Point of Care Ultrasonography

When we place this on the patient we're using a Coronal image here. Again the indicator is towards the head, this is similar to the FAST examination except that we slide the probe up a little bit higher to look at the area above the diaphragm.

This shows a normal view of the right Thorax. You can see the diaphragm, and above the diaphragm is what's called a mirror image artifact. It actually looks like Liver. This is normal. It's a trick of physic. It actually shows as if there is no evidence of a Pleural effusion in this case.

This clip shows the Liver and the Diaphragm again, but above that is a large, moderate to large anechoic space which represents a Pleural effusion and you can see consolidated lung within the Pleural effusion.

This shows a smaller Pleural effusion. In the Costophrenic angle there is small amount of anechoic space right there just superior to the Liver and the Diaphragm.

This clip shows a loculated or septated Pleural effusion. Sonography is generally better than CT at figuring out whether there are spetations and this would indicate a Pleural effusion that might be difficult to aspirate.

On perform Point of Care Ultrasound at the Abdominal Aorta with the focus on finding Abdominal Aortic Aneurysm, also take a look at the anatomy IVC and some other findings.

Like all Point of Care Ultrasonography we begin by selecting an appropriate probe. We should be using generally the curvilinear wide footprint with the frequency of about 2 - 5 megahertz. We want to identify the indicator, place a small amount of gel on the side of the indicator and verify that it's oriented correctly so that the indicator is towards the left side of the screen as it is viewed. We generally keep this to the right side of the patient or the patient's head when we're doing out scanning.

Begin by placing the probe between the Umbilicus in a Xiphoid process in a transverse orientation with the indicator to the patient's right. We can tilt the probe inferiorly and superiorly as well sliding it, a little bit of general pressure to get the Bal out of the way. It's usually very helpful.