Case Study – Fibromatosis
description
Transcript of Case Study – Fibromatosis
![Page 1: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/1.jpg)
P A I G E F A B R E1 3 6 5 4 5 8 4
CASE STUDY – FIBROMATOSIS
Paige Fabre
![Page 2: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/2.jpg)
PATIENT PRESENTATION
• __ year old male• Current heel pain• Request• X-ray and Ultrasound of plantar fascia• Clinical indication: persistant pain following fall into heel.
![Page 3: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/3.jpg)
X-RAY IMAGESX- RAY I M AG E S W E R E P E R F O R M E D B E F O R E T H E U LT RA S O U N D
![Page 4: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/4.jpg)
![Page 5: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/5.jpg)
ROOM PREPARATION
The room was prepared before the patient entered with:• The head of the table slightly elevated for comfort• The pillow moved from the end of the bed to allow the
patient to option of lying with their head or their chest on the pillow to ensure comfort during the examination
• The foot end of the bed was lifted slightly to allow the patient to rest with the dorsal aspect of their foot on the edge of the bed so that it may be manipulated throughout the scan
• Protective blueys were placed on the carpet below the patient’s feet and on the bed to catch any gel run-off
• The ultrasound machine was moved to the end of the bed and a selection of high frequency transducer were connected or in close proximity.
![Page 6: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/6.jpg)
ROOM PREPARATION
• Image here
![Page 7: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/7.jpg)
PATIENT PREPARATION
• The patient was welcomed into the room.• Their clothing was assess for accessibility.• As the patient was wearing trousers that could be easily
lifted they were not required to change.• The patient removed their shoes and socks
• The examination was explained to the patient• The patient was aware that the scan was to be performed
by a trainee with a supervising sonographer assisting
![Page 8: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/8.jpg)
EQUIPMENT PREPARATION
• The scan was performed on a Phillips IU22• Initially a 18mHz transducer was attempted,
however due to the thickness of the patient’s heel a 12mHz multiple frequency transducer was selected to perform the scan.
![Page 9: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/9.jpg)
IMAGING PROTOCOL
![Page 10: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/10.jpg)
IMAGING PROTOCOL
• Imaging protocol of a plantar fascia examination is as follows:• Transverse images of the plantar aponeurosis from calcaneal
tuberosity to the distal division.• Longitudinal images of the plantar aponeurosis from calcaneal
tuberosity to the distal division.
• Further imaging of surrounding structures is encouraged if indicated by pathology seen, radiologist request or patient information.
• Doppler may be used to assess for vascularity and imaging performed as required
![Page 11: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/11.jpg)
US EXAMINATION
![Page 12: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/12.jpg)
D E SC R I PT I O N H E R E
IMAGES HERE
![Page 13: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/13.jpg)
![Page 14: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/14.jpg)
![Page 15: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/15.jpg)
![Page 16: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/16.jpg)
![Page 17: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/17.jpg)
![Page 18: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/18.jpg)
![Page 19: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/19.jpg)
![Page 20: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/20.jpg)
![Page 21: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/21.jpg)
![Page 22: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/22.jpg)
![Page 23: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/23.jpg)
![Page 24: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/24.jpg)
![Page 25: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/25.jpg)
![Page 26: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/26.jpg)
![Page 27: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/27.jpg)
![Page 28: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/28.jpg)
D I F F T RA N S D U C E R
![Page 29: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/29.jpg)
D I F F T RA N S D U C E R
![Page 30: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/30.jpg)
US FINDINGS
![Page 31: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/31.jpg)
ULTRASOUND FINDINGS
![Page 32: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/32.jpg)
RADIOLOGIST REPORT
![Page 33: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/33.jpg)
FIBROMATOSIS
![Page 34: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/34.jpg)
FIBROMATOSIS
• Def• Eitiology• Us app• treatment
![Page 35: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/35.jpg)
REFLECTIONWHAT COULD HAVE BEEN DONE BETTER
![Page 36: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/36.jpg)
REFLECTION
![Page 37: Case Study – Fibromatosis](https://reader030.fdocuments.us/reader030/viewer/2022033106/5681639a550346895dd49236/html5/thumbnails/37.jpg)
REFERENCES