Executive Editor: Sharon Zinner Senior Development Editor: Ashley Fischer Senior Editorial Coordinator: Lindsay Ries Marketing Manager: Phyllis Hitner Production Project Manager: Sadie Buckallew Design Coordinator: Stephen Druding Manufacturing Coordinator: BethWelsh Prepress Vendor: S4Carlisle Publishing Services Copyright © 2021 Wolters Kluwer. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at [email protected], or via our website at shop.lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in China Library of Congress Cataloging-in-Publication Data Names: Bornemann, Paul, author. Title: Ultrasound for primary care / Paul Bornemann. Description: First edition. | Philadelphia : Wolters Kluwer, [2021] | Includes bibliographical references and index. Identifiers: LCCN 2020016700 | ISBN 9781496366986 (paperback) | eISBN: 9781975124724 Subjects: MESH: Ultrasonography—methods | Point-of-Care Testing | Primary Health Care Classification: LCC RC78.7.U4 | NLM WN 208 | DDC 616.07/543—dc23 LC record available at https://lccn.loc.gov/2020016700 This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work. This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments. Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. shop.lww.com DEDICATION To my children, Danyel, Kathryn, Sebastian, Taylor, and my wife, Gina. You are the world to me. Contributors Naushad Amin, MD, FAAFP Assistant Professor Department of Family Medicine University of Central Florida (UCF) College of Medicine (COM) Orlando, Florida Cesar S. Arguelles, MD Assistant Professor Family and Community Medicine Southern Illinois University School of Medicine Quincy, Illinois Keith R. Barron, MD, FACP Clinical Assistant Professor Department of Internal Medicine University of South Carolina School of Medicine Prisma Health Midlands Columbia, South Carolina Kevin Bergman, MD Assistant Clinical Professor Department of Family and Community Medicine UCSF School of Medicine San Francisco, California Co-Director, Ultrasound and Global Health Programs Emergency Department, Family Medicine Contra Costa Family Medicine Residency Martinez, California F. Laura Bertani, MD Family Medicine Physician Department of Clinical Medicine Mee Memorial Hospital King City, California Hospitalist Sound Physicians Hospitalist Program Natividad Salinas, California Keisha Bonhomme Ellis, MD Associate Clinical Professor Department of Outpatient Augusta University/University of Georgia Partnership Endocrinologist PAR Community Care Clinic Piedmont Athens Regional Medical Center Athens, Georgia Gina Bornemann, MMIS, MS Paul Bornemann, MD, RMSK, RPVI Associate Professor Family and Preventive Medicine University of South Carolina School of Medicine Program Director Family Medicine Residency Prisma Health—Midlands Columbia, South Carolina Caroline Brandon, MD Assistant Professor of Emergency Medicine Department of Emergency Medicine Keck School of Medicine of USC Assistant Professor Emergency Department LAC+USC Medical Center Los Angeles, California Androuw Carrasco, MD Physician Family Medicine Valleywise Health Medical Center Phoenix, Arizona Lauren Castleberry, MD, FACOG Assistant Professor, Obstetrics and Gynaecology University of South Carolina School of Medicine Attending Physician, Obstetrics and Gynaecology Prisma Health, Richland Hospital Columbia, South Carolina Attending Physician, Obstetrics and Gynaecology Lexington Medical Center West Columbia, South Carolina Carol Choe, MD Physician Critical Care Medicine Lexington Medical Center West Columbia, South Carolina William Chotas, MD Department of Pediatrics Commonwealth Healthcare Corporation Saipan, Northern Mariana Islands Holly Beth Crellin, MD Family Medicine Physician Department of Primary Care Martin Army Community Hospital Fort Benning, Georgia James M. Daniels, MD, MPH, RMSK Professor Family and Community Medicine and Orthopedic Surgery Southern Illinois University School of Medicine Quincy, Illinois Darien B. Davda, MD Academic Hospital Internist Prisma Health Upstate Hospitalists Service Hospitalist Department of Internal Medicine Prisma Health Upstate Greenville, South Carolina Alexei O. DeCastro, MD Associate Professor Department of Family Medicine Medical University of South Carolina Charleston, South Carolina Daniel P. Dewey, MD Staff Physician Ultrasound Director Emergency Department M Health Fairview Northland Hospital Princeton, Minnesota John Doughton, MD Assistant Professor Department of Family Medicine University of North Carolina Chapel Hill, North Carolina Matthew Fentress, MD, MSc, DTM&H Assistant Professor Family and Community Medicine University of California, Davis Sacramento, California Melissa Ferguson, MD Core Faculty Contra Costa Family Medicine Residency Program Affiliated with UCSF Physician Department of Family Medicine and Hospital Medicine Contra Costa Regional Medical Center Martinez, California Matthew Fitzpatrick, MBBS David Flick, MD Clinical Preceptor Department of Primary Care University of Colorado Denver School of Medicine Aurora, Colorado Family Physician Department of Primary Care Evans Army Community Hospital Fort Carson, Colorado Mohamed Gad, MD, MPH(c) Resident Physician Department of Internal Medicine Cleveland Clinic Cleveland, Ohio Francis M. Goldshmid, MD, FAAFP Assistant Professor Department of Community and Family Medicine University of Missouri at Kansas City, School of Medicine Kansas City, Missouri Mark H. Greenberg, MD, FACR, RMSK, RhMSUS Associate Professor of Medicine Chief, Musculoskeletal Ultrasound in Rheumatology Department of Internal Medicine, Rheumatology Division University of South Carolina School of Medicine Columbia, South Carolina Robert Haddad, RDCS, RVT Director of Ultrasound Education Ultrasound Institute University of South Carolina School of Medicine Columbia, South Carolina Claire Hartung, MD Resident Physician Department of Family Medicine UCSF San Francisco, California Contra Costa Regional Medical Center Martinez, California Wynn Traylor Harvey, II, MD Resident Physician Department of Family Medicine Prisma Health USC Columbia, South Carolina Benjamin J. F. Huntley, MD, FAAFP Assistant Professor Obstetrics and Gynecology, Family Medicine McGovern Medical School–UT Health Medical Director Family Medicine OB Clerkship and OB Fellowship Obstetrics and Gynecology Memorial Hermann Southwest Houston, Texas Erin S. L. Huntley, DO Maternal Fetal Medicine Fellow Maternal Fetal Medicine, Obstetrics and Gynecology McGovern Medical School–UT Health Physician Memorial Hermann Hospital–Texas Medical Center Maternal Fetal Medicine, Obstetrics and Gynecology Houston, Texas Aaron C. Jannings, MD Squadron Surgeon 2nd Cavalry Regiment United States Army APO, Armed Forces Europe Neil Jayasekera, MD Associate Clinical Professor Department of Family and Community Medicine UCSF School of Medicine San Francisco, California Family and Emergency Medicine, Advanced Faculty Contra Costa Family Medicine Residency Program Contra Costa Regional Medical Center Martinez, California Patrick F. Jenkins, III, MD, CAQSM Physician Family and Sports Medicine Piedmont Physicians Group Conyers, Georgia Dae Hyoun (David) Jeong, MD Assistant Professor Department of Family and Community Medicine School of Medicine Southern Illinois University Director, Sports and Musculoskeletal Medicine Director, Point-of-Care, Ultrasound Program Department of Family and Community Medicine Southern Illinois University for family Medicine Springfield, Illinois