{"title":"Prenatal Diagnosis of Bilateral Meromelia Coexisting With Duodenal Atresia: Case Report of a Rare Anomalous Combination With Three-Dimensional Sonography","authors":"Ameen Muftiat Omolola, Awowole Ibraheem Olayemi, Abdur-Rahim Zainab Foyeke, Muhammad-Olodo Abdulmujeeb Opeyemi","doi":"10.1177/87564793241262762","DOIUrl":"https://doi.org/10.1177/87564793241262762","url":null,"abstract":"A rare case of bilateral fetal meromelia with duodenal atresia (DA) was diagnosed on three-dimensional (3D) sonography. A 32-year-old G3P2002 with a large for date uterus, was reviewed at 26 weeks’ gestation. The 3D sonogram confirmed the presence of the humerus, olecranon process, and only the proximal third of the ulna bone, bilaterally. The distal ulna, radius, metacarpals, and phalanges were absent on both upper limbs. The bones of the lower limbs were present and appropriate for gestational age. Further evaluation revealed the “double bubble” sign, which is characteristic of DA within the fetal abdomen. The patient was induced 2 weeks later, due to intrauterine fetal demise. The suspected fetal anomalies were confirmed at birth. A high index of suspicion and a detailed sonographic evaluation are essential for detecting rare fetal anomalies, such as meromelia.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"63 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141813182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Status of Intima-Media Thickness of Bilateral Carotid Arteries in the Postinfection Phase of SARS-CoV-2","authors":"Hosna Yahyaei Ferizhendi, Hamid Dahmardeh, Abolfazl Parsi-Moud","doi":"10.1177/87564793241262779","DOIUrl":"https://doi.org/10.1177/87564793241262779","url":null,"abstract":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) affects the cardiovascular system by activating systemic inflammatory responses that cause vascular dysfunction. However, the long-term effects of SARS-CoV-2 on the cardiovascular system remain unclear. Therefore, this study aimed to compare the carotid intima-media thickness (cIMT) between patients who have recovered from Coronavirus disease-2019 (COVID-19) and healthy individuals to evaluate the feasibility of vascular complications in the postinfection phase of COVID-19. In this cross-sectional study, the cIMT was compared between 47 recovered patients with severe COVID-19 and 42 healthy individuals without a history of COVID-19 (controls) using Doppler sonography. Demographic and sonographic data were analyzed using SPSS version 26 statistical software. A total of 47 young adults (30.8 ± 5.78 years, 7 men and 40 women) were evaluated 3 to 6 months after hospitalization for severe COVID-19, and were compared with 42 young healthy individuals (26.5 ± 5.85 years, 5 men and 37 women). The mean right and left cIMT were significantly lower in recovered COVID-19 patients than in healthy individuals (right cIMT: case group, 0.38 ± 05 mm vs control group, 0.40 ± 0.02 mm, P < .01; left cIMT: case group, 0.38 ± 0.05 mm vs control group, 0.40 ± 0.02, P < .01). A history of positive SARS-CoV-2 was associated with lower cIMT compared with controls. In this cohort, endothelial dysfunction may not have been the main driver of COVID-19 complications in recovered patients. However, more studies should be conducted on the relationship between cIMT and vascular complications.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"88 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141812563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Angela N. Butwin, Katherine A. Smith, Kaitlin E. Volz
{"title":"Exploring the Impact of Obstetric Sonographers Dealing With and Supporting Patients Who Receive Negative Outcomes","authors":"Angela N. Butwin, Katherine A. Smith, Kaitlin E. Volz","doi":"10.1177/87564793241256976","DOIUrl":"https://doi.org/10.1177/87564793241256976","url":null,"abstract":"Because of the complex circumstances in pregnancy, obstetric (OB) sonography requires dissemination of results, often during the examination, and the sonographer can be highly involved in that reporting. This creates a complex set of work responsibilities, in which patient support is of utmost importance, especially when the results are unfavorable. While patient experiences of receiving a negative outcome, during an OB sonogram, have been widely reported, there is a lack of literature on the experience of the sonographers involved in delivering this information. Thus, it is important to identify variables that impact providing ethical care for grieving OB patients. Sonographers in a maternal-fetal medicine clinic work very closely with a group of physicians, and other providers, in delivering unfavorable results, making communication, and understanding of roles of the utmost importance. Conversely, sonographers in a general OB/gynecology practice may not have the support of colleagues when communicating with the grieving patient. These demands may cause feelings of guilt, uncertainty, and stress, contributing to the experience of burnout for the OB sonographer. To prevent these feelings, it is important to consider ways to create a positive work environment and provide resources to protect sonographer mental health. Health care systems must ensure employee access to resources for managing stress, because of caring for grieving patients, and prioritize a healthy work environment, even during challenging times. Future studies are needed that investigate possible training materials, beyond basic hospital training, which targets the skill set needed to properly care for the grieving OB patient.