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Neck

  • Benji K. Mathews
  • Oana Dickinson
Chapter

Abstract

Point of care ultrasound (POCUS), when performed by an experienced clinician, may be used for many applications in the neck. The focus of this chapter is on selected aspects of the neck. including discussion on anatomy, evaluation of lymph nodes, utility to identify infections and the use of ultrasound for vascular access. The properly trained clinician in point of care ultrasound should be trained in the fundaments, image acquisition, image interpretation, and clinical integration.

Keywords

Point of care ultrasound Neck ultrasound Lymphadenopathy Vascular access 

Supplementary material

Video 11.1

Transverse view of the right internal jugular vein (IJV ) and carotid artery (CA). Video courtesy of Benji Mathews, MD (MP4 2944 kb)

Video 11.2

Longitudinal view of internal jugular vein thrombosis. Video courtesy of Mangala Narasingham, DO (WMV 995 kb)

Video 11.3

Transverse view of lymph node. Video courtesy of Benji Mathews, MD (MP4 2940 kb)

Video 11.4

Transverse view of lymph node with color Doppler. Inflammatory nodes may be quite large but retain their fatty hilum and associated axial vascularity on Doppler imaging [9]. Increased vascularity may also be seen when color flow Doppler is used. With pathologic lymph nodes, a regional, more comprehensive ultrasound or other advanced imaging is usually required. Moreover, with enlarged lymph nodes, a core-needle biopsy may also be recommended. Video courtesy of Benji Mathews, MD (MP4 2937 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of MedicineUniversity of Minnesota Medical SchoolMinneapolisUSA
  2. 2.Department of Hospital Medicine, HealthPartnersSt. PaulUSA

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