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Journal Article Review - Essay Example

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Aortic Pseudothrombus 18th, March 2013 Journal Article Review Aortic Pseudothrombus: A Sonographic Artifact in the Abdominal Aorta Toepfer, N., Ricadio, J., Adams, J., Babcock, D. & Holland, K. Journal of Diagnostic Medical Sonography…
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This process was lengthy, but finally, the authors arrived at a clarification. This study therefore, mainly creates awareness about the existence of Pseudothrombus, and that sonographers should be keen, especially where children are concerned, to avoid misdiagnosis, as children rarely experience thrombus. This study also provides different techniques, which could be useful to sonographers in differentiating between thrombus and Pseudothrombus. This cuts on anxiety and costs. The authors have not reviewed any literature in their article.

They have based their discussion on the tests and observation, as well as their personal knowledge in the area. The methods used in this study were a series of medical tests. The study subject is a ten-year-old boy, suspected of symptoms of aortic thrombus, which included vomiting, and abdominal and back pains. This is after sustaining an injury in his lower abdomen. Medical tests employed include computed tomography, which did not reveal any serious injury. Next was imaging with curvilinear 4-6 – MHz center frequency transducers.

This revealed an oval-shaped, nonocclusive intraluminal echogenicity, in the boy’s abdominal aorta. This did not show any abnormality of the abdominal aorta, so, an aortic dissection was conducted. This showed a longitudinal and transverse view of the echogenicity. Thereafter, Doppler sonographic interrogation of the aortic flow was undertaken. This gave inconclusive findings about the boy’s aortic flow, since he had a history of lack of conclusive sonographic results. Next imaging was a CT angiogram with 1.

2 mm axial slices. This presented no signs of an artifact or thrombus. In the final Sonography, the echogenicity was reproducible in images where the SMA was anterior to the abdominal aorta, making it clear that it was positional and artifactual in nature. In this article, the authors themselves conducted the analysis and interpretation of the results obtained. They used their knowledge about the process to analyze findings. However, reference was also made to other scholarly works, which address the phenomenon in the study.

In their interpretation, the authors considered the thrombus –like object in the patient to be an acoustic artifact, which they claim to have occurred due to various actions and interfaces of different elements of light, and considering the patient’s low level of abdominal fat. Nonetheless, the authors consider possibilities that reverberation was responsible for the creation of the echogenic element in the boy, which they regarded as an artifact. As part of the analysis of the findings, the authors have used different images from the imagings conducted on the patient.

These are six images, showing the steps followed in imaging. This includes the transverse and longitudinal views of the patient’s abdominal aorta, Doppler sonographic interrogation, the computed tomography, as well as the image showing the absence of thrombus-like substance. I consider all these important, as they give the reader a clear view of what the authors are addressing, thus enhancing the reader’s understanding. The methods used in this case, including Doppler Sonography, did not conclusively detect the presence of aortic thrombus in the young patient.

The authors have claimed findings were to some extent, ambiguous. In addition, these findings were inconclusive, and this was mainly because of the

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