<p begin="00:00:07.232" end="00:00:09.517" style="s2">- [Voiceover] A curved or<br />phased array transducer</p>
<p begin="00:00:09.517" end="00:00:12.058" style="s2">with an abdominal exam<br />type is used to perform</p>
<p begin="00:00:12.058" end="00:00:14.645" style="s2">a gallbladder ultrasound exam.</p>
<p begin="00:00:14.645" end="00:00:18.041" style="s2">The gallbladder should be<br />evaluated in two planes.</p>
<p begin="00:00:18.041" end="00:00:19.988" style="s2">The gallbladder is not a fixed organ,</p>
<p begin="00:00:19.988" end="00:00:22.552" style="s2">so the position can vary.</p>
<p begin="00:00:22.552" end="00:00:25.055" style="s2">To begin the exam, place the transducer</p>
<p begin="00:00:25.055" end="00:00:26.914" style="s2">in a long access position</p>
<p begin="00:00:26.914" end="00:00:29.534" style="s2">with the orientation marker<br />to the patient's head</p>
<p begin="00:00:29.534" end="00:00:31.837" style="s2">at the right costal margin.</p>
<p begin="00:00:31.837" end="00:00:34.105" style="s2">If it is difficult to<br />visualize the gallbladder,</p>
<p begin="00:00:34.105" end="00:00:37.644" style="s2">a deep inspiration will move<br />the gallbladder below the ribs</p>
<p begin="00:00:37.644" end="00:00:39.620" style="s2">for easier access.</p>
<p begin="00:00:39.620" end="00:00:41.636" style="s2">It may also be useful to turn the patient</p>
<p begin="00:00:41.636" end="00:00:44.191" style="s2">into a left lateral decubitus position,</p>
<p begin="00:00:44.191" end="00:00:47.359" style="s2">so the gallbladder moves<br />away from the ribs.</p>
<p begin="00:00:47.359" end="00:00:48.815" style="s2">The gallbladder will appear</p>
<p begin="00:00:48.815" end="00:00:51.849" style="s2">as an anechoic or hyperechoic structure</p>
<p begin="00:00:51.849" end="00:00:56.024" style="s2">and may appear oval or in the<br />shape of an exclamation point.</p>
<p begin="00:00:56.024" end="00:00:58.912" style="s2">To obtain a true longitudinal<br />view of the gallbladder,</p>
<p begin="00:00:58.912" end="00:01:02.829" style="s2">rotate the transducer to<br />see the entire length.</p>
<p begin="00:01:06.626" end="00:01:09.693" style="s2">Identify the gallbladder,<br />main lobar fissure,</p>
<p begin="00:01:09.693" end="00:01:11.365" style="s2">and the right portal vein.</p>
<p begin="00:01:11.365" end="00:01:12.824" style="s2">Sweep from side to side</p>
<p begin="00:01:12.824" end="00:01:15.786" style="s2">to evaluate the<br />gallbladder wall and lumen.</p>
<p begin="00:01:15.786" end="00:01:18.053" style="s2">Rotate the transducer 90 degrees</p>
<p begin="00:01:18.053" end="00:01:21.454" style="s2">with the orientation marker<br />to the patient's right.</p>
<p begin="00:01:21.454" end="00:01:23.667" style="s2">Sweep the transducer inferiorly</p>
<p begin="00:01:23.667" end="00:01:25.864" style="s2">from the gallbladder to fundus</p>
<p begin="00:01:25.864" end="00:01:28.781" style="s2">to evaluate the entire gallbladder.</p>