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Imaging Study Paid Zoom Webinar


Topic: Fetal Gastrointestinal System & Abdominal Walls

Date & Time: 15 October 2024, Tuesday, 8:30pm-11:30pm

Speaker: Dr. Mir Mahin Ashraf, MBBS, MD


Language: Bengali & English (Not suitable for foreigners)


Please read first then register: (If you don't follow, you will miss the session):

- Your email address should have a Zoom account. If not then please sign up to Zoom first & then register with that email.

- If you see an error message during registration, then your email address doesn't have a Zoom account connected. This is the difference between joining a Zoom class & webinar. Please go to Zoom website from any browser, not the app. You need to go to website. Then try to sign in or sign up with your email. After that use the same email id for registration. Make sure, the joining link will be sent automatically to the email inbox & you can only join using that email address. ***

- If your BMDC registration is not showing on the website, please do not register, as it will get automatically cancelled.

- Put the transaction ID on the registration form to avoid delayed approval. For any problem or bank transfer, you can also send the screenshot on WhatsApp: 01674774855.

- A high-speed internet connection (at least 4G) is needed to avoid interruptions. No records will be kept. So, it is better to avoid this session if you are on the road or on duty.

- You need the Zoom app on your phone or laptop to attend. Please check the Zoom app of your device at least the day before to avoid errors like 'No audio' 'No video' etc. 

- We will arrange the same lecture later again in sha Allah. So if you find the day unsuitable, you may wait for the next session.

- Check the joining link automatically sent to your mail at least 6 hours before the program. Phone calls during the class hour regarding joining problems won't be solved as nobody is there to solve them.

- If you cannot find the email, please check the spam folder and also make sure the inbox is not full. Emails are sent automatically by Zoom on approval. Most common cause of not getting the mail is a full inbox. ***

- Moreover you always can join the webinar after registration by putting the webinar ID on the Zoom app. We provide that ID below & in every Webinar related post. ***

- For any issue, please knock at Whatsapp: 01674774855 or imagingstudychannel@gmail.com


Registration Link: 

https://us06web.zoom.us/webinar/register/WN_1SEMFQmJQZKn6ZCYGv8SUQ

Webinar ID: 824 7116 0635

Registration Fee: 500 Taka

(Registration is mandatory as only the registered persons can access the session)

Last Date of Registration: 15 October 2024, 4:00pm 

(Please Do not try later as it won't be approved).


Payment: 

'Send Money' to any of the following options:

01674774855 (Bkash, Rocket, Nagad, Upay)

Bank transfer: 

Dutch Bangla Bank Ltd (DBBL)
A/C Name: MIR MAHIN ASHRAF
A/C No.: 1261030106546
A/C Branch: Elephant Road


Objectives:

- Fetal congenital abnormalities are a highly demanded topic in ultrasound practice.
- If you are practicing ultrasound & want to upgrade your knowledge online, then this opportunity might be helpful for you. 
- Our target is to arrange a long Q&A part at the end of the lecture. So, it would be best if you prepared your questions for that part.


Contents:

- Normal structures
- Congenital anomalies
- Tips & Tricks
- Q&A


Limitations:

- No intervention will be covered
- No certificate
- Online only, No practical demonstration
- Not suitable for foreigners
- Participants (Present or absent) will receive the record link automatically 1 day after the session with 7 days validity
- Record will be available for only 7 days (View Only)

Targeted participants:

- MBBS Doctor with valid BMDC registration ** (Will be checked)
- Radiologists, Sonologists, Gynecologists, GPs, Residents
- Has a basic idea about ultrasound
- Has got training or practicing but wants to improve theoretically
- Have a good internet connection
- Have free time to attend

                    

Clinical Features:

A 31-year-old male patient came with penile trauma.


Ultrasound Features:

- Irregular mixed echogenic area is noted in the right corpora cavernosum near the root with adjacent tunica albuginea disruption & perialbugineal extension.  

- Color Doppler shows no vascularity within this mixed echogenic area.

- Cavernosal artery appears intact. 

- Overlying skin appears thickened, and edematous with fat-plane irregularity with increased skin vascularity indicating inflammatory changes.


Remember:

Penile Fracture Grading:

Grade 0: Intact tunica albuginea. Hematoma superficial or deep to Buck's fascia
Grade I: Defect in the tunica albuginea and/or corpora cavernosa
Grade II: Defect in the tunica albuginea and/or corpora cavernosum. Associated peri-albugineal and/or cavernosal hematoma
Grade III: Defect in the tunica albuginea, Buck fascia (with hematoma) and the corpus spongiosum
Grade IV: Involvement of corpus spongiosum with urethra and/or vascular injury, with any vascular malformation


Ultrasound Diagnosis:

Grade II penile fracture


Ultrasound Images:





Irregular mixed echogenic area is noted in right corpora cavernosum near the root with adjacent tunica albuginea disruption & perialbugineal extension.  


YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link









                   

Clinical Features:

A 70-year-old male patient came with right upper abdominal pain.


Ultrasound Features:

Generalized gallbladder wall thickening with multiple areas showing intramural hyperechoic foci and comet tail artifacts.


Remember:

- The high frequency ultrasound may help better visualization of comet tail artifacts & wall thickening.
- Search for mass lesion & calculus.


