Dengue: Sonography Evaluation
For several years we have been seeing cases of Dengue in different forms and stages. We take this particular case to illustrate in search of relevant sonographic signs, especially with symptoms of dengue alarms, formerly called DHF, this above all, because the other clinical, Dengue Classic, has few or no sonographic sign important. Dengue in the first alarm signs appreciate what is:
- Infiltrative edematous thickening of the wall Gallbladder, called A-lithiasic acute cholecystitis. As the anterior wall of the gallbladder usually has a maximum thickness of 3.0 mm, we can evaluate sonographically evolutionary dengue situation to through this sign: a thicker, worse, this surpasses sometimes seen by us 20 mm and more,-Hepato-Splenomegaly, sonographic signs almost constant in these cases, it should be remembered that hepatomegaly is valued by placing the transducer in the mid-axillary line and its size must be less than 15.0 cm. Spleen measures conducted to assess the volume taken from three linear measurements.We try to visualize with great attention the hepatorenal space Morrison to detect small amounts of ascites fluid,- Pleural effusion, right and left, if there is a measurable quantity, turn to the back display to through the posterior intercostal space, as this window allows a better quantification of the quantity involved, we reported in cc- Finally, never forget visualize the hypogastrium and both iliac fossae because in these places amounts of ascitic fluid are deposited that if they forget to look at and quantify pass unnoticed.
|Ascitis en espacio Hepato-Renal de Morrison|
|Engrosamiento Pared Anterior Vesícula|
|Pared Anterior Vesícula vista Longitudinal|
|Ascitis en Fosas Iliacas|