Full abdominal ultrasound investigation will include assessment of all abdominal organs, including the Liver, Gall bladder, Stomach, Pancreas, Spleen, Kidneys, Adrenals, Small and Large intestines, and the urogenital tract. Patients will require a minimum 12 hour starvation and sedation for this procedure to allow for the best quality scan. Patients that are not stable for sedation may be scanned conscious but this may compromise the quality of the scan.
Ultrasound-guided assessment and sampling of mediastinal and thoracic masses is commonly indicated for mediastinal or solid lung masses. Thoracic ultrasound is also extremely useful in aiding placement of catheters for therapeutic drainage pericardial effusions.
Ultrasound Guided FNA and Biopsy
Ultrasound guided FNA, and centesis is a minimally invasive diagnostic and therapeutic procedure. Sedation is usually sufficient to achieve good quality FNA samples, however general anaesthesia is recommended for TruCut biopsies or Cholecentesis.
Coagulation profiling (PT and APTT) is recommended in advance for all patients undergoing TruCut biopsy, with particular emphasis on liver biopsies.
We recommend that patients undergoing TruCut biopsy should be hospitalised for the remainder of the day to monitor for post sampling haemorrhage, which is a rare but known complication.
Ultrasound of the Neck
Indicated for patients with known hypercalcemia or deviations in thyroid hormone for identification of parathyroid and thyroid masses.