Thursday 20 April 2017 18:30-20:00
The sonography course for beginners is intended for physicians with no or minimal experience in abdominal sonography. The major aim is to experience what it is like to perform ultrasonography. The focus is on anatomy, i.e. the recognition of the large abdominal organs and structures with emphasis on the liver. After the course, you will not only be able to recognize the abdominal organs (e.g. liver, kidneys, spleen), but will also be able to find the major liver vessels (portal vein, hepatic artery, liver veins), gallbladder, and the biliary tree. Important signs of liver cirrhosis will be learnt and you will be guided through the abdomen by means of a sonography-simulator demonstrating the pathology most frequently seen in practice, such as decompensated liver cirrhosis with ascites, hepatocellular carcinoma, cholecystolithiasis, and much more.
- how to handle a probe and a sonography machine by means of a sonography-simulator
- focus on anatomy: how to find the liver, the large liver vessels, and other important structures
- identification of pathology most frequently seen: cirrhosis, hepatocellular carcinoma, ascites, portal hypertension, biliary abnormalities.
Friday 21 April 2017 18:30-20:00
The sonography course for the advanced is intended for physicians with moderate or high experience. Those with moderate experience can try to enhance their skills by studying more difficult cases demonstrated on a sonography-simulator which acts like a real sonography machine. The focus will be on pathology, from hepatic adenoma to hepatocellular carcinoma, cirrhosis with ascites, and typical signs of portal hypertension, hepatic steatosis etc. For those who are highly experienced, different ‘rare cases’ will be shown, such as Budd Chiari syndrome, several primary liver tumours, infectious diseases, Rendu-Osler disease, and more. In a relatively short time, (90 minutes) a collection of cases will be studied which in real life would take many years to encounter; but once seen, will never be forgotten!
- to enhance sonography skills by studying more difficult and rare cases
- to learn about a lot of rare diseases in a short time
- to identify, among others, Budd Chiari syndrome, Rendu Osler disease, hepatocellular carcinoma, hepatic adenoma, follicular nodular hyperplasia, multiple endocrine neoplasia, polycystic liver disease, and echinococcus.
Saturday 22 April 2017 18:30-20:00
The sonography course on ‘acute medicine’ in hepatology is intended for physicians with an interest in acute medicine, and in particular, acute hepatology. At least some experience in ultrasound is preferable. During the course, different cases of ‘acute hepatology’ will be demonstrated with a sonography-simulator. All cases represent real-life cases of patients who presented at the emergency department. Most important diagnoses in acute or emergency hepatology are, acute cholecystitis, cholangitis due to choledocholithiasis, severe acute hepatitis, and thrombosis of liver vessels like Budd Chiari syndrome. Pathology outside the liver will also be shown, e.g. splenic rupture.
- to become familiar with the most important ultrasound signs or diagnoses in patients presenting at the emergency department
- to be able to recognize inflammatory changes of the gallbladder, detect stones in the gallbladder and in the biliary tree, recognize dilated bile ducts, and to detect thrombosis of liver vasculature
- in addition, familiarize with some acute pathology outside the liver, such as splenic rupture.