Eagleview Ultrasound Review of Detecting Gallbladder Polyp

Eagleview Ultrasound Review of Detecting Gallbladder Polyp

-From Dr. Mohamed Omer Khider Ahmed

Gallbladder Polyps – are present in 4 to 6 percent of the population.4,5 An estimated 90% are benign cholesterol polyps, less than 10 mm in size and are incidental findings. The remaining 10% are adenomatous polyps that have malignant potential.

Most polyps are spherical (attached by a pedicle to the gallbladder wall). Less common are the broad based (sessile) polyps.

Sonographically a polyp appears as a hyperechoic nodule (more echogenic than the surrounding bile) attached to the gallbladder wall. The polyp is nonmobile and remains in a fixed position regardless of changes in patient position. The polyp is non-shadowing.

We have 36years old man sent to our clinic complain of right upper quadrant pain for an abdominal ultrasound, the study done using a handheld ultrasound devise from EagleView and gallbladder wall shows multiple immobile polypoid ingrowths into gallbladder lumen with no vascularity at color doppler which denotes gallbladder polyp.

image (1) sagittal view of the gallbladder demonstrated non-shadowing polypoid ingrowth into gallbladder lumen by the white arrow. gallbladder wall demonstrated by the black arrow.

image (2) transverse view of the gallbladder demonstrated non-shadowing polypoid ingrowth into gallbladder lumen by the white arrow. gallbladder lumen demonstrated by the black arrow.

image (3) color doppler over the gallbladder polyp (white arrow) demonstrated no color flow.

5 Eagleview Ultrasound Cases in Whole-body Scanning from Dr. Diego Scarpetta

5 Eagleview Ultrasound Cases in Whole-body Scanning from Dr. Diego Scarpetta

“It’s an opportunity to promote the use of clinical ultrasound.”

Dr. Diego Scarpetta, an internist from Colombia in South America, ordered his ultrasound probe from geteagleview.com and shared us with some cases of clinical scans using Eagleview Ultrasound.

From: IG: dr.pocus,https://www.instagram.com/dr.pocus/

Eagleview Ultrasound Case 1: Burns by Gas Cylinder Explosion

Dr.pocus-Eagleview case-1.2

A 51-year-old male with a history of hypertension. He was admitted at 21:30 to ER for burns of 18% of the TBS (face, left hemithorax, both arms) after being exposed to a gas cylinder explosion. Nasal hair was partially burned, without burning of the oral mucosa, carbonaceous sputum, or hoarseness. It was performed a CT scan of the abdomen and thorax did not appear to have shock wave injuries (pneumothorax or pneumoperitoneum).

Infusion of intravenous fluids (Baxter, PMH) was started, and vaseline dressings with chlorhexidine were applied. He was admitted to airway surveillance in ICU. He arrived with O2 sat > 96%, stable vital signs, controlled pain, soft and depressible abdomen, preserved diuresis. Normal lab tests.

He remained stable overnight, SatO2 is ok. However, at 06:20 the patient began to complain of abdominal pain and nausea. Additionally, he looked pale, had tachycardia, and with a tendency to hypotension.

07:10 am, 50 mmHg Adrenergic vasopressors were started through a subclavian CVC.

07:20 am, He remained with a soft abdomen but complained of mild pain (3/10), an urgent control of total blood count was requested due to suspected bleeding.

07:30 am, A FAST protocol was performed, finding abundant free fluid in Morrison’s space and rectovesical pouch; no observation was made in the splenorenal recess because he had dressings in that location. The patient was evaluated by a surgeon minutes later, and despite the abdomen wasn’t painful or with peritonitis signs, massive retroperitoneal bleeding was suspected.

09:45 am, a lab call was received to report a decrease in hemoglobin from 12.9 to 8.9 g / dl.

10:00 am, Official report of CT scan: Liver: diffuse fatty infiltration. The gallbladder, bile duct, pancreas, kidneys were ok. Spleen with irregular margins with perisplenic hematoma. No pneumoperitoneum. A moderate amount of fluid with blood density in a left paracolic leak that extends into the pelvis, contacting the external iliac vessels on the left side and the urinary bladder.

10:30 am, the patient was transferred to surgery. Op findings: Drainage of 3000 ml of blood material. Splenic vessel injury was ligated.

Eagleview Ultrasound Case2: COPD

67 years-old woman with COPD (chronic obstructive pulmonary disease). She was admitted to the emergency room for exacerbation of respiratory symptoms (Anthonisen I) one week ago.

LUCI on the right side shows multiple B lines, while the left side shows a consolidation, compatible with the CT scan findings.

