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Ultrasound Assessment of the Retroperitoneum, Peritoneal Cavity and Abdominal Wall

Sonography > Abdominal
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Materials Included:

  • text-icoText
  • video-icoVideo
  • 3d-anatomyAnatomy
  • simulation-icoSimulation
  • practiseQuiz
This module teaches you how to prepare for and perform an ultrasound examination of the spleen.

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This module teaches you how to prepare for and perform an ultrasound examination of the spleen. The interactive simulator provides three different scan scenarios, including normal and pathological cases. It enables students and practitioners to build or refresh knowledge and cognitive skills, and offers a safe online practice environment so you can prepare for the real clinical world. Ideal if you are studying for the American Registry for Diagnostic Medical Sonography (ARDMS) registry exams.

You’ll learn

  • to practice, perfect and test your skills in performing an ultrasound scan of the retroperitoneum, peritoneal cavity and abdominal wall
  • to better visualize and understand the anatomy of the retroperitoneum, peritoneal cavity and abdominal wall
  • how to obtain images of the retroperitoneum, peritoneal cavity and abdominal wall
  • to identify the clinical symptoms of retroperitoneal, peritoneal, and abdominal wall disease
  • how to identify abnormalities of the peritoneal cavity and abdominal wall
  • to distinguish potential spaces for fluid collections in the abdominal and pelvic retroperitoneum
  • much more (see “content details” for more specific information)
Introduction
Step 1 - Preparation
Step 1.1 - Equipment preparation
Step 1.2 - Patient preparation
Step 1.3 - Operator preparation
Step 2 - Expose the abdomen and apply gel
Step 3 - Select the transducer and obtain images of the abdomen
Step 4 - Commence retroperitoneum and peritoneal cavity scanning protocol
Step 4.1 - Patient position
Step 4.2 - Scan plane
Step 4.3 - Retroperitoneum and peritoneal cavity image requirements
Step 4.4 - Annotations required
Step 4.5 - Sonographic features of a normal retroperitoneum
Step 4.6 - Sonographic features of a normal peritoneal cavity
Step 4.7 - Troubleshooting
Step 5 - Scan the retroperitoneum and peritoneal cavity
Step 5.1 - Scan the subphrenic space
Step 5.2 - Scan the perirenal space (also called the perinephric space) and pararenal spaces
Step 5.3 - Scan the lesser sac
Step 5.4 - Scan the right and left lower quadrants
Step 5.5 - Scan the pelvic cul-de-sac (Pouch of Douglas)
Step 6 - Commence the abdominal wall scanning protocol
Step 6.1 - Patient position
Step 6.2 - Scan Plane
Step 6.3 - Abdominal wall image requirements
Step 6.4 - Annotations required
Step 6.5 - Sonographic features of the normal abdominal wall
Step 6.6 - Troubleshooting
Step 7 - Scan the abdominal wall
Step 7.1 - Scan the anterior abdominal wall in the transverse plane
Step 7.2 - Scan the anterior abdominal wall in the longitudinal plane
Step 7.3 - Scan the inguinal canal/groin
Step 8 - Complete the procedure
  • Indications for ultrasound of the retroperitoneum, peritoneal cavity, and abdominal wall
  • Identify the anatomy of the retroperitoneum, peritoneal cavity, and abdominal wall
  • Explain the basic physiology of the retroperitoneum, peritoneal cavity, and abdominal wall
  • Distinguish potential spaces for fluid collections in the abdominal and pelvic retroperitoneum
  • List clinical symptoms of retroperitoneal, peritoneal, and abdominal wall disease
  • Retroperitoneum, peritoneal cavity, and abdominal wall protocol
    • Patient preparation
    • Transducer and preset selection
    • Patient positioning
    • Transducer positions
    • Scan planes
    • Identify and obtain sonographic images of the retroperitonium, peritoneal cavity, and abdominal wall
  • Explain and demonstrate the use of breathing techniques to obtain optimal sonographic images of the retroperitoneum, peritoneal cavity, and abdominal wall
  • Identify and obtain images of the retroperitoneum, peritoneal cavity, and abdominal wall
  • Describe and identify pathologies of the retroperitoneum
  • Describe and identify abnormalities of the peritoneal cavity and abdominal wall
  • Explain sonography occupational health and safety issues (see references)
  • Explain Patient's Bill of Rights, HIPAA Privacy Rule, and Patient Safety Act (see reference)

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

  • an online simulation (available in Learn and Test modes)
  • descriptive text, which explains exactly how to perform that particular procedure including
  • 2D images and a 3D model of applied anatomy for that particular topic
  • a step by step video demonstration by an expert
  • a quiz
  • a personal logbook that keeps track of all the modules the learner has studied and how long

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