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By Daniel A. Lichtenstein, M.R. Pinsky, F. Jardin

Yale Univ. New Haven, CT. includes info from the molecular, genomic, neuropsychological, and neurobehavioral components generating studying disabilities and psychological retardation. beneficial properties discussions of autosomal problems, remedies of syndromal and nonsyndromal issues, and extra. Expanded-outline. Hardcover, book no longer to be had.

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Additional info for General Ultrasound in the Critically Ill

Example text

Bowel analysis, it is true, is conditioned by the presence of gas, and is somewhat hazardous (Fig. 1). Nevertheless, it is extremely rare that one cannot see at least a small part of the 8 m of the abdominal bowel. Nearly every part of the GI tract can be disturbed by acute disorders. Normal Ultrasound Anatomy Bowel wall thickness, practically unchanged from the stomach to the colon, ranges from 2 to 4 mm [1]. Some authors describe several layers [2]. Abdominal Esophagus The esophagus penetrates the abdominal cavity just anterior to the aorta.

Abdominal Esophagus The esophagus penetrates the abdominal cavity just anterior to the aorta. The frank acoustic shadow of a gastric tube serves as a practical landmark (Fig. 2). Stomach The vertical portion, or fundus, passes between the liver and spleen (Fig. 3). It is often hard to visualize by the anterior approach and we study it by a lateral, trans-splenic approach. It can be observed in the concavity of the spleen. The horizontal portion, or antrum, should be investigated by the epigastric approach, with a rounded pattern when empty, or enlarged when the antrum is filled with liquid (Fig.

14, p 38). In longitudinal scans, the liver is visible, from right to left, anterior to the right kidney (see Fig. 8), the gallbladder (see Fig. 7), the inferior vena cava (Fig. 2) and the aorta (Fig. 1). Kidneys Fig. 6. Transverse scan of the pancreas. From rear to front are identified the rachis (R), then the aorta (A) and inferior vena cava (V), then the left renal vein, then the superior mesenteric artery (a). Just anterior to it, the splenic vein (v) has a comma shape. The splenic vein constitutes the posterior border of the pancreas, which is now located.

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