The patient was intubated and required vasopressors and antibiotics for little more than a week. Now she is ending her recovery in the intermediate critical care unit.

Eagleview Ultrasound Case3: Perdicardial Effusion

74 years-old man with a history of arterial hypertension and poorly controlled type 2 diabetes mellitus. Diarrhea for a week, anuria in the last 24 hours.

Blood urea nitrogen (bun) = 137 mg/dL (22.8 mmol/L), K= 8.5 mEq/L, uremic frost, and perdicardial effusion, PTH 278 pg/ml.

Hemodialysis was started, achieving a good response.

Eagleview Ultrasound Case 4: Lung Ultrasound in the Critically Ill

60 years- old man with type 2 diabetes, arterial hypertension, heart failure (AHA C NYHA II caused by coronary disease). He was transferred to ICU after consulting for 11 days of dyspnea, cough, fever, and anosmia. He refused to get the SARS-CoV-2 vaccine. The RT-PCR was positive.

Lung ultrasound in the critically ill (LUCI): B lines suggestive of the alveolar – interstitial syndrome.

CT Scan: Ground-glass opacification areas in both lung fields (greater in peripheral, and lower lobes).Some interesting publications about the relevance of ultrasonography in the early assessment of Covid 19 patients.

Eagleview Ultrasound Case5: Hypertensive Cardiomyopathy

86 years-old man with chronic arterial hypertension and heart failure consults to ED for exacerbation of dyspnea.

Wellue Health – Frequently Asked Questions

Wellue Health – Frequently Asked Questions

Is Wellue O2Ring FDA approved?

Wellue O2ring is a FAD-approved device. It can monitor a person’s oxygen levels, heart rate, and body movements every second. … In addition, the O2Ring comes with a 1-year warranty and 30-day return policy.

Is Wellue health legit?

Wellue Health was founded in 2013, specializing in developing electronic devices with medical-grade accuracy and consumer-friendly. Ranks 50th among Medical Equipment sites.

I am located in USA, what carrier should I expected? And how long?

For USA, we offer free shipping, the reference transit time is 2-6 business days by USPS , UPS or Fedex from Maryland or California.

What`s the return instructions?

1. Please contact our customer support via E-mail, or online chatting during our working hours.
    support mailbox: support@getwellue.com
2. Please take a photo about the goods to us in email. We must confirm the status of the goods.    
We will give you a response within 12 hours during business days, we will give you a response within 72 hours if weekends. Our team will offer you return and exchange guidance according to your specific requirements. Kindly let us know your purpose, then we will provide you the returned address.
3. All goods (including all parts and attachments) must be returned to us via express delivery. Ship the product to the address we provide.
4. We will refund you once we confirmed your returned tracking number is valid. Payment means for refund: credit card, debit card, PayPal, after received the return unit.
We are dedicated to making our customers satisfied, and we encourage you to contact us if the product you have purchased does not meet your demands. 
*Customers need to return products to an appointed address. We will provide you with information of returns via E-mail. Different country or region has a different returned warehouse. After receiving returned goods, we will arrange a full refund and email you.
*Orders for returns require order number to be written on the outside of the package. 
Please inform us on your request of refund or return or exchange within 30 business days after you receive the goods. 

Do Sleep Trackers really work?

“Most sleep tracking devices make some guesstimate as to how much you’re actually sleeping.” … Such studies are helpful for diagnosing conditions like sleep apnea and other sleep disorders. Still, tracking devices can definitely be useful for helping you recognize patterns in your sleep habits, Schwartz says.

Why I get different readings by Oxygen Monitors of Wellue and other manufacturers?

Please be assured that all Wellue products provide medically accurately measurement.

Different manufacturers utilize algorithms with different average SpO2 times, which is a significant element when calculating the reading. The shorter the collecting duration, the more sensitive the result, the fast the response. Oxygen monitor with too long assessment time is not the best choice for oxygen saturation detection, especially during sleep. Wellue’s intelligent averaging algorithm collects data quickly and identifies the precise SpO2 value. 
Therefore, it is not rigorous to compare oxygen monitors that utilize different averaging algorithms.The comparing result will be much more accurate if obtained by an arterial blood gas.

The Most Effective Sleep Apnea Treatment Without CPAP

The Most Effective Sleep Apnea Treatment Without CPAP

If you breathe irregularly as you sleep, wake up gasping for breath, or feel excessively sleepy during the day, you may be experiencing symptoms of sleep apnea.

