Abnormal Liver Enzymes Icd 9
Abnormal Liver Enzymes Icd 9
Abdominal ultrasonography by jekky
Abdominal ultrasound can be used to diagnose abnormalities in various internal organs, such as the kidneys, liver, gallbladder, pancreas, spleen and abdominal aorta. If Doppler imaging is added, the blood flow inside blood vessels can be evaluated as well (for example, to look for renal artery stenosis).
Through the abdominal wall, organs inside the pelvis can be seen, such as the as urinary bladder or the ovaries and uterus in women. Because water is an excellent conductor for ultrasound waves, visualizing these structures often requires a well-filled urinary bladder (this means the patients has to drink plenty of water before the examination).
Abdominal ultrasound is commonly used in the setting of abdominal pain or an acute abdomen (sudden and/or severe abdominal pain syndrome in which surgical intervention might be necessary), in which it can diagnose appendicitis or cholecystitis.
In patients with deranged liver function tests, ultrasound may show increased liver size (hepatomegaly), increased reflectiveness (which might, for example, indicate cholestasis), gallbladder or bile duct diseases, or a tumor in the liver. The same is true for patients with an abnormal kidney function or pancreatic enzymes (pancreatic amylase and pancreatic lipase), in which ultrasound can be used for additional anatomical information.
Ultrasound can also be used if there is suspicion of enlargement of one or more organs, such as used in screening for abdominal aortic aneurysm, investigation for splenomegaly or urinary retention.
Ultrasound imaging is useful for detecting stones, for example kidney stones or gallstones, because they create a clearly visible ultrasound shadow behind the stone.
Ultrasonography can be used to guide procedures such as treatment for kidney stones with Extracorporeal shock wave lithotripsy, needle biopsies or paracentesis (needle drainage of free fluid inside the abdominal cavity).
Advantages and disadvantages
Advantages of ultrasound imaging of abdominal structures are that the procedure can be performed quickly, bed-side, involves no exposure to X-rays (which makes it useful in pregnant patients, for example) and is inexpensive compared to other often-used techniques such as computed tomography (CT scan) of the abdomen. Disadvantages are troublesome imaging if a lot of gas is present inside the bowels, if there is a lot of abdominal fat, and that the quality of the imaging depends on the experience of the person performing it.
The imaging occurs real-time and without sedation is required, so that the influence of movements can be assessed quickly. For example, by pressing the ultrasound probe against the gallbladder, a radiological Murphy’s sign can be elicited.
Echocardiography, ultrasound of the heart
Gynecologic ultrasonography, ultrasound of female organs
Obstetric ultrasonography, ultrasound during pregnancy
Ultrasound in ophthalmology: see A-scan ultrasonography and B-scan ultrasonography
Abdominal Ultrasound, information for patients from the American College of Radiology and the Radiological Society of North America.
Abdominal ultrasound from MedlinePlus.
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Medical testing : Medical imaging Radiology Medical radiography
CXR Angiography Venography AXR / KUB DXA Upper gastrointestinal series Mammography Dental radiography
3D / XCT
CT angiography CT pulmonary angiogram pQCT Full-body CT scan Helical cone beam computed tomography X-ray microtomography
MR angiography MR cholangiopancreatography Functional MRI
Echocardiography / Doppler echocardiography (TTE TEE) Gynecologic Obstetric Echoencephalography Duplex Transcranial doppler Transrectal Contrast-enhanced 3D ultrasound Abdominal ultrasonography Endoscopic ultrasound
PET SPECT (Sestamibi scan)
Fluoroscopy OPS Optical tomography (Optical coherence tomography) Virtopsy Flat panel detectors
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Digestive system surgical and other procedures (ICD-9-CM V3 42-54)
Upper GI tract
Gastrostomy (Percutaneous endoscopic gastrostomy) Gastrectomy (Billroth I, Billroth II, Roux-en-Y) Bariatric surgery (Gastric bypass surgery, Adjustable gastric band, Sleeve gastrectomy, Vertical banded gastroplasty surgery) Gastroenterostomy Hill repair Nissen fundoplication Gastropexy
Upper gastrointestinal series
Lower GI tract
Bariatric surgery (Duodenal switch, Jejunoileal bypass) Jejunostomy Ileostomy Partial ileal bypass surgery
Colectomy Colostomy Appendicectomy Hartmann’s operation
Lower anterior resection Abdominoperineal resection
Anal sphincterotomy Lateral internal sphincterotomy
Endoscopy: Colonoscopy (Virtual) Proctoscopy Sigmoidoscopy Enteroscopy Capsule endoscopy
Transrectal ultrasonography Enteroclysis Small bowel follow-through Abdominal ultrasonography Lower gastrointestinal series
Hepatectomy Liver transplantation Artificial extracorporeal liver support (Liver dialysis, Bioartificial liver devices)
Gallbladder, bile duct
Cholangiography (Endoscopic retrograde cholangiopancreatography, Percutaneous transhepatic cholangiography, Magnetic resonance cholangiopancreatography) Cholecystectomy Cholecystography HIDA scan
Pancreatectomy Pancreaticoduodenectomy Pancreas transplantation Puestow procedure Frey’s procedure
Paracentesis Intraperitoneal injection
Herniorrhaphy MacEwen’s operation
digestive system navs: anat of tract,glands,perit,diaphragm/physio/dev, noncongen/congen/congen of d+w/neoplasia, symptoms+signs/eponymous, proc
Categories: Medical ultrasound