Urology Book

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Bladder Ultrasound

Aka: Bladder Ultrasound, Suprapubic Ultrasound
  1. See Also
    1. FAST Exam
    2. Renal Ultrasound
    3. Suprapubic Ultrasound View
  2. Approach: Suprapublic View (Pelvis)
    1. See Suprapubic Ultrasound View
    2. Transducer positioning
      1. Placement: Low suprapubic region
      2. Axis
        1. Start with Long axis with indicator at 12:00
        2. Rotate to Short Axis with indicator at 9:00
      3. Direction
        1. Perpendicular to Pelvis - towards low Lumbar Spine
    3. Landmarks
      1. Bladder
  3. Images
    1. Long Axis
      1. ultrasoundProbePositionLungFASTsupraPubicLong.jpg
      2. ultrasoundBMP_abdBladder_lax.jpg
    2. Short Axis
      1. ultrasoundProbePositionLungFASTsupraPubicShort.jpg
      2. ultrasoundBMP_abdBladder_sax.jpg
  4. Interpretation: Findings
    1. Bladder Distention
      1. Bladder Volume = Height x Width x Depth x 0.625
    2. Blood in Pelvis (Douglas Pouch)
      1. See Suprapubic Ultrasound View (See FAST Exam)
      2. Perform initially prior to Foley Catheter insertion (Bladder should be full to start)
      3. May be difficult to distinguish Bladder from blood in Pelvis
      4. Consider rescanning after urine drained with Foley Catheter

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