FAST Exam – Part 4
After the pericardium has been examined, the ultrasound probe is moved to the right flank in the area of the midaxillary line between the 11th and 12th rib (the lowest two ribs). This view allows imaging of the right upper quadrant of the peritoneal (abdominal) cavity and is done to detect blood in Morison’s pouch, which is the anatomic space between the right kidney and liver.
The liver, right kidney, and diaphragm must all be seen in one saggital view before it can be considered an adequate exam. If the patient can follow commands having them inhale and then exhale deeply can often make visualizing the three structures easier.
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