Ultrasound of the Adrenal Glands Wendy Blount, DVM Click on the blue arrow at bottom left or hit the “return” key to advance the show (mouse over to reveal) Free PowerPoint Templates
Patient Preparation Fast for 12 hours Urine filled bladder provides acoustic window Place in dorsal recumbency Lateral recumbency for: Compromised or deep chested patients Standing/sternal may be necessary for patients with large abdominal masses Free PowerPoint Templates
Transition Adjustments Depth – usually no changes from abdominal presets Frequency – varies 5-7.5 MHz May need higher frequency for smaller pets For the best detail, the highest frequency that will penetrate to the adrenals should be used Gain and Contrast – may need to increase gain when moving from bladder to prostate TGC – adjust as needed Free PowerPoint Templates
Landmarks for Repro Ultrasound Prostate - caudal to the bladder, surrounding proximal urethra Cryptorchid Testicles Abdominal - as far cranially as the caudal kidney pole, as far caudally as the internal inguinal ring or in the inguinal canal Free PowerPoint Templates
Image Views Prostate (2) Trans-rectal? Testicles (2 each) Long Axis (sagittal) Short Axis (transverse) Trans-rectal? Testicles (2 each) Long Axis (sagittal) Short Axis (transverse) Free PowerPoint Templates
Image Views Uterine Body (2) - at urinary bladder Ovaries (1-2 each) Long Axis (sagittal) Short Axis (transverse) Ovaries (1-2 each) Short Axis (transverse) if enlarged Prostate (2) Testicles (2 each) Long Axis (sagittal) Short Axis (transverse) Free PowerPoint Templates
Scanning the Prostate Sagittal
Scanning the Prostate Sagittal
Scanning the Prostate Sagittal
Scanning the Prostate Sagittal
Scanning the Prostate Sagittal
Scanning the Prostate Sagittal
Scanning the Prostate Sagittal
Scanning the Prostate Sagittal
Scanning the Prostate Sagittal
Scanning the Prostate normal prostate Sagittal
Scanning the Prostate Transverse
Scanning the Prostate Transverse
Scanning the Prostate Transverse
Scanning the Prostate Transverse “Butterfly”
Scanning the Testicle Testicles From Lateral
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning Cryptorchid Sagittal the Testicle Scanning Right Inguinal testicle Sagittal Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Right
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning Cryptorchid Sagittal the Testicle Scanning Left Abdominal testicle Sagittal Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Scanning the Testicle Cryptorchid Transverse Scanning Left
Acknowledgments Robert Fulton John P. Graham, MVB, MSc, DVR, MRCVS Chapter 8: Focused or COAST3 – Reproductive Focused Ultrasound Techniques for the Small Animal Practitioner Editor Greg Lisciandro John P. Graham, MVB, MSc, DVR, MRCVS Diplomate, ECVDI, Diplomate, ACVR Diagnostic Imaging in Dogs and Cats Nestle Purina – Clinical Handbook Series Kathy Spaulding, DVM, DACVR Sonographic Evaluation of the Female Reproductive Tract Atlantic Coast Veterinary Conference, 2013
Acknowledgments John Mattoon, Danelle Auld, Thomas Nyland Chapter 4: Abdominal Ultrasound Scanning Techniques Small Animal Diagnostic Ultrasound Editors Nyland and Mattoon – 3rd Edition 2014 Thomas Nyland, John Mattoon, Eric Herrgesell, Erik Wisner Chapter 12: Ovaries and Uterus Small Animal Diagnostic Ultrasound Editors Nyland and Mattoon – 3rd Edition 2014 Joann Randall, DVM, DACVT Gestational Aging Veterinary Information Network – Associate
John Mattoon, Thomas Nyland Acknowledgments John Mattoon, Thomas Nyland Chapter 13: Prostate and Testes Small Animal Diagnostic Ultrasound Editors Nyland and Mattoon – 3rd Edition 2014