Ultrasound Diagnosis:

Chronic cholecystitis with adenomyomatosis of gallbladder.


Ultrasound Images:







Generalized gallbladder wall thickening with multiple areas showing intramural hyperechoic foci and comet tail artifacts.


YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link









                  

Clinical Features:

11-year-old female patient came with severe right lower abdominal pain.


Ultrasound Features:

- Right iliac fossa shows an irregular thick-walled complex collection with internal low-level echoes.

- Vermiform appendix is not separately visualized.

- Surrounding thickened fat layer is seen.

- Adjacent bowel loops show sluggish movements.

- Color Doppler shows prominent perilesional vascularity.

- The lesion compresses adjacent psoas muscle with no intrapsoas abnormality at present.

- Adjacent multiple prominent lymph nodes are seen.


Remember:

Peritoneal collection adjacent to a gangrenous appendix or abscess may suggest perforation.


Ultrasound Diagnosis:

Appendicular Abscess 


Ultrasound Images:







Appendicular abscess


YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link










                  

Clinical Features:

A young married female patient came with

- Amenorrhoea for 2 months.

- Pervaginal small bleeding.

- Lower abdominal pain.


Ultrasound Features:

- About 9-10 weeks of single intrauterine dead embryo.

- No cardiac activity, even on Doppler.


Remember:


Ultrasound Diagnosis:

Missed abortion of about 9-10 weeks size.


Ultrasound Images:




9-10 weeks of single intrauterine dead embryo with no cardiac activity, even on Doppler.


YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link










                  

Clinical Features:

A 35-year-old female patient came with

- Dysmenorrhoea

- Menorrhagia


Ultrasound Features:

- Uterus is enlarged & globular with asymmetric myometrial thickening.

- Myometrium is inhomogeneous with irregular junctional zone, subendometrial tiny cystic spaces along with echogenic lines & islands & fan-shaped shadowing without any translesional abnormal vascularity.


Remember:

Check two journals for studying adenomyosis:
1.Van den Bosch, T., Dueholm, M., Leone, F.P.G., Valentin, L., Rasmussen, C.K., Votino, A., Van Schoubroeck, D., Landolfo, C., Installé, A.J.F., Guerriero, S. and Exacoustos, C., 2015. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound in Obstetrics & Gynecology, 46(3), pp.284-298.

2. Van den Bosch, T., De Bruijn, A.M., De Leeuw, R.A., Dueholm, M., Exacoustos, C., Valentin, L., Bourne, T., Timmerman, D. and Huirne, J.A.F., 2019. Sonographic classification and reporting system for diagnosing adenomyosis. Ultrasound in obstetrics & gynecology: the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 53(5), pp.576-582.


Ultrasound Diagnosis:

Uterine Adenomyosis


Ultrasound Images:








Enlarged & globular uterus with inhomogeneous asymmetric myometrium showing irregular junctional zone, subendometrial tiny cystic spaces along with echogenic lines & islands & fan-shaped shadowing without any translesional abnormal vascularity. 
A small nabothian cyst is also seen.


YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link










                 

Clinical Features:

A middle-aged married female patient came with right lower abdominal pain.


Ultrasound Features:

- A well-defined cystic area with incomplete septations is noted at the right adnexa.

- Color Doppler shows no abnormal vascularity.


Remember:

Acute severe pain in a case of hydrosalpinx may seek attention to exclude torsion.


Ultrasound Diagnosis:

Right sided hydrosalpinx.


Ultrasound Images:




A well-defined cystic area with incomplete septations is noted at the right adnexa.


YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link









                

Clinical Features:

A 32-year-old male patient came with a small right testis.


Ultrasound Features:

Small & heterogeneously hypoechoic right testis & epididymis with diminished vascularity on Doppler.


Remember:

Any focal heterogeneous area in a case of acute epididymo-orchitis should be assessed carefully with Doppler to exclude abscess.


Ultrasound Diagnosis:

Right sided chronic epididymo-orchitis.


Ultrasound Images:








Small & heterogeneously hypoechoic right testis & epididymis with diminished vascularity on Doppler.


YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link








                

Clinical Features:

A 29-year-old female patient came with amenorrhea for 3+ months.


Ultrasound Features:

- 13-14 week sized single live intrauterine pregnancy.

- Two layers of cord tightly wrapped around the fetal neck.


Remember:

Don’t end the obstetric ultrasound without using Doppler to see the umbilical cord.


Ultrasound Diagnosis:

Two layers of cord around the neck of a 14-week-sized fetus.


Ultrasound Images:






Two layers of cord around the neck of a 14-week-sized fetus 



Tightness of the cord is seen at the neck on 3D images


YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link








               

Clinical Features:

A 63-year-old male patient came with right hemiscrotal painful swelling.


Ultrasound Features:

- Swollen & hypoechoic right testis & epididymis with increased vascularity on Doppler.

- Right sided mild hydrocele.


Remember:

Any focal heterogeneous area in a case of acute epididymo-orchitis should be assessed carefully with Doppler to exclude abscess.


Ultrasound Diagnosis:

Right sided acute epididymo-orchitis with reactionary hydrocele.


Ultrasound Images:









Right sided acute epididymo-orchitis with reactionary hydrocele






Right testis & epididymis on 3D images


YouTube Link:

For further demonstration, don't forget to check our video:

YouTube Link