Adrian Dawkins - Ultrasound Q&A Review for the Boards

Ultrasound Q&A Review for the Boards

Adrian Dawkins, MD
Chief, Division of Abdominal Radiology
Medical Director of Radiology
Associate Professor
Department of Radiology
University of Kentucky
Lexington, Kentucky

236 illustrations

Thieme
New York Stuttgart Delhi Rio de Janeiro

Library of Congress Cataloging-in-Publication Data is available from the publisher

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ISBN 978-1-62623-485-7

Also available as an e-book:
eISBN 978-1-62623-486-4

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To my loving wife, Nanditha, and my sons, Zayden and Kiyan. Without your love and support this book would not exist.

To my mother, Cynthia. Thank you for creating the foundation.

Adrian Dawkins

Adrian Dawkins and Nanditha George

Karen Tran-Harding

Edward Richer

Adrian Dawkins

Rashmi Nair and Adrian Dawkins

Paul J. Spicer

Paul J. Spicer

Adrian Dawkins

Barbara Pawley and Adrian Dawkins

Scott Stevens, Halemane Ganesh, and Adrian Dawkins

Gary Ge and Adrian Dawkins

I am constantly in awe of ultrasound technology. I have been fortunate to witness the practice of ultrasound by talented radiologists on both sides of the pond. As a young resident (registrar) in the north of England, I was able to observe and practice ultrasound in its purest form: a clinical question addressed by a physician with a transducer in hand. This was tremendously insightful, fostering an appreciation for the technical skill and medical knowledge that need to coexist. The high volume environment of a busy American medical center provided ample opportunity to learn from seasoned and nationally recognized experts as they interacted with highly skilled sonographers to make accurate and timely diagnoses. These experiences created the foundation for the manner in which I practice ultrasound.

It wouldnt be an exaggeration to say that the practice of ultrasound is changing tremendously from month to month. The advent of point of care ultrasound (POCUS) has brought ultrasound within the reach of many medical practitioners. Radiology training programs need to ensure adequate ultrasound training for residents if future radiologists are to remain relevant in ultrasound practice. Currently, ultrasound remains one of the 18 categories tested within the American Board of Radiologys Core examination.

In this book, we present a series of questions to guide radiology trainees as they prepare to undertake their board examinations. The book is generally arranged in an organ-based approach and questions are inspired by everyday practice. The purpose of writing this book is to present easy-to-understand cases to aid recall and to reinforce common ultrasound concepts. We have also included a chapter on physics to provide a more comprehensive review. References are provided at the end of each chapter, should the reader require further information. My coauthors are very knowledgeable in various aspects of ultrasound. My appreciation extends to all the coauthors for generously contributing chapters to this book. We hope that this offering will be deemed useful for radiology trainees, imparting some of the knowledge that we have gained through years of medical practice.

Adrian Dawkins, MD

I would like to thank Dr. Kimberly Absher, Assistant Professor of Pathology and Laboratory Medicine, University of Kentucky; Dr. Scott Berl, Radiologist, Jackson Imaging Center, Jackson Hospital, Montgomery Alabama; Dr. Gerald Broussard, Radiologist, Comprehensive Radiology Services, Mississippi; and Dr. Riham El Khouli, Assistant Professor of Radiology, University of Kentucky, without whom this book would not have been possible.

Adrian Dawkins, MD

Adrian Dawkins, MD

Chief, Division of Abdominal Radiology

Medical Director of Radiology

Associate Professor

Department of Radiology

University of Kentucky

Lexington, Kentucky

Halemane Ganesh, MD

Assistant Professor

Department of Radiology

University of Kentucky

Lexington, Kentucky

Gary Ge, MS

Medical Physicist

Department of Radiology

VA Medical Center

Lexington, Kentucky

Nanditha George, MD

Staff Radiologist

Appalachian Regional Healthcare, Medical Mall

Hazard, Kentucky

Karen Tran-Harding, MD