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Ultrasound of the Adrenal Glands: Patient Preparation and Techniques

Learn about patient preparation, transition adjustments, image views, and scanning techniques for imaging the adrenal glands using ultrasound. This presentation provides essential information for small animal practitioners.

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Ultrasound of the Adrenal Glands: Patient Preparation and Techniques

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  1. Ultrasound of the Adrenal Glands Wendy Blount, DVM Click on the blue arrow at bottom left or hit the “return” key to advance the show (mouse over to reveal) Free PowerPoint Templates

  2. Patient Preparation • Fast for 12 hours • Urine filled bladder provides acoustic window • Place in dorsal recumbency • Lateral recumbency for: • Compromised or deep chested patients • Standing/sternal may be necessary for patients with large abdominal masses Free PowerPoint Templates

  3. Transition Adjustments • Depth – usually no changes from abdominal presets • Frequency – varies 5-7.5 MHz • May need higher frequency for smaller pets • For the best detail, the highest frequency that will penetrate to the adrenals should be used • Gain and Contrast – may need to increase gain when moving from bladder to prostate • TGC – adjust as needed Free PowerPoint Templates

  4. Landmarks for Repro Ultrasound • Prostate - caudal to the bladder, surrounding proximal urethra • Cryptorchid Testicles • Abdominal - as far cranially as the caudal kidney pole, as far caudally as the internal inguinal ring • or in the inguinal canal Free PowerPoint Templates

  5. Image Views Prostate (2) Long Axis (sagittal) Short Axis (transverse) Trans-rectal? Testicles (2 each) Long Axis (sagittal) Short Axis (transverse) Free PowerPoint Templates

  6. Image Views Uterine Body (2) - at urinary bladder Long Axis (sagittal) Short Axis (transverse) Ovaries (1-2 each) Long Axis (sagittal) Short Axis (transverse) if enlarged Prostate (2) Long Axis (sagittal) Short Axis (transverse) Testicles (2 each) Long Axis (sagittal) Short Axis (transverse) Free PowerPoint Templates

  7. Scanning the Prostate Sagittal

  8. Scanning the Prostate Sagittal

  9. Scanning the Prostate Sagittal

  10. Scanning the Prostate Sagittal

  11. Scanning the Prostate Sagittal

  12. Scanning the Prostate Sagittal

  13. Scanning the Prostate Sagittal

  14. Scanning the Prostate Sagittal

  15. Scanning the Prostate Sagittal

  16. Scanning the Prostate normal prostate Sagittal

  17. Scanning the Prostate Transverse

  18. Scanning the Prostate Transverse

  19. Scanning the Prostate Transverse

  20. Scanning the Prostate Transverse “Butterfly”

  21. Testicles Scanning the Testicle From Lateral

  22. Scanning the Testicle Cryptorchid Transverse Scanning Right

  23. Scanning the Testicle Cryptorchid Transverse Scanning Right

  24. Scanning the Testicle Cryptorchid Transverse Scanning Right

  25. Scanning the Testicle Cryptorchid Transverse Scanning Right

  26. Scanning the Testicle Cryptorchid Transverse Scanning Right

  27. Scanning the Testicle Cryptorchid Transverse Scanning Right

  28. Scanning the Testicle Cryptorchid Transverse Scanning Right

  29. Scanning the Testicle Cryptorchid Transverse Scanning Right

  30. Scanning the Testicle Cryptorchid Transverse Scanning Right

  31. Scanning the Testicle Cryptorchid Transverse Scanning Right

  32. Scanning the Testicle Cryptorchid Transverse Scanning Right

  33. Scanning the Testicle Cryptorchid Transverse Scanning Right

  34. Scanning the Testicle Cryptorchid Inguinal testicle Sagittal Scanning Right

  35. Scanning the Testicle Cryptorchid Transverse Scanning Right

  36. Scanning the Testicle Cryptorchid Transverse Scanning Left

  37. Scanning the Testicle Cryptorchid Transverse Scanning Left

  38. Scanning the Testicle Cryptorchid Transverse Scanning Left

  39. Scanning the Testicle Cryptorchid Transverse Scanning Left

  40. Scanning the Testicle Cryptorchid Transverse Scanning Left

  41. Scanning the Testicle Cryptorchid Transverse Scanning Left

  42. Scanning the Testicle Cryptorchid Transverse Scanning Left

  43. Scanning the Testicle Cryptorchid Transverse Scanning Left

  44. Scanning the Testicle Cryptorchid Transverse Scanning Left

  45. Scanning the Testicle Cryptorchid Abdominal testicle Sagittal Scanning Left

  46. Scanning the Testicle Cryptorchid Transverse Scanning Left

  47. Scanning the Testicle Cryptorchid Transverse Scanning Left

  48. Acknowledgments Robert Fulton Chapter 8: Focused or COAST3 – ReproductiveFocused Ultrasound Techniques for the Small Animal PractitionerEditor Greg Lisciandro John P. Graham, MVB, MSc, DVR, MRCVS Diplomate, ECVDI, Diplomate, ACVRDiagnostic Imaging in Dogs and CatsNestle Purina – Clinical Handbook Series Kathy Spaulding, DVM, DACVR Sonographic Evaluation of the Female Reproductive TractAtlantic Coast Veterinary Conference, 2013

  49. Acknowledgments John Mattoon, Danelle Auld, Thomas Nyland Chapter 4: Abdominal Ultrasound Scanning TechniquesSmall Animal Diagnostic UltrasoundEditors Nyland and Mattoon – 3rd Edition 2014 Thomas Nyland, John Mattoon, Eric Herrgesell, Erik Wisner Chapter 12: Ovaries and UterusSmall Animal Diagnostic UltrasoundEditors Nyland and Mattoon – 3rd Edition 2014 Joann Randall, DVM, DACVT Gestational AgingVeterinary Information Network – Associate

  50. Acknowledgments John Mattoon, Thomas Nyland Chapter 13: Prostate and TestesSmall Animal Diagnostic UltrasoundEditors Nyland and Mattoon – 3rd Edition 2014

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