ARRT Sonography case studies

ARRT Sonography · Put your knowledge to work in context.

ARRT certification and registration in Sonography is a credential that recognizes individuals who are qualified to perform the role of a sonographer. Sonographers-also called ultrasound technologists-work in hospitals, doctors' offices, and diagnostic clinics, operating specialized equipment that uses nonionizing, high-frequency sound waves to create images of a patient's internal organs and tissues, including imaging of an unborn child. The ARRT Sonography case studies are 5 cases and about 4,187 words.

Contact Precautions, a Confused Patient, and a 15-Minute Slot

R is a 71-year-old inpatient in a private room on contact precautions for an MRSA-colonized draining sacral wound. He is confused, has a saline-locked peripheral IV and an indwelling urinary catheter, and is on 2 L nasal cannula.

895 words, about 4 min 2

A 118 kg Patient, a 13 cm Gallbladder, and a Questionable Shadow

Your patient is 118 kg with a BMI of 41, and the gallbladder fundus sits at 13 cm. The order is "RUQ, evaluate for gallstones." On the curved array with harmonics on and a single focus at 11 cm, the far field is grainy, and you suspect a 6–7 mm echogenic focus with faint posterior shadowing in the dependent fundus, but you cannot confirm it on any of four sweeps.

884 words, about 4 min 3

Left Flank Pain, an Empty Bladder, and a Questionable Sinus

K, 44, presents at 02:00 with 6 hours of severe left flank pain radiating to the groin, one episode of vomiting, and gross hematuria. He weighs 130 kg, received morphine 20 minutes ago, and cannot tolerate lying on his right side or holding still through a breath-hold.

799 words, about 4 min 4

Six Weeks, an Empty Uterus, and an Adnexal Ring

A 29-year-old G3P1 presents to the ED with 2 days of light vaginal spotting and mild cramping. Her last menstrual period was 6 weeks 4 days ago, but her cycles are irregular and she is unsure of the date.

770 words, about 4 min 5

Torsion, a Vascular Preset, and a Five-Minute Answer

At 21:40 the ED asks for a "quick Doppler to rule out torsion" on a 15-year-old with 4 hours of sudden right scrotal pain that woke him from sleep, plus nausea and one episode of vomiting. The right hemiscrotum is swollen and exquisitely tender, and the testis sits high and horizontal.

839 words, about 4 min