#DORSAL RECUMBENT POSITION TRIAL#

The ultrasound appearance of the normal canine AG was first described in 1990 3 with subsequent definitions of objective measurements. 1 Specifically in PDH, AG ultrasound determines if the AGs are normal size or if bilateral symmetrical hyperplasia exists. Once a diagnosis of HAC is established then AG ultrasound and endocrine differentiating tests assist in the differentiation between pituitary-dependent hyperadrenocorticism (PDH) and an adrenal tumor. Keywords: adrenal glands, ultrasonography, normal, dog, recumbencyДЄdrenal gland (AG) ultrasound is part of the assessment of dogs with potential hyperadrenocorticism (HAC), and is interpreted with history, clinical signs, physical examination, routine laboratory tests and endocrine screening tests. This finding suggests that the CPT from the longitudinal image plane is the most reliable measurement in terms of agreement between dorsal and lateral recumbency in dogs with non-AG illness. This study demonstrates that there is some difference in the measurements acquired in dorsal compared with lateral recumbency however, the difference is small for the CPT from the longitudinal plane. Agreement between lateral and dorsal recumbency was poorer for the measurements derived from the transverse image plane and poorest for measurements of AG length in the longitudinal plane. The measurement with the best agreement between the dorsal and lateral recumbency was the caudal pole thickness (CPT) from the longitudinal image plane. The level and limits of agreement between the dorsal and lateral recumbency for each of the measurements were determined using the BlandвЂ“Altman analysis. AG length, height and width measurements made in the longitudinal image plane, and height and width measurements from the transverse image plane were assessed.

This prospective study, performed in dogs with non-adrenal illness, compared ultrasonographic AG measurements made in dogs placed in dorsal recumbency with those made in left or right lateral recumbency. The effect of the dogsвЂ™ recumbency position on the accuracy of AG measurement acquisition is not known.

#DORSAL RECUMBENT POSITION TRIAL#

Same as fowlers except at 90 degrees.Anne Marie Rose, 1 Thurid Johnstone, 1,2 Sue Finch, 3 Cathy Beck 1ДЎU-Vet Animal Hospital Werribee, The University of Melbourne, 2TRACTS Translational Research and Clinical Trial Study Group, The University of Melbourne, 3Statistical Consulting Centre, School of Mathematics and Statistics, The University of Melbourne, Melbourne, VIC, AustraliaДЄbstract: Abdominal ultrasound is frequently used to assess the canine adrenal gland (AG) and subjective and objective features of normal AGs have been described. It is an intervention used to promote oxygenation via maximum chest expansion and is implemented during events of respiratory distress. In medicine, Fowler's position is a standard patient position. Used for when passing a urethral soundДЇowler's positions are tilted back. Patient lies on the back with shoulders elevated, knees flexed, thighs flexed at right angles to the trunk. Used for proctologic exams (Colorectal surgery is a field in medicine, dealing with disorders of the rectum, anus, and colon.) Have your patient put their butt in the air but put the exam table in a more sharp position like they are being alien probe. Have the patient put their butt in the air like a five year old. Used for Back or neck procedures (cervical to sacral), Procedures of the occipital or postero-lateral cranium Arms can be positioned above the head and extended or alongside the body. Patient lies flat on their stomach with the head turned slightly to the side. Used to rectal examination, treatments and enemas

Both legs flexed at knee and the right leg is sharply flexed and positioned next to the left leg, which is slightly flexed. Patients lies on the their left side with the left arm behind the body and right arm forward, flexed at the elbow. Knees are bent and butt moved to the edge of the exam table. Used for genital and rectum examДЇemale patients assume the dorsal recumbent position with feet in the stirrups. Patient is in supine position with legs flexed at the knees and feet flat on table. Patients lies supine position with foot of the table elevated. Used for examination of chest, heart and abdomen Patient laying flat on back with arms at side. Patients sits at end of exam table with feet over edge.

Patient stands upright with arms at sides and palms facing forward

Dorsal recumbent position