Before, During, After & Terminology of Anatomy and Sonography
Ordering Practioner
physician (doctor) PA, nurse practitioner who sees the patient and orders the exam
Sonographer
performs and records ultrasound study
reading physcian
provides final legal interpretation of ultrasound findings. creates final report
Exam order
Ultrasound request form
Has patient identification (NAME and DOB)
Symptoms/Reason for exam
Has ICD 10 Code (Code of diagnosis or symptoms)
Type of exam requested
physician signature
Patient chart (medical record)
Patient info (identifying and contact info)
medical history
physical exam results
symptoms
previous imaging results
lab results
electronic medical record (EMR)
digital computerized medical record
Standard precautions
treat every patient as though they may have a blood borne or infectious disease
clean/disinfect ultrasound system between patients
wear appropriate PPE
handwashing
Curved transducer
Abdominal exam, trans abdominal pelvicl
linear transducer
vascular and small parts
sector transducer
cardiac
endocavity transducer
transvaginal
protocol
anatomic images and measurements required for the ordered exam
Preliminary findings
technical observations, comments, may include worksheet of measurement
PACS system
computerized method of storing,transmitting and displaying medical images
DICOM
PACS are stored in this format
Differential diagnosis
other possible cause of finding
anechoic
echo free appearance
echo texture
sonographic appearance of tissue within the body
hypoechoic
less echogenic
darker than another structure
isoechoic
the same echogenicity, the same shade as another structure
hyperechoic
more echogenic, brighter than another structure
pulsed wave doppler
aka spectral (speed and direction of blood flow)
Color doppler
presence and direction of blood flow
cystic
fluid filled
solid
composed of tissue
Homogeneous
similar or uniform echo pattern
heterogeneous
irregular or mixed echo pattern
simple
uncomplicated, usually referring to cysts
anechoic, unilocular, thin smooth wall, no blood flow
complex
composed of both tissue and fluid
septations
thin membranes within a mass
ipsilateral
on the same sideco
contralateral
on the opposite side
NPO
nothing by mouth
neoplasm
any abnormal growth
benign
non-cancerous
malignant
cancerous
diffuse disease
disease throughout an organ
superior or cephalic
towards the head
inferior or caudal
towards the feet
anterior or ventral
front of body
posterior or ventral
back of body
medial
towards middle of body
lateral
towards edge of body
proximal
towards the heart
distal
further from the heart
subcostal
beneath or below the ribs
intercoastal
between the ribs
midline
vertical line- center of body
midclavicular
vertical line- middle of clavicles
xiphoid process
lower end of sternum
umbilicus
belly button
sternal notch
top of sternum
iliac crest
top of hip bones
symphysis pubis
joint of Lt and Rt pubic bones
Right hypochondriac region
upper left
epigastric region
top middle
left hypochondriac region
top right
right lumbar region
middle left
umbilical region
middle middle
left lumber region
right middle
right iliac region
lower left
hypogastric region
lower middle
left iliac region
right bottom
sagittal plane
longitudinal, long
divides body into left and right
the transducer is towards patients head
transverse plane
divides body into superior and inferior
notch is towards machine
coronal plane
divides body anterior to posterior
Supine
laying on back, indicator towards machine
prone
laying on belly, indicator towards machine
left lateral decubitus (LLD)
patient lays on left side
right lateral decubitus (RLD)
patients lays on right side