Daniel Ben-Mordechay’s Post

Accessory spleen represent the most common anatomic abnormality. An accessory spleen occurs when splenic tissue is in a separate body region, which occurs in up to 15% of the population. An accessory spleen is splenic tissue located separately from the anatomical location of the spleen. Most patients are asymptomatic, with accessory tissue found incidentally or described on autopsy studies.The most common location for a splenule is near the splenic hilum. #Ultrasound #POCUS #Splenic_hilum #Accessory_spleen #Spleen

A new POCUS course for Family Physicians at Simultech - Medical Simulation Center. The course combines lectures, ultrasound practice on subjects, a simulation manikin and a personal simulator for individual training. Good luck to all participants. #Ultrasound #POCUS #Simulators #Training #Innovation #Ultrasound_practice SimHawk

Inferior vena cava(IVC) measurement by ultrasound can estimate volume status, fluid responsiveness, and fluid tolerance. IVC change can estimate fluid responsiveness with sensitivity of 0.78 and specificity of 0.86. Since the size and shape of the IVC is correlated to the central venous pressure and cir-culating blood volume, sonographic evaluation of the IVC is an instantaneous non-invasive measure of volume status. Changes in volume status will be reflected in sonographic evaluation of the IVC, where increased or decreased collapsibility of the vessel will help guide clinical management of the patient. * IVC demonstration sub-xyphoid transabdominal long axis in B-mode. #Ultrasound #POCUS #IVC #Volume_status #Inferior_vena_cava

“Double Barrel Shotgun sign" of a dilated common bile duct secondary to choledocholithiasis. In this video the CBD is markedly dilated (1.2cm), roughly the same size as the portal vein, giving the appearance of a double barrel shotgun. Using the doppler flow help determine which structure is the common bile duct and which is the portal vein, as the vein will have doppler flow and the CBD will not. #Ultrasound #POCUS #Portal_vein #CBD #Shotgun_sign #Liver

A-lines are echogenic, gradually fading horizontal lines arranged at equal intervals below the pleural line, and represent the repetition artefact of the parietal pleura. Their presence indicates that air is present below the pleura, which reflects the ultrasound waves back to the probe, causing the movement of waves to and fro between the transducer and the air beneath the pleura, resulting in this artefact. A-lines are seen both in the normal lung and in pneumothorax. B-lines(Comet-tail artifacts) are due to discreet vertical reverberation artefacts that originate from the pleural line, extend to the depth of the image without decreasing in intensity, and move synchronously with lung sliding. When multiple B-lines is visualized in the lung, they represent a sign of increased density due to the loss of aeration in the lung periphery. This condition may indicate different diseases including cardiogenic pulmonary edema, diffuse or focal interstitial lung diseases, infections and acute respiratory distress syndrome. #Ultrasound #POCUS #Lung_ultrasound #A_line #B_line

Morison’s pouch is an area between the liver and the right kidney. It’s also called the hepatorenal recess or right subhepatic space. This space becomes significant in conditions in which fluid collects within the abdomen (most commonly, ascites and hemoperitoneum). As little as 30 or 40 mL of fluid in the abdominal cavity may be visualized in this space. *Right upper quadrant Morison's pouch view demonstrates free fluid between the liver and the right kidney. #Ultrasound #POCUS #Morisons_pouch #free_fluid #FAST

Ultrasound training workshop! Learn how to identify normal anatomy, common variants, detect and diagnose benign and malignant pathologies. The School of Continuing Studies in Family Medicine, Haifa, Gordon College, Technion Faculty of Medicine. Technion - Israel Institute of Technology Merav Sudarsky #medicine #Ultrasound #POCUS #Family_Physicians Merav sudarsky

Pericardial effusion is a fluid collection in the pericardial sac which can result in life-threatening cardiac tamponad. Often patients with symptomatic Pericardial effusion or tamponade present with non-specific symptoms and signs such as dyspnea, peripheral edema, tachycardia, and elevated jugular venous pressure. Echocardiography remains as the gold standard imaging modality to verify the presence of a Pericardial effusion by demonstrating fluid collection in the pericardial space. #Ultrasound #POCUS #Pericardial_effusion #Echocardiography #FAST

Cat scratch disease is a disease transmitted from a scratch or bite of an infected cat (rarely dog), as well as from cat flea or contact with cat saliva through broken skin or mucosal surfaces. It usually affects children and young adults, and 87% of cases occur in those younger than 18 years of age. US may show enlarged, sometimes hyperaemic lymph nodes with or without central necrosis, and approximately 10% will suppurate and require drainage. *An enlarged superficial lymph node with thickened cortex is visible corresponding to the palpable mass. The lymph node shows marked hypervascularity. #Ultrasound #POCUS #Cat_scratch #Lymph_nodes

Normal appendix vs Appendicitis (A) A normal appendix in transverse and longitudinal views. The diameter is less than six mm. (B) Dilated appendix with a diameter of 1 cm. The diameter is more than six mm, thus consistent with an acute appendicitis diagnosis. #Ultrasound #POCUS #Acute_appendicitis #Appendix #Diagnosis