Fall, 2008

Fall 2008

I was working third shift alone.  It was a busy night and I had four or five emergency room patients waiting.  I received a call from the pediatric intensive care unit.  They needed a portable abdominal study as soon as possible.  I was irritated, thinking selfishly that I would never get my lunch.

I grabbed the requisition, unplugged my machine, picked up the gel, and briskly made my way up to the unit.  Reading the requisition, I gathered that the infant was a nine month old little girl.  As I approached the room, I saw a team of nurses buzzing around her like frantic bees around a devastated hive.  “We don’t think she has long.”

The tiny girl was lying on the giant hospital bed with her soft teddy bear tucked under her arm.  She had bloodied bandages on her head, on her belly, on her legs. 

I plugged in the machine, let it warm up, and began the exam.  As I scanned, I couldn’t help but to have the peculiar sensation that this little girl was watching me.  I continued to scan, looking at the screen and taking the best images that I could through shattered tiny windows.

Do you work in a Credentialed Sonographer Workplace? In the past year, the NCUS has provided educational opportunities addressing accreditation for ultrasound laboratories.  One important facet of accreditation for both the employer and the employee involves credentialing of staff.  Do you work in a credentialed sonographer workplace?  Have all the sonographers in your lab passed and maintained their registry credentials?  If the answer is yes, “the SDMS would like to officially say thank you and recognize your employer for hiring and supporting only credentialed sonograpers.” (SDMS)  Please visit the SDMS website for more details on how to qualify for this exceptional certificate of recognition.

The SDMS also publishes a list to recognize those facilities that have achieved a credentialed sonographer workplace.  I was surprised when reviewing the list that only 3 North Carolina cities are represented:  Charlotte, Murphy, and Southport.  The NCUS is over 500 members strong. Is your lab listed as a credentialed sonographer workplace? The purpose of our society is to advance the development of personnel involved in the diagnostic application of ultrasound in health care.  What better way to show appreciation to our employer, our patients, and ourselves than to become credentialed in our chosen profession.  Take the next step - send a qualifying letter to the SDMS and be recognized for supporting our chosen profession through the pride and excellence you exude in your work everyday.


The ARDMS has changed the three-year "rolling" CME cycle?  It is now a "fixed" three-year period.  Each sonographer's three-year period is based on his/her original certification date. 

1) How did you get interested in Ultrasound?

My first memory of hearing about ultrasound came on a day I was sick, home from high school watching Phil Donahue.  He had a guest, Roy Filly, MD, who was talking about a new medical technology using sound waves to look at a fetus.  He scanned an OB patient during the show.  I thought “how neat”.  A year or so later, my mother had a ‘new test’ - a thyroid sonogram.  Fast forward to radiology technology school, my class had the good fortune to be mentored by Barry Burns, MSPH, RT(R).  He made a remark that stuck with me:  ‘ultrasound is the big baby in imaging, and if I were younger, I would learn this modality.’  Those things, along with the encouragement of a friend who was a nuclear medicine technologist, spurred me to investigate sonography as a career.

2) What specialties are you registered in?  What is your educational background?

Registries are in Physics, OB/GYN, and Vascular.  
My background is Radiology Technology.  I was fortunate to be able to receive formal training in ultrasound at the time, as most sonographers were self-taught on-the-job.  I received a certificate in ultrasound from UNC-CH/NC Memorial Hospital.

Sonography 140
Instructor: Alice Bradley
Sheila Shepard 
April 16, 2008

The time sensitive nature of ovarian torsion makes it a very emergent condition. While the symptoms of torsion are vague and may indicate a variety of conditions, imaging may help to rule out certain pathologies and narrow down the diagnosis of torsion.   Using the modalities of ultrasound, CT, and MRI may help to cut down on the time it takes to diagnose, and ultimately help to save the ovary.  Ultrasound is commonly used because of the ease and availability; however, MRI and CT sometimes show a clearer picture of the ovary and adnexal area. Surgery is the only definitive way of diagnosing torsion, and if torsion is highly probable, surgery should be done in a timely manner.

Sharon A. Cranford 
Sonography 130
Professor Alice Bailey and Professor Jill Millard
November 6, 2007


There are several areas that a sonographer must address when evaluating the major aortic artery.  A potentially life threatening condition that may arise within the aorta is an aneurysm.  This paper will explain two types of abdominal aortic aneurysms: fusiform and saccular.  This paper will also address several questions relating to aneurysms such as symptoms of the disease, imaging diagnosis, lab values, and treatment of the disease as well as prognosis of aneurysms.

Sharon A. Cranford 
Sonography 131
Professor Alice Bradley 
April 1, 2008


Klinefelter syndrome is a chromosome abnormality found strictly within the male population.  Signs and symptoms are general and diverse so much so that the abnormality is probably under diagnosed.  The following paper gives the reader an overview of Klinefelter syndrome with relevant information including:  signs and symptoms such as gynecomastia and hypogonadism, testing criteria, imaging modalities such as ultrasound and treatment of the abnormality.