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Thank you for a great question.You follow the dilation to its distal extent(ie is colon distended too) , you check the hernial orifices, you consider if hyperperistaltic or motionless, if the walls are thick or thin, what is the proximal extent of the dilation and put it all together to decide if you have an ileus, and obstruction, ischaemia or gastroenteritis. I would do this if the dilated loops are more than just one or two localised just to RIF.

Thank you too

Right

Thank you

Thank you.

Thank you. I think I mix up beam-width and sidelobe a bit.

Sorry, just saw the comments about models. They are cheap but only last a week or so. Gel mix is 100gm of gelatine first softened in 5 cups of very hot water- try to disperse slowly and evenly in water as it gets lumpy, then add 5 cups cold water. As it cools add 1or 2 tablespoon of metamucil ( or other psyllium product)...I often speed cool in fridge briefly. You have to re-stir the psyllium in just before it cools too much, or else it layers out. I am told if you add chlorhexidine it is less prone to going mouldly after a week. The Veins are long modelling balloons filled with water and knotted in segments so that each 'vein' can be punctured in several places. The balloons float to surface so you either tip shape out of mould and puncture from 'bottom' or (particulalry if you are in hot environment ) set the balloons on base of model with thin layer of gel - set extra quickly in freezer then pour rest of semi-cooled mix over top. By leaving the models in the lunch boxes, they are less messy and easier to transport and clean up. Note that due to legal issues, you should always put a layer of thin plastic lunch wrap over model (excluding bubbles) as some US companies will not warranty their probes if they have touched animal protein. Store in fridge until ready to use. I will try and do a short video on making models bu there is good stuff already on internet.

@@blueteam8638 Thank you very much for your time in explaining everything. You are amazing

Yes you are right - more my poor tech skills however....

Thank you

Thank you, needs a bit of updating though, and separation of sidelobe and beamwidth explanations - beamwidth for small things and sidelobe for large.

@@blueteam8638 cant wait to see it!

My pleasure

Thank you too - feedback is priceless.

You are very welcome.

thank you, I am glad it helps.

For sure. Transverse gives me a better sense of all three dimensions.

We use in plane for everything in radiology, for any sort of biopsies we do. It is tricky to learn, though. And in my department we don’t really do any vascular access.

Sorry - haven't got one myself yet...

I use one of those gorilla grips tripods to hold my device

Have you got a picture? I can't quite imagine it...

Hi Encee. It depends a little on which authors you read, there is not consensus quite yet. MOst of us refer to the region between scapula and spine as region 5 and inferior to scapula is region 6, Region 6 is quite a bit larger than region 5 unless you get your patient to reach forward with both arms to move scapulae laterally.

Thank you, you are right of course, it is a pretty old video too.

Thank you. There is no compliment I value more.

Indeed. A great teacher

Thank you.

Thank you.

Thank you. It is an old video by now. These days I add an adhesive skin preparation(Cavilon is tradename here) to the equipment, as it is very hard to stick dressings to recently cleaned skin.

Sorry, was only just learning to make videos back then.