Acute Paediatric AbdomenThis is a featured page

Ultrasound scanning guidelines

Acute Paediatric Abdomen


If a request is received for acute abdominal pain and the area is vague and non-specific, a full assessment of the abdomen is required. This is also the case with babies and younger children when unable to get a verbal indication of the region of the pain and clinical assessment may be difficult.

Assess:
  • Upper Abdomen
    • pancreas
    • aorta
    • gallbladder/duct
    • liver
    • kidneys and adrenals
    • spleen
  • Large bowel (to rule out intussusception) - ascending, transverse, descending colon and rectum
  • RIF/appendix
  • SMV/SMA relationship
  • Mesentery (for lymph nodes)
  • Bowel wall (for thickening)
Documentation:

Upper Abdomen
  • transverse pancreas
  • long aorta
  • gallbladder - long and trans (include wall thickness)
  • bile duct calibre
  • Liver - long and trans views
  • adrenals - long and trans views of both
  • kidneys - long and trans views of both
  • spleen - long and trans views
Large Bowel
  • trans and long vies of
    • ascending colon
    • transverse colon
    • descending colon
    • rectum
  • long midline view of Pouch of Douglas
  • trans and long views of terminal ileum, including wall thickness measurement
  • colour Doppler of affected bowel
If intussusception seen
  • At intussusception site:
    • trans view + - clipstore
    • long view + - clipstore
    • trans view with colour Doppler
Appendix / RIF
  • long appendix
  • trans appendix with diameter measurement - with/without compression
  • pelvis long for free fluid
  • non-compressible appendix +/- clipstore of compression
SMV/SMA relationship
  • trans SMV/SMA view +/- colour Doppler
Mesentery
  • trans and long views of mesentery
    • document and measure any lymph nodes seen > 5mm in diameter
  • Assess lymph nodes with colour Doppler
    • intanodal blood flow and some blodd flow in the rissues between the nodes may be seen

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AndyC
AndyC
Latest page update: made by AndyC , Feb 23 2009, 11:56 PM EST (about this update About This Update AndyC Edited by AndyC

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