Читать книгу Mount Sinai Expert Guides - Группа авторов - Страница 90

 Morison’s pouch with hemothorax view. Position probe with indicator pointing toward patient’s head at the right mid‐axillary line near the lower intercostal spaces. Identify the liver and kidney. Slide probe cephalad to look for pleural fluid and caudal to look for intraperitoneal free fluid (Figure 4.10).

 Splenorenal recess with hemothorax view. Position probe with indicator pointing toward patient’s head at the left posterior–axillary line near the lower intercostal spaces. Identify the spleen and kidney. Slide probe cephalad and caudal similar to Morison’s pouch view.

 Bladder view. Position probe just above pubic bone and angle caudally. Point indicator toward patient’s right side to obtain transverse view and toward head to obtain sagittal view. Rock the probe to scan entire bladder and look for free fluid (Figure 4.11).

 Renal view. Locate right and left kidneys using same landmarks as Morison’s pouch and splenorenal recess views, respectively. Rock the probe to scan entire kidney.

 Abdominal aorta view. Position probe high in the epigastrium with indicator pointing toward patient’s right to obtain transverse view. Identify the aorta on patient’s left and IVC on patient’s right side. Scan aorta starting in the epigastrium and towards the umbilicus until the iliacs come into view. Obtain at least three transverse views and measure aortic diameter using calipers. Point probe toward patient’s head to obtain sagittal view from celiac to illiacs.