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Managing uncommon and unexpected findings during neuromuscular ultrasound
Muscle & Nerve ( IF 3.4 ) Pub Date : 2020-12-15 , DOI: 10.1002/mus.27128
Francis O Walker 1 , Michael S Cartwright 1 , Christopher H Hunt 2
Affiliation  

One barrier to widespread adoption of neuromuscular ultrasound by clinical neurophysiologists is concern over how to identify and manage non‐neuromuscular findings. This review addresses this concern by describing the sonographic appearance of a variety of commonly observed pathologies and anatomic variants in dermal, subcutaneous, bony, glandular, lymphatic, vascular, and other superficial tissues. Additionally, it outlines techniques to ensure proper clinical and ultrasound evaluation of unexpected or uncommon findings. Finally, it highlights strategies to manage unexpected findings, including how to best communicate findings to patients and referring clinicians to avoid unnecessary testing and ensure appropriate follow‐up. Ultrasound extends the ability of the neuromuscular sonographer‐clinician to contribute to patient care.

中文翻译:

在神经肌肉超声检查中处理不常见和意外的发现

临床神经生理学家广泛采用神经肌肉超声的一个障碍是担心如何识别和管理非神经肌肉检查结果。本综述通过描述真皮、皮下、骨、腺、淋巴、血管和其他浅表组织中各种常见病理和解剖变异的超声表现来解决这一问题。此外,它还概述了确保对意外或不常见发现进行适当临床和超声评估的技术。最后,它强调了管理意外发现的策略,包括如何最好地将发现传达给患者和转诊临床医生,以避免不必要的测试并确保适当的随访。超声扩展了神经肌肉超声医师-临床医师为患者护理做出贡献的能力。
更新日期:2020-12-15
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