lung ultrasound all thing you want to know Dr Ahmed Esawy

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Pulmonary lung ultrasound in 5 minutes . all things Lung always ultrasound done in 5 minutes The bat sign The A-line The B-line & lung rockets (interstitial fluid) Lung sliding (visceral pleura +lung movement) Pleural effusion The quad sign The sinusoid sign Consolidation (pneumonia) The tissue-like sign The shred sign pneumothorax The stratosphere sign (barcode sign) The lung point B Lines sign B1 lines (septal rockets) interstitial pattern (edema) B2 lines (ground glass) Alveolar pattern (edema) Heart failure (pulmonary oedema) Monitoring and therapy titration Prognosis Dialysis ALI(alveolar interstitial)/ARDS Interstitial lung disease eclampsia COPD, Asthma, PE (embolism) CHF, ARDS, Pneumonia in Bad lung Comet-tail artifact lung pulse sign Pneumothorax Sky-ocean-beach Abolished lung sliding stratosphere sign on M-mode barcode sign Lung point sign A profile Pleural effusion QUAD SIGN Sinusoidal sign Fluid color sign Ultrasound pleural effusion volume interstitial syndrome (IS) ALI alveolar interstitial syndrome pulmonary edema cardiogenic pulmonary edema Non- cardiogenic pulmonary edema interstitial pneumonia or pneumonitis diffuse parenchymal interstitial lung disease (pulmonary fibrosis Interstitial pulmonary edema alveolar pulmonary edema alveolar consolidations Pneumonia atelectasis 1-Tissue pattern (hepatization) 2-Sub pleural echo poor region 3-Boundary or shred line (shred sign). 4-Reverberation echos in the margin 5-Air bronchograms (white) 6-Fluid bronchograms (black) 7-Dynamic air and fluid bronchogram (An air bronchogram 8-Lenticular air trappings 9-Hypoechoic abscess formation 10-Focal B-lines BLUE Protocol(1) (Bedside Lung Ultrassonography in Emergency FALLS (Fluid Administration Limited by Lung Sonography) C.A.U.S.E. (Cardiac Arrest Ultrasound Exam) protocol

lung ultrasound all thing you want to know Dr Ahmed Esawy

Breast mammogram ultrasound lipoma, oil cyst, galactocele intramammary lymph node in UOQ hamartoma Simple cyst (typical) calcification Surgical scar Breast implants, scirrhous carcinoma lobular carcinoma Skin calcifications vascular calcifications Sutural Dystrophic popcorn Large Rodlike rim Round/punctuate Fat necrosis Milk of calcium Fibrocystic FCC fibroadenomas Fat necrosis with oil cyst mastitis with Abscess Haematoma atypical ductal hyperplasia Intracystic papilloma ductal carcinoma in situ, invasive ductal carcinoma BIRAD

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Comparison between ct MRI in ischemic stroke .1-Definition 2-Pathology 3-Vascular territory 4-Staging 5-hemorrhagic transformation of the infarct Difference between simple hemorrhage and hemorrhagic neoplasm difference between Hemorrhagic infarct and primary intracerebral hemorrhage 6-Comparison between CT/MRI 7-CTA, MRA 8-Fogging 9-Pseudonormalization 10-Protocol 11-Differential diagnosis 12-home message

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Duplex peripheral veins cephalic vein basilic vein subclavian vein axillary vein brachial vein inferior vena cava external iliac vein common femoral vein superficial femoral vein profunda femoral vein popliteal vein anterior tibial vein posterior tibial vein peroneal vein medial and lateral circumflex vein gastrocnemius vein soleal vein great saphenous vein anterior accessory great saphenous posterior accessory great saphenous lateral subdermal venous plexus superficial external pudendal deep external pudendal superficial and deep epigastric superficial circumflex iliac thigh extension (te) of the ssv Giacomini vein perforating veins Boyd's perforators dodd's perforators Hunterian perforators recanalization hypoplastic lsv duplex us primary varicose tortuous dilated varicose veins varicosities of the vein of Giacomini recurrent varicose vein superficial phlebitis deep venous thrombosis acute deep venous thrombosis subacute deep venous thrombosis acute occlusive deep venous thrombosis partial thrombosis acute deep venous thrombosis leg calf veins thrombosis superficial venous system thrombosis thrombophlebitis compression ultrasound venous thrombosis segmental iliac vein thrombus venous stasis popliteal cysts haematoma superficial thrombophlebitis arteriovenous fistula lymphoedema hyperperfusion syndrome muscle tears