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"136 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141811053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Well-Balanced Dish: A Guide to Multiauthor Manuscripts","authors":"Amanda N. Hogan","doi":"10.1177/87564793241234615","DOIUrl":"https://doi.org/10.1177/87564793241234615","url":null,"abstract":"","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140228986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Persistent Left Superior Vena Cava and Agitated Saline: A Strategically Thinking Sonographer’s Perspective","authors":"Michael Trump, Eric Kallstrom","doi":"10.1177/87564793241234644","DOIUrl":"https://doi.org/10.1177/87564793241234644","url":null,"abstract":"Comprehension of cardiac anatomy is critical for health care providers and allied health professionals in the pursuit of an accurate and timely patient diagnosis. Many times, when these anomalies are discovered, they are incidental findings from an asymptomatic patient during cardiovascular imaging. One specific anomaly which requires keen attention to detail and critical decision-making abilities is a persistent left superior vena cava (PLSVC). On a transthoracic echocardiogram (TTE), PLSVCs are discovered with the addition of agitated saline, commonly known as bubble studies. Because these anomalies are left-sided, it is critical for the sonographer and IV (intravenous)-trained staff to administer agitated saline through an IV on the left arm. Although rare, PLSVC may correlate with other cardiac pathologies, thus indicating the magnitude of a sonographer’s attention to surrounding anatomy (such as a dilated coronary sinus) and the necessity of appropriate IV location. This case study demonstrated the significance of a strategically thinking sonographer while diagnosing a PLSVC on TTE with agitated saline, which could have been missed if the IV line were not initiated on the left arm.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140245557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Can Multi-organ Sonographic Parameters Predict Mortality in Patients With Acute Kidney Injury?","authors":"Mehmet ali Aslaner, M. Cerit, Şaban Esen","doi":"10.1177/87564793241234867","DOIUrl":"https://doi.org/10.1177/87564793241234867","url":null,"abstract":"This study aimed to investigate sonographic parameters that could predict 1-month mortality in patients with acute kidney injury (AKI). This study was a post-hoc analysis of multi-organ sonographic examinations conducted between August 2020 and July 2021. Adult patients who presented to the emergency department (ED) with AKI were recruited. Multi-organ (lung, cardiac, inferior vena cava, kidney, and bladder) sonographic examinations were performed by emergency physicians and evaluated by a radiologist, cardiologist, and another emergency physician, while being anonymized to the results. There were 165 patients with AKI enrolled in the study, and 40 (24.2%) of them experienced 1-month mortality. Following univariate analyses of 23 sonographic parameters, multivariate regression analysis revealed that diffuse ascites (odds ratio [OR], 3.67; 95% confidence interval [CI]: 1.27–10.61) and left ventricular basal diameter (OR, 0.93; 95% CI: 0.87–0.99) were related with 1-month mortality in patients with AKI. In this cohort of AKI patients, the most powerful sonographic parameter, as a predictor of 1-month mortality, was diffuse ascites. Further clinical studies are needed to validate and refine these diagnostic findings.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"8 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140264047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ultrasound-Enhancing Agent and IV Administration in Cardiac Sonography: How Sonographers Play a Key Role in Positively Affecting Key Performance Indicators","authors":"Eric Kallstrom","doi":"10.1177/87564793241230982","DOIUrl":"https://doi.org/10.1177/87564793241230982","url":null,"abstract":"As the health system in the United States continuously searches for ways to reduce costs and improve the health care experience, cardiac sonographers are uniquely positioned to add to this initiative. Tasked with providing high-quality imaging studies in outpatient and inpatient areas, the scope of practice for sonographers continues to evolve. To ensure quality imaging, ultrasound-enhancing agents (UEAs) are needed in patients with suboptimal images to improve delineation of left ventricular endocardial borders. This process involves intravenous (IV) access and occurs in both patients in ambulatory clinics and hospitals. Historically, health care professionals delegated to perform these duties have been nursing, radiology, and nuclear medicine staff. Because these professionals have their own job responsibilities, the potential to complete a transthoracic echocardiogram (TTE) with UEA, in a timely fashion, may be compromised. Expanding the practice of cardiac sonographers to include these duties should be supported to facilitate uninterrupted patient care, efficiency, and stakeholder satisfaction.","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"15 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139958006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SDMS CME Credit – Exploring Leadership Communication Competencies, Within Health Care, That May Have Been Exacerbated by the Pandemic","authors":"","doi":"10.1177/87564793241228311","DOIUrl":"https://doi.org/10.1177/87564793241228311","url":null,"abstract":"","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"44 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SDMS CME Credit – The Role of Elastography in Diagnosing Endometrial Pathology","authors":"","doi":"10.1177/87564793241228315","DOIUrl":"https://doi.org/10.1177/87564793241228315","url":null,"abstract":"","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"43 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SDMS CME Credit – Sonographic Findings of Pheochromocytoma in an Adolescent Female During an Evaluation for Possible Renal Artery Stenosis","authors":"","doi":"10.1177/87564793241228314","DOIUrl":"https://doi.org/10.1177/87564793241228314","url":null,"abstract":"","PeriodicalId":504375,"journal":{"name":"Journal of Diagnostic Medical Sonography","volume":"53 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}