POCUS for male genital emergencies

男性生殖系統由於充滿軟組織的結構,沒有骨頭和氣體,
超音波在這個領域就扮演很重要的角色。

POCUS is good for male genital emergencies evaluation.

由於Penis和Scrotum都不是很厚的結構體,
因此要能很好的觀察最好是選用線形的高頻探頭
也應該要配有Color Doppler或Power Doppler (最好),
如些一來,不但能得到高解析度的影像來提升診斷的價值,
配合血流量的觀察,更可以鑑別缺血性和發炎性的疾病。

It will be best to evaluate penis and scrotum using high frequency & resolution linear transducers equipped with power Doppler function.
Then we will have the chance to differentiate ischemic to inflammatory diseases.

如果掃描的標的可能牽連的範圍較廣,
最好也能配合標準的腹部探頭來進行大範圍和較深部的掃描。
Curve transducers, standard abdominal probes, will be needed for deeper and wider area evaluation.

臨床上POCUS的適應情境主要有
疼痛  (Pain)
腫大 (Swelling)
外傷 (Trauma)

POCUS is helpful for patients having pain, swelling or trauma on penis and scrotum.

POCUS對於診斷下列疾病都有很大的助益 (今天的講解個案) (Case discussion today)
Testicular torsion
Epididymitis
Orchitis
Hydrocele
Varicocele
Hernia
Abscess
Scrotal edema
Fournier’s gangrene
Testicular injury (blunt or penetrating)
Foreign body
Penile injury
Urethral stone

附上一段很多年前還沒有線形探頭時用腹超探頭加上Power Doppler診斷的睪丸扭轉
A old video of testicular torsion in a young adolescent

帶回家的心法最重要了,
心法通了,掃描出上面的疾病就只差招式了 !!

POCUS for Male Genital Emergencies PDF file

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