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TABLE OF CONTENTS
1. Introduction 1
ROGER C. SANDERS
NANCY SMITH MINER
2. Basics: Physics 2
ROGER C. SANDERS
3. Instrumentation 9
MIMI MAGGIO SAYLOR
ROGER C. SANDERS
4. Knobology 16
MIMI MAGGIO SAYLOR
5. Doppler and Color Flow Principles 22
BARBARA DEL PRINCE
MIMI MAGGIO SAYLOR
ROGER C. SANDERS
6. Basic Principles 31
NANCY SMITH MINER
7. Infertility: For Ovulation Induction 36
ROGER C. SANDERS
8. Rule Out Pelvic Mass 52
JOAN CAMPBELL
ROGER C. SANDERS
9. Pelvic Pain Without Positive Pregnancy Test 62
ROGER C. SANDERS
10. Vaginal Bleeding With Negative Pregnancy Test 67
ROGER C. SANDERS
11. Intrauterine Contraceptive Devices: "Lost IUD" 71
PATRICIA MAY KAPLAN
12. First Trimester Bleeding 76
ROGER C. SANDERS
13. Pelvic Pain With Positive Pregnancy Test 95
ROGER C. SANDERS
14. Uncertain Dates: Elective Cesarean Section,
Late Registration 92
ROGER C. SANDERS
NANCY SMITH MINER
15. Second and Third Trimester Bleeding 105
ROGER C. SANDERS
16. Small for Dates 119
ROGER C. SANDERS
17. Large for Dates 124
ROGER C. SANDERS
18. Possible Fetal Anomalies 132
ROGER C. SANDERS
19. Fetal Well-Being and Fetal Death 173
MARY MCGRATH LING
20. Abnormal Fetal Heart 193
MIMI MAGGIO SAYLOR
JOYCE CORDIER
21. Sonographic Abdominal Anatomy 207
IRMA WHEELOCK TOPPER
22. Epigastric Pain (Upper Abdominal Pain): Pancreatitis? 219
ROGER C. SANDERS
MARY MCGRATH LING
23. Right Upper Quadrant Mass: Possible Metastases to Liver 230
NANCY SMITH MINER
ROGER C. SANDERS
24. Right Upper Quadrant Pain 241
NANCY SMITH MINER
25. Abnormal Liver Function Tests: Jaundice 255
NANCY SMITH MINER
26. Fever of Unknown Origin (FUO): Rule Out Abscesses 269
NANCY SMITH MINER
LISA SIMMONS
27. Palpable Left Upper Quadrant Mass 279
ROGER C. SANDERS
28. Pediatric Mass 293
ROGER C. SANDERS
29. Midabdominal Mass: Possible Ascites 290
ROGER C. SANDERS
30. Right Lower Quadrant Pain 301
GRETCHEN M. DIMLING
31. Renal Failure 309
ROGER C. SANDERS
SANDRA L. HUNDLEY
32. Possible Renal Mass 321
ROGER C. SANDERS
33. Hematuria 330
ROGER C. SANDERS
34. Transplants: Renal, Liver, Pancreatic 335
OSCAR DEL BARCO
LISA SIMMONS
ROGER C. SANDERS
35. Prostate: Rule Out Prostate Carcinoma; Benign Prostatic
Hypertrophy 347
ROGER C. SANDERS
JOHN CASEY
36. Possible Invasive Rectal Wall Mass, Anal Sphincter Break 356
ROGER C. SANDERS
37. Unexplained Hematocrit Drop: Rule Out Perinephric Hematoma:
Possible Perinephric Mass 360
ROGER C. SANDERS
38. Possible Testicular Mass: Pain in the Testicle 365
ROGER C. SANDERS
39. Possible Adrenal Mass 373
IRMA WHEELOCK TOPPER
40. Impotence: Penile Problems (Penile Pain and Abnormal
Curvature) 360
JOE ROTHGEB
ROGER C. SANDERS
41. Neck Mass 363
IRMA WHEELOCK TOPPER
ROGER C. SANDERS
42. Carotid Artery Disease 390
ROGER C. SANDERS
IRMA WHEELOCK TOPPER
43. Intracranial Vascular Problems 403
GAIL SANDAGER
44. Breast 415
ROGER C. SANDERS
