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<br /> Philips emergency medicine<br /> ultrasound tutorial<br /> Focused ultrasound for the detection of a subcutaneous abscess<br /> Robert Blankenship, MD, FACEP<br /> Director, Emergency Ultrasound<br /> St. Vincent Emergency Physicians, Inc.<br /> EMsono, LLC<br /> Bob Jones, DO, FACEP<br /> Director, Emergency Ultrasound<br /> Ultrasound Fellowship Director<br /> Metrohealth Medical Center<br /> EMsono, LLC<br /> Table of contents<br /> Focused ultrasound for the detection<br /> of subcutaneous abscess<br /> 1 Introduction ...................................................... 3<br /> 2 Clinical case ...................................................... 4<br /> 3 The sonographic examination ..................... 5<br /> 4 Sonographic findings........................................ 8<br /> 5 Clinical applications ...................................... 24<br /> 6 Case resolution ............................................. 25<br /> 7 Bibliography ..........<a title="Soft Tissue page 1" href="http://viewer.zmags.com/publication/8dfddf6e?page=1"> Philips emergency medicine ultrasound tutorial F</a> <a title="Soft Tissue page 2" href="http://viewer.zmags.com/publication/8dfddf6e?page=2"> Table of contents Focused ultrasound for the det</a> <a title="Soft Tissue page 3" href="http://viewer.zmags.com/publication/8dfddf6e?page=3"> 1 Introduction • Cellulitis (skin infections) an</a> <a title="Soft Tissue page 4" href="http://viewer.zmags.com/publication/8dfddf6e?page=4"> 2 Clinical case Is there a subcutaneous abscess </a> <a title="Soft Tissue page 5" href="http://viewer.zmags.com/publication/8dfddf6e?page=5"> 3 The sonographic examination Transducer selecti</a> <a title="Soft Tissue page 6" href="http://viewer.zmags.com/publication/8dfddf6e?page=6"> 3 The sonographic examination Sonographic evalua</a> <a title="Soft Tissue page 7" href="http://viewer.zmags.com/publication/8dfddf6e?page=7"> Figure 3a Water bath technique for evaluation of </a> <a title="Soft Tissue page 8" href="http://viewer.zmags.com/publication/8dfddf6e?page=8"> 4 Sonographic findings Normal • Subcutaneous tis</a> <a title="Soft Tissue page 9" href="http://viewer.zmags.com/publication/8dfddf6e?page=9"> Cellulitis • A “cobblestone” appearance will be n</a> <a title="Soft Tissue page 10" href="http://viewer.zmags.com/publication/8dfddf6e?page=10"> 4 Sonographic findings Vi</a> <a title="Soft Tissue page 11" href="http://viewer.zmags.com/publication/8dfddf6e?page=11"> Abscess cavity • Abscess cavities can have a vari</a> <a title="Soft Tissue page 12" href="http://viewer.zmags.com/publication/8dfddf6e?page=12"> 4 Sonographic findings Vi</a> <a title="Soft Tissue page 13" href="http://viewer.zmags.com/publication/8dfddf6e?page=13"> Video 3 Breast abscess. Note the irregular border</a> <a title="Soft Tissue page 14" href="http://viewer.zmags.com/publication/8dfddf6e?page=14"> 4 Sonographic findings • Blood flow will not </a> <a title="Soft Tissue page 15" href="http://viewer.zmags.com/publication/8dfddf6e?page=15"> Video 4 Color flow Doppler signal is noted inside</a> <a title="Soft Tissue page 16" href="http://viewer.zmags.com/publication/8dfddf6e?page=16"> 4 Sonographic findings Incidental findings Lymph</a> <a title="Soft Tissue page 17" href="http://viewer.zmags.com/publication/8dfddf6e?page=17"> • With lymphadenitis, hyperemia will be noted dur</a> <a title="Soft Tissue page 18" href="http://viewer.zmags.com/publication/8dfddf6e?page=18"> 4 Sonographic findings • Necrotic lymph nodes</a> <a title="Soft Tissue page 19" href="http://viewer.zmags.com/publication/8dfddf6e?page=19"> Video 5 Necrotic lymph node. Note the presence of</a> <a title="Soft Tissue page 20" href="http://viewer.zmags.com/publication/8dfddf6e?page=20"> 4 Sonographic findings Vi</a> <a title="Soft Tissue page 21" href="http://viewer.zmags.com/publication/8dfddf6e?page=21"> Foreign bodies • Ultrasound is an excellent imagi</a> <a title="Soft Tissue page 22" href="http://viewer.zmags.com/publication/8dfddf6e?page=22"> 4 Sonographic findings Figure</a> <a title="Soft Tissue page 23" href="http://viewer.zmags.com/publication/8dfddf6e?page=23"> Video 7 Soft tissue ultrasound of the lower leg w</a> <a title="Soft Tissue page 24" href="http://viewer.zmags.com/publication/8dfddf6e?page=24"> 5 Clinical applications • Ultrasound is highly a</a> <a title="Soft Tissue page 25" href="http://viewer.zmags.com/publication/8dfddf6e?page=25"> 6 Case resolution The soft tissue ultrasound was</a> <a title="Soft Tissue page 26" href="http://viewer.zmags.com/publication/8dfddf6e?page=26"> 7 Bibliography 1. Squire BT, Fox JC, Anderson </a> <a title="Soft Tissue page 27" href="http://viewer.zmags.com/publication/8dfddf6e?page=27"> Additional resources For additional resources re</a> <a title="Soft Tissue page 28" href="http://viewer.zmags.com/publication/8dfddf6e?page=28"> Philips Healthcare is part of Royal Philips How </a>