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Duplex Ultrasound Doppler waveform changes.peripheral arterial triplex ultrasound Aorta innominate subclavian vein axillary artery brachial artery radial/ulnar veins palmar arch Common iliac artery External iliac artery Common femoral artery Profunda femoris artery Superficial femoral artery Popliteal artery Tibio-peroneal trunk Posterior tibial artery Anterior tibial artery Peroneal artery Dorsalis pedis artery Angle Color Gain Doppler gain PRF BOX(size,direction) steering Sample volume Gate size,Site of sample Base line Velocity scale Depth Wall filter Settings appropriate for specific examinations assigned by set-up/application keys Focus triphasic waveform Systolic Acceleration time spectral window laminar flow Color Doppler peripheral arterial disease Causes of leg pain ARTERIAL OCCLUSIVE DISEASE CAUSES Classification of vasculitis Biphasic waveform flow monophasic waveform flow bidirectional flow Loss of third and then second phase of the wave¬form Increased acceleration time (rapid rise of systolic deflection) Widening of the ystolic complex (5-Spectral broadening) Damping of the waveform Spectral broadening fill in spectral windowe Loss of sharpness of spectrum(irregular) Turbulance aliasing Rounding of PSV tip Absent flow in occlusion rising of PSV reverse flow opposite systole rapid fall of systolic deflection rising of end diastolic velocity Active Hyperemia postoperative vasospasm limb ischemia peripheral arterial triplex ultrasound waveform change peripheral arterial triplex ultrasound arterial stenosis ,occlusion peripheral arterial triplex ultrasound vasculitis inflamed arteries (arteritis) macaroni sign Takayasu’s arteritis Giant cell arteritis Temporal artery Giant cell arteritis polyarteritis nodosa Kawasaki progressive systemic sclerosis Buerger disease Thromboangiitis obliterans (Buerger’s disease) Ormond's Disease peripheral arterial triplex ultrasound hand,foot Triplex Raynaud Phenomenon secondary raynaud's phenomenon BAKER CYST Blind ended channels bypass graft surveillance lerich arterial steal syndrome Complex Regional Pain Syndrome dialysis arteriovenous fistula Cystic Adventitial Disease

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Duplex carotid vertebral jagular extracranial vessel Ultrasound assessment of the extracranial cerebral circulation Intima media complex IMC Superior thyroid branch Dicrotic notch internal carotid artery External carotid artery Common Carotid artery Atherosclerotic disease (stenosis) Non-Atherosclerotic disease fibromuscular dysplasia dissection vasospasm aneurysm pseudoaneurysm AVF arteritis carotid body tumour idiopathic carotidynia carotid stenosis signs Plaque surface Smooth Irregular ulcerated Intraplaque haemorrhage.Surface ulcerations Intraluminal thrombus formation vertebral artery Subclavian steal syndrome stenosis occlusion Dissection Kinking Short neck decrease size or contour of the neck Internalization of flow externalization of flow Color “Bleed” Disturbed Flow ALIASING INTERNAL JUGULAR VEINS Assymetry with ectatic diltation Jugular vein thrombosis Abnormal waveform Internal Jugular Vein Impingement Cardiac disease manifestation

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All thing breast ultrasound breast mammography part 3 Breast mammogram ultrasound lipoma ,oil cyst ,galactocele intramammary lymph node in UOQ hamartoma Simple cyst (typical) calcification Surgical scar Breast implants, scirrhuc carcinoma lobular carcinoma Skin calcifications vascular calcifications Sutural Dystrophic popcorn Large Rod like rim Round/punctuate Fat necrosis Milk of calcium Fibrocystic FCC fibroadenosis Fat necrosis with oil cyst mastitis with Abscess Haematoma atypical ductal hyperplasia Intracystic papilloma ductal carcinoma in situ ,invasive ductal carcinoma BIRAD

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Endometrioma,Benign cystic teratoma – dermoid,Simple cyst or cystadenoma,Functional cyst haemorrhagic cyst,Malignant tumour with ascites,Most follicular cyst,hemorrhagic corpus luteal cyst,benign serous tumor,Endometrioma,cystic teratoma,Most serous cystadenocarcinoma endometrioid adenocarcinoma,clear cell carcinoma,serous borderline malignancies,cystadenofibroma Most mucinous cystadenoma Endometrioma theca lutein cyst mature cystic teratoma tubo-ovarian abscess polycystic ovarian syndrome ovarian hyperstimulation syndrome mucinous borderline malignancies Most mucinous cystadenocarcinoma mucinous borderline malignancies cystadenofibroma, struma ovarii granulosa cell tumor Most sex cord-stromal tumor such as fibroma fibrothecoma,granulosa cell tumor sclerosing stromal tumor surface epithelial tumor such as Brenner tumor serous papillary carcinoma Malignant germ cell tumor such as dysgerminoma endodermal sinus tumor Lymphoma metastatic tumor

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Ultrasound Normal liver Ultrasound Liver parenchymal patterns Ultrasound Liver fibrosis Ultrasound Liver cirrhosis Ultrasound liver cirrhotic nodules Ultrasound Viral hepatitis ultrasound scoring criteria for liver fibrosis /cirrhosis Ultrasound duplex Portal hypertension contrast enhanced CEU-LIRDS Liver elastography Fibroscan Ultrasound radiologic Mimics of Cirrhosis Ultrasound Congestive hepatopathy Ultrasound Primary biliary cirrhosis Ultrasound Primary Sclerosing cholangitis Ultrasound Wilson disease ultrasound Ultrasound autoimmune hepatitis (AIH) Ultrasound liver sarciodosis Ultrasound liver cystic fibrosis Ultrasound liver haemochromatosis Ultrasound Fulminant hepatic failure Ultrasound Gilbert’s syndrome ultrasound liver sarciodosis Ultrasound liver differential diagnosis . Ultrasound diffuse liver disease all things fibrosis,cirrhosis,us scoring,ce lrad,fibroscan,hepatitis,psc,aih,pbc