45. Pain and Swelling in the Lower Limbs 420
ROGER C. SANDERS
46. Arterial Problems in the Limbs 430
GAIL SANDAGER
47. Rule Out Pleural Effusion and Chest Mass 417
NANCY SMITH MINER
48. Infant Hip Dislocation 443
SANDY STEGER
49. Shoulder Problems 449
SANDY STEGER
50. Neonatal Intracranial Problems 454
MIMI MAGGIO SAYLOR
51. Neonatal Spine Problems 493
JOE ROTHGEB
ROGER C. SANDERS
52. Ultrasound Guided Procedures 497
NANCY SMITH MINER
DAN MINER
53. Artifacts 497
ROGER C. SANDERS
MIMI MAGGIO SAYLOR
54. Equipment Care and Quality Control 511
ROGER C. SANDERS
IRMA WHEELOCK TOPPER
55. Photography 515
ROGER C. SANDERS
MIMI MAGGIO SAYLOR
56. Nursing Procedures 520
DEROSHIA B. STANLEY
57. Preliminary Reports 530
SANDRA L. HUNDLEY
ROGER C. SANDERS
APPENDIXES
1. Most Commonly Seen Abbreviations Related to Ultrasound 533
2. Length of Fetal Long Bones (mm) 535
3. Gestational Sac Measurement Table 536
4. Predicted Menstrual Age (Weeks) from CRL
Measurements (cm) 537
5. Crown-Rump Length Studies Based on Last Menstrual Period 539
6. Abdominal Circumference: Normal Values 539
7. Head Circumference: Normal Growth Rates 540
8. Head Circumference: Normal Values 541
9. Correlation of Predicted Menstrual Age Based Upon
Biparietal Diameters 542
10. Cephalic Index Formula 542
11. Comparison of Predicted Femur Lengths at Points
in Gestation 541
12. Abdominal Diameter Measurement Table; Abdominal Circumference
Measurement Table 544
13. Predicting Fetal Weight by Ultrasound 546
14. Tenth Percentile of Birth Weight (for Gestational Age
by Gender: US 1991 Single Live Births to Resident
Mothers 554
15. Ratio of Head Circumference to Abdominal Circumference:
Normal Values 555
16. Renal to Abdominal Ratio in the Fetus 555
17. Mean Renal Lengths for Various Gestational Ages 556
18. Ocular, Binocular, and Interrocular Distance 557
19. Normal Ocular Values 559
20. Ultrasound Measurement of the Fetal Liver From 20 Weeks
Gestation to Term 559
21. Detection of Fetal Ossification Centers by Weeks of
Gestational Age 560
22. Normal Ultrasonic Fetal Weight Curve (g) 561
23. Patterns of Sequential Dilatation for the Right
and Left Maternal Kidneys in Pregnancy 562
24. Ovarian Volume and Changes in Ovarian Morphology as
Determined by Ultrasonography From Ages 2-13 563
25. Effects of Drugs on the Fetus 564
26. Four-Quadrant Amniotic Fluid Index 570
27. Umbilical Artery Doppler Resistance Index 571
28. Fetal Heart Rate Versus Gestational Age 572
29. Cerebellar Diameter Versus Age 572
30. Thyroid Size Versus Age in Utero 573
31. Pounds to Kilograms 574
32. Sonographic Renal Length Plotted Against Age 575
33. Report for Cleaning and Preparing Endocavitary Ultrasound
Transducers Between Patients 576
34. Ultrasound Professional Organizations 577
35. MUM Guidelines 579
36. Society of Diagnostic Medical Sonographers: Code of Ethics
and Code of Professional Conduct 592
Index 593


