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  • Cheklist Right Cardiac Insufficiency:: Medical

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    This document contains checklists for evaluating various cardiac, vascular, and liver conditions using ultrasound imaging. The checklists include criteria for right cardiac insufficiency, aortic aneurysm, portal hypertension, establishing if a cyst is present, and determining if hepatic cirrhosis is present. The criteria include measurements of vessel and organ sizes, shapes, textures, and features like collaterals or ascites fluid that are indicative of each condition. The document provides concise criteria to systematically evaluate ultrasound scans for several important medical diagnoses.

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    This document contains checklists for evaluating various cardiac, vascular, and liver conditions using ultrasound imaging. The checklists include criteria for right cardiac insufficiency, aortic aneurysm, portal hypertension, establishing if a cyst is present, and determining if hepatic cirrhosis is present. The criteria include measurements of vessel and organ sizes, shapes, textures, and features like collaterals or ascites fluid that are indicative of each condition. The document provides concise criteria to systematically evaluate ultrasound scans for several important medical diagnoses.

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    © All Rights Reserved
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    15 views1 page

    Cheklist Right Cardiac Insufficiency:: Medical

    Uploaded by

    hhhjjjaaahhh
    This document contains checklists for evaluating various cardiac, vascular, and liver conditions using ultrasound imaging. The checklists include criteria for right cardiac insufficiency, aortic aneurysm, portal hypertension, establishing if a cyst is present, and determining if hepatic cirrhosis is present. The criteria include measurements of vessel and organ sizes, shapes, textures, and features like collaterals or ascites fluid that are indicative of each condition. The document provides concise criteria to systematically evaluate ultrasound scans for several important medical diagnoses.

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    © All Rights Reserved
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    Cheklist Right Cardiac Insufficiency:

    *Dilation of the inferior vena cava to > 2.0 cm(2.5 cm in trained athletes)
    *Dilated hepatic vein > 6 mm in the hepatic periphery
    *Absent caval collapse with forced inspiration
    *Possible pleural effusion , initially almost always on the right
    Checklist Aortic Aneurysm:
    Normal lumen:
    Ectasia :
    Aneurysm:
    Risk of rupture increased by:

    suprarenal<2.5 cm
    2.5-3.0 cm
    > 3 cm
    progressing dilation
    diameter > 6 cm
    excentric lumen
    saccular dilation (instead of fusiform dilation)

    Checklist Portal Hypertension


    *Demonstration of portocaval collaterals at the porta hepatis
    *Diameter of the portal vein at the porta hepatis > 15 mm
    *Dilatation of the splenic vein > 1.2 cm
    *Splenomegaly
    *Demonstration of ascites
    *Recanalized umbilical vein ( Cruveilhier-Baumgarten syndrome )
    *Esophageal varices (by endoscopy)
    Checklist of Criteria for Establishing a Cyst:
    * Spherical configuration
    * Echo-free interior
    * Smooth outline
    * Distal acoustic enhancement
    * Sharply defined Distal wall
    * Edge shadowing due to critical angle Phenomenon
    Checklist of Criteria for Establishing Hepatic Cirrhosis :
    * Absence of thin, hyperechoic capsular line
    * Paucity of peripheral hepatic vessels
    * Obtuse angulation of the hepatic veins > 45
    * Accentuated echogenic wall of the portal vein
    * Abrupt caliber changes of the branches of the portal vein
    * Regenerating nodules with displacement of the adjacent vessels
    * Nodular liver contour (advanced stage only)
    * Contracted liver (advanced stage only)
    * Signs of portal hypertension
    Refrence: Ultra sound Teaching Manua 2005, Author : Matthias Hofer , Published by Thieme
    Medical

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