今天上課的主題是Ultrasound for Colonic Diseases,

超音波在診斷結腸的疾病時,要考量評估的有

Length of the affected segment
Degree of wall thickening
Symmetry
Wall echotexture and stratification
Compressibility
Vascularisation
Associated findings

(如: fat alteration; ascites; abscesses; fistulas; lymph node enlargement; peritoneal thickening)

Colon disease其實在胃腸道的掃描而言算是比較簡單的,

像今天Hand-on practice時,每一位醫師(包括intern)都能很快的找到A & D colon,

對於新手而言,找得到,認得出,才會有機會開始認識不同疾病的形態。

附上一段在急診常見的結腸疾病,有興趣的人可以猜猜看是什麼診斷!

本次上課講義: US for colon diseases

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