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plain x-ray abdomen gas normal air fluid level in-the-abdomen gasless abdomen small bowel obstruction large intestinal obstruction ileus gastric dilatation extraluminal abdomen gas (pneumonpperitoneum) extraluminal abdomen gas(retropneumonpperitoneum gas in specific organs (hepatobiliary ,genitourinary) gasless abdomen ‘step-ladder apperance stretch/slit sign string of pearls sign coiled spring sign small-bowel feces sign disproportionate dilatation of sb gallstone ileus intussusception caecal volvulus sigmoid volvulus colonic pseudo obstruction ogilvie syndrome acute colitis toxic megacolon ischemic colitis sentinel loops intestinal pseudo-obstruction syndromes gastric volvulus organoaxial gastric volvulus mesenterico-axial right upper quadrant gas crescent sign: air beneath the diaphragm peri hepatic sub hepatic morrison’s pouch fissure for ligament teres doges cap sign rigler’s (double wall sign) ( both the serosal and the related mucosal walls of the bowel are delineated it means free air is at that serosal surface ) ligament visualization falciform ligament sign: air delineating the falciform ligament umbilical inverted ‘v’ sign triangular air cupola sign football sign or air dome (a large air collection beneath that does not confirm to any bowel loop) continous diaphragm sign scrotal air in children decubitus abdomen sign double bubble sign lesser sac sign peritonitis postoperative pelvic and spinal fractures

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Convexity Meningioma Lymphoma Glioma Meningioma en plaque Metastases Intracrainal infections Ventriculitis Encephalitis Septic meningitis toxoplasmosis Cytomegalovirus ACUTE DEMELINATING ENCEPHALOMYELITIS Para sagittal subdural empyema Cerebritis brain Abscess Tuberculous meningitis Cysticercosis periventricular calcifications Intracranial hemorrhage Calverial bones epidural Subdural Subarachnoid Intra-cerebral Intra-ventricular Infarction Hemorrhagic infarction Lacunar infarction Sub cortical arteriosclerotic encephalopathy Hydrocephalus Aquiductal stenosis Brain stem glioma Pineal body germinoma Atresia of the outlet foramina Obstructive communicating hydrocephalus Basal meningitis thrombosis Holoprosencephaly Semi lobar Holoprosencephaly Dandy-Walker malformation Hydrancephaly Mega cisterna magna Agenesis of corpus callosum Corpus Callosum anomalies Agenesis of corpus callosum Intraventricular lesions Choriod plexus papilloma Intraventricular Meningioma Subependymal Giant Cell Astrocytoma Vascular malformation Bilateral internal carotid aneurysms Arteriovenous malformation Cavernous hemangiomas Venous angioma Sturge webber syndrome Ependymoma Medulloblastoma Primitive Neuroepithelial tumors [PNET] Medulloblastoma Acoustic neuroma Epidermiod cyst Cerebellar Hemorrhage Cerebellar Infarction Pontine infarction Pilocytic Astrocytoma Hemangioblastoma Multiple sclerosis Brain stem hematoma Brain stem glioma Osmotic demyelination syndrome Central pontine myelinolysis Colloid cyst Intra-ventricular dermoid cyst Anaplastic astrocytoma Falcine meningioma with cystic component Tuberous sclerosis with Subependymal Giant Cell Astrocytoma ARACHNOID CYSTcorpus callosum lipoma corpus callosum marchiafava CORPUS CALLOSUM MS CNS Herniations descending trasnstentorial herniation cholesterol granuloma endolymphatic sac tumor glomus tympanicum malignent otitis externa, osteomyelitis base skull chordoma germinoma neuroenteric cyst schizencephaly septic cavernous sinus thrombosis superficial siderosis epidermoid pineal diffusion LEFORT fracture tripod fracture adrenoleukodystrophy leigh disease AIDS PML progressive multifocal leukoencephalopathy karappe disease , dysmyelinition , thalamic involvement leukodystrophy alexander metachromatic leuckodystrophy melas meerf ..zellweger subacute sclerosing pan encephalitis jugular schwannoma Neuroblastoma metastasis TRIGEMINAL SCHWANNOMA Neurofibroma Tuberous Sclerosis Von Hippel-Lindau Disease cerberallar haemangioblastoma basal ganglia calcifications karappe disease LYSOSOMAL STORAGE DISEASES metachromatic leukodystrophy krabbe mucopolysaccharidosis PEROXISOMAL DISORDERS adrenoleukodystrophy zellweger syndrome MITOCHONDRIAL DYSFUNCTION MELAS syndrome Leigh's disease Kearn-sayre syndrome CANAVAN DISEASE UNKNOWN CAUSES Pelizaeus-

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