>usually the patient knows where the lump is and can tell the sonographer how it is best felt. if the patient does not know where the lump is because they did not feel it only their doctor did, then a phone call to the practitioner may need to be made if no lump can be located.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-71a2d4c6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"71a2d4c6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2e3800c9\" data-id=\"2e3800c9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f99e409 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"f99e409\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3e24181f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3e24181f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7132d1b8\" data-id=\"7132d1b8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2832d94 elementor-widget elementor-widget-text-editor\" data-id=\"2832d94\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"basic_hardcopy_imaging\"><\/span>basic hardcopy imaging<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li>the lump must be shown in 2 planes at 90 degrees to each other.<\/li><li>it must have a colour doppler box put over the entire region to assess for flow. also a spectral waveform is helpful to check for arterial or venous flow.<\/li><li>an image close to an known organ or tissue plane, labelled with a body marker. sometimes a measurement from a landmark is useful. eg from the umbilicus or sternal notch etc is helpful .<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>scan protocol role of ultrasound location\u00a0&#8211; label surrounding anatomy, use a body marker on the film. compare\u00a0to the other side measure in 3 planes: ap long trans volume if fluid echogenicity\u00a0&#8211; hypo,hyper,isoechoic,anechoic, calcified compared to the surrounding tissue texture: homo.heterogeneous, simple or complex surrounding tissue\u00a0: check the lump for spread into the muscle has it [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"tags":[],"class_list":["post-317","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages\/317","targethints":{"allow":["get"]}}],"collection":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/comments?post=317"}],"version-history":[{"count":0,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages\/317\/revisions"}],"wp:attachment":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/media?parent=317"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/tags?post=317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}