Info for Doctors

MD Ultrasound is committed to high clinical standards whilst providing efficient service to both practitioner and patient alike.
Please find following patient preparation regimes, examination types and indications for scans offered by MD Ultrasound.

General Ultrasound

Patients may take normal medication on morning of examination with a small amount of water. Diabetic patients may take small
amount of clear fluid and low fat food (Sweets) on morning of appointment.


Upper Abdomen

Patient preparation: 10 hour fast. If abdomen and pelvis required patient to present fasting and then fills bladder.

Indications:

  • Pathology of the Aorta
  • IVC, Pancreas
  • Liver
  • Bile duct
  • Spleen
  • Kidneys
  • Gallbladder

 

Renal

Patient preparation: Full Bladder. Drink 2 pints of water one hour prior to scan appointment

Indications:

  • Renal
  • Bladder pathology
  • UTI
  • Haematuria
  • Dysuria
  • Nocturia
  • Frequency
  • Prostate size
  • Residual bladder volume

 

Female Pelvic

Patient preparation: Full Bladder. Drink 2 pints of water one hour prior to scan appointment.

Indications:

  • Uterine
  • Endometrium
  • Fallopian & Ovarian pathology
  • Kidneys assessed if patient presents with pain

 

Transvaginal

The ‘Endovaginal’ or ‘Internal’ scanning method is far superior in image quality, detail and sensitivity. Therefore, this
examination is offered to all women routinely. It is performed with an empty bladder after gaining signed, informed consent
from the patient. Some pathology may only be detected using this technique. This is performed on the day of the scan if
requested and incurs an additional fee. Please call the clinic if you have any questions regarding this procedure.
A description of the procedure may be found using www.mdu.ie under patient information.

 

VASCULAR

Arterial: Leg arteries

Patient preparation:One leg – No preparation. Two legs – 10 hour fast to allow visualisation of abdominal/pelvic vessels.
Please state which leg or both legs

Indications:

  • Peripheral vascular disease
  • Claudication
  • Trauma, Aneurysm

 

Arm Aerteries

Patient preparation: None. Please state which arm or both arms.

Indications:

  • Thoracic outlet syndrome
  • Peripheral vascular disease
  • Trauma
  • Raynards disease

 

Carotid Aerteries

Patient preparation: None

Indications:

  • FHx stroke
  • TIA’s
  • RIND’s
  • Bruit
  • FHx Vascular disease

 

VENOUS: Leg Veins

Patient preparation: One leg – None. Two legs – 10 hour fast to allow visualisation of abdominal vessels.
Please state which leg or both legs.

*Please state if indication is either DVT or Venous incompetence

Indications:

  • Deep Vein Thrombosis
  • Superficial vein thrombosis
  • Ruptured bakers cyst
  • Venous incompetence

 

Arm Veins

Patient preparation: None

Indications:

  • Deep Vein Thrombosis
  • Superficial vein thrombosis
  • Oedema post mastectomy

 

MUSCULOSKELETAL

No preparation required

Shoulder
Indications:

  • Rotator cuff tear
  • Bursitis
  • Supraspinatus impingement
  • ACJ instability
  • Adhesive capsulitis

 

Knee
Indications:

  • Ruptured bakers cyst
  • Joint effusion
  • Patella/Quadricep /Collateral Tendonopathy
  • NB Cartialage / meniscus & cruciate ligaments require MRI

 

Achilles Tendon
Indications:

  • Tendonopathy
  • Rupture
  • Partial tear

 

Hand/ Wrist/ Finger
Indications:

  • deQuervain’s syndrome
  • Ganglion
  • Tendonopathy

 

Groin/ Inguinal Canal
Indications:

  • Direct/Indirect Inguinal hernia
  • Herniated contents: Reducible/ Irreducible

 

Soft tissue
Indications:

  • Lipoma etc.
  • Foreign body
  • Abdominal wall hernia

 

Muscles
Indications:

  • Tear
  • Collection
  • Haematoma
  • lesion

 

Paediatric Hips

No preparation. Optimum baby age 6 weeks old. Scanning at greater than 3 months reduces visibility of anatomy.
Indications:

  • Congenital Hip Dysplasia/ Dislocation

 

OBSTETRICAL

Dating/ viability

Patient preparation:Full Bladder. Drink 2 pints of water one hour prior to scan appointment.

Indications:

  • Gestational age
  • Gestational number
  • Ectopic
  • Viability
  • Note; Transvaginal scans offered when clinically appropriate

 

Nuchal Translucency

Patient preparation:Full Bladder. Drink 2 pints of water one hour prior to scan appointment.

Indications:

Medical Diagnostic imaging is fully accredited with the Foetal medicine foundation (FMF), a world leader in obstetric screening and research.
During assessment of the fetus the Nuchal thickness (NT) is measured. Other fetal morphology and biometry is also assessed. Different data
(for example the mothers age and weight) is then entered into a state of the art computer software program attached to the FMF. This then
gives the risks or odds of baby having Down’s Syndrome and Trisomys 13 and 18. Results are provided to the referring doctor within 24 hours.
This is not a definitive assessment and is used to assess risk only. Different factors can affect the NT. The ultrasound may be combined with
blood biochemistry to give a combined risk assessment.

Please call the clinic if you have questions regarding this procedure. Information and online medical practitioner and patient lectures may
be found on www.fetalmedicine.com/

 

Anomaly Scans

Patient preparation: Performed between 19 & 24 weeks gestation. No full bladder needed.

Indications:

  • Detailed fetal morphology and biometry
  • Placenta site
  • Amniotic fluid assessment

 

Third Trimester Scan

Patient preparation: None. Performed after 28 weeks gestation.

Indications:

  • Estimated Foetal Weight
  • IUGR
  • Serial growth scans
  • Limited morphology and biometry
  • Amniotic Fluid Index
  • Umbilical Cord Doppler
  • Placenta position
  • Fetal Lie/ position

 

Multiple Gestations

Indications:

  • Dating
  • Viability
  • Chorionicity
  • Nuchal translucency
  • Anomaly scans
  • Serial Growth scans

 

MISCELLANEOUS

Thyroid/ Neck/ Salivary glands

Patient preparation: None

Indications:

  • Goitre
  • Graves disease
  • Hashimoto’s disease
  • Thyroid retrosternal extension
  • Lymphadenopathy
  • Thyroglossal duct cyst
  • Branchial cyst
  • Parathyroid adenoma
  • Salivary Calculi

 

Testis

Patient preparation: None.

Indications:

  • Torsion
  • Orchitis
  • Epididymitis
  • Epididymal cyst
  • Hydrocoele
  • Lesion

Please call the clinic if you have any queries, we would be happy to help you.