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Samenvatting Echo Periode 7 Praktijkassessment
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samenvatting van alle weblectures en eigen aantekeningen
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Echo praktijkassesmentsInhoud
Aorta abdominalis .................................................................................................................................. 2
Vena cava Inferior ................................................................................................................................... 6
Vena hepatica ‘bunny sign’ ................................................................................................................ 6
Vena hepaticae, sagittaal vlak............................................................................................................ 7
Vena hepatica dextra, longitudinaal getroffen ................................................................................... 9
Vena porta, portaal en pre-portaal .................................................................................................. 11
Galblaas ................................................................................................................................................. 17
Ductus choledochus .......................................................................................................................... 19
Pancreas: ............................................................................................................................................... 22
Nieren .................................................................................................................................................... 26
Bijnieren ............................................................................................................................................ 27
Milt ........................................................................................................................................................ 28
Lever .................................................................................................................................................... 29
1
, Aorta abdominalis
Aorta in het transversale vlak:
https://mediasite.inholland.nl/Mediasite/Play/1f6ee6a749ac49bebc058cf485fc294d1d
1. Begin met de transcudecer in het transversale vlak
2. Begin tegen het processus xiphoïdeus aan
3. Beweeg lanzaam naar caudaal
4. Zodra je de aorta vervolgt naar caudaal, kom je al snel bij de eerste aftakking terecht:
de truncus coeliacus
5. Caudaal van de truncus coaliacus vindt je de arteria mesenterica superior
6. Deze is als vat te herkennen als een bolvormige structuur
7. Op dit niveau zie je nu ook mooi de arteria renalis dextra en sinistra
8. Schuif verder naar caudaal, nu je meer naar caudaal scant, zie je dat de aorta zich
meer naar ventraal begeeft. Pas daarom continue je diepte en focus aan
9. Ongeveer op het niveau van de navel begint de bifurcatie. Hier splits de aorta in 2; de
arteria iliaca communis dextra en sinistra
2
, Arterieel
15. Aorta abdominalis
32. Truncus coeliacus
18. Arteria hepatica communis
19. Arteria lienalis
** Arteria gastrica sinistra
17. Arteria mesenterica superior
24. Arteria renales
Veneus:
16. Vena cava inferior
10. Vena hepaticae
25. Venae renales
* Vena mesenterica superior
20 Vena lienalis
12 Confluence
11 Vena portae
Aorta
- Meest craniale aftakking naar ventraal: truncus coeliacus.
o Naar links de arteria lienalis
o Naar craniaal de arteria gastrica sinistra
o Naar rechts craniaal de arteria hepatica communis.
▪ Splits in de naar rechts doorlopende arteria hepatica propria
▪ En naar caudaal arteria gastroduodenelais
- Iets meer naar caudaal ontspringt ventraal de arteria mesenterica superior.
- Nog meer naar caudaal ontspringt lateraal de arteria renalis.
o De arteria renalis dextra bevindt zich dorsaal van de vena cava inferior.
- Verder naar caudaal ontspringt de arteria mesenterica inferior. Deze loopt
vervolgens meer naar links van de aorta en vertakt zich snel.
3
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