There are three types of sleep apnea. The most common type of sleep apnea is obstructive sleep apnea (OSA). OSA affects between 2% and 9% of adults1 in the United States and about 2% of children. If you have this respiratory disorder, your breathing is interrupted as you sleep. You might snore, gasp, choke, or snort during your sleep. These body responses may wake you from sleep.

Central sleep apnea (CSA) is a much rarer type of sleep apnea. The breathing difficulty isn’t from the airway itself but rather from the part of the brain that controls your breathing. A major symptom of CSA is a repeating cycle where your breathing gradually slows until you stop breathing altogether for a brief period. Mixed sleep apnea is a combination of OSA and CSA symptoms, though it typically presents as OSA first.

OSA causes symptoms like:


  • snoring
  • gasping for breath during sleep
  • waking up many times during the night



snoring during sleep

If you are diagnosed with obstructive sleep apnea, your healthcare provider may recommend a continuous positive airway pressure (CPAP) machine for treatment. A CPAP machine gives you pressurized air as you sleep to ensure your airway stays open. Patients who use a CPAP machine consistently experience improved quality of life and reduced cognitive impairment. CPAP therapy may also reduce blood pressure.

However, CPAP machines are not the only treatment for OSA. Your doctor can help you determine what treatments might work best for you.
Why Use an Alternative to a CPAP Machine?


People with OSA seek out CPAP alternatives for a number of reasons:

Cost: The machine’s out-of-pocket cost starts near $250 and can be up to $1,000 or more. If you use insurance to get a CPAP machine, you often are required to enroll in a rent-to-own plan with strict compliance requirements.

Compliance Requirements: Insurers such as Medicare require CPAP machine users to adhere to a 30-day compliance period4, using the machine at least 4 hours a night on 70% of nights. Patients may struggle to meet these requirements and feel it is an invasion of privacy.

Side Effects: Side effects vary among CPAP users. Some find the mask uncomfortable5 or experience dry mouth, red or itchy eyes, and a dry, stuffy, or runny nose. CPAP users and their sleeping partners may also be affected by noise caused by mask leaks. All of these side effects impact adherence.

Adherence: Adherence rates for CPAP machines may be as low as 50%

Common reasons for ditching a CPAP machine are that the device is clunky, uncomfortable, or noisy.

A number of lifestyle choices, devices, and surgeries can serve as alternative sleep apnea treatments for people who choose to not use a CPAP machine.

Treatments for sleep apnea


If CPAP isn’t for you, a few other OSA treatment options include:

  • an oral appliance
  • bilevel positive airway pressure (BiPAP)
  • nasal valve therapy
  • lifestyle changes, such as losing weight or quitting smoking
  • surgery to fix an underlying cause of OSA





BiPAP machine


Another option is bilevel positive airway pressure (BiPAP) therapy. It’s similar to CPAP in that you wear a mask that pushes pressurized air into your airways to keep them open.

The difference is that with CPAP, the pressure is the same when you breathe in and out. People who use a CPAP may find the pressure hard to breathe out against.

A BiPAP machine has two pressure settings. It’s lower when you breathe out than when you breathe in. That lower pressure may make it easier for you to exhale, especially if you have trouble breathing because of heart or lung disease.


Oral appliances



An oral appliance is a less cumbersome alternative to CPAP. It looks similar to the mouthguard you’d wear while playing sports.

More than 100 different types of oral appliances are approved by the FDA to treat OSA. These devices move your lower jaw forward or hold your tongue in place. This helps prevent your tongue and the tissues of your upper airway from collapsing and blocking your airway while you sleep.

Oral appliances work best for people with mild to moderate OSA. They’re most effective when custom-fitted for you. Poorly fitting devices can cause jaw problems and may actually make sleep apnea worse.

A specialized dentist can fit you for the device and follow up with you to make sure that it’s helping your OSA.







If devices and lifestyle changes haven’t improved your nighttime breathing, you might need surgery. Your doctor may recommend one of the following procedures, depending on the underlying problem that’s causing your OSA.

Genioglossus advancement. With this procedure, the surgeon cuts your lower jaw bone to move your tongue forward. The result holds your tongue in place so it doesn’t cover your airway.

Hypoglossal nerve stimulation. A device is implanted in your chest and connected to the hypoglossal nerve to control tongue movement. An attached sensor monitors your breathing while you sleep. If you stop breathing, the sensor stimulates the hypoglossal nerve to move your tongue out of your airway.

Jaw surgery. This type of surgery, referred to as maxillomandibular advancement, moves your upper jaw (maxilla) and lower jaw (mandible) forward to create more space for you to breathe.

Nasal surgery. Surgery can remove polyps or fix a deviated septum if one of these prevents you from breathing easily through your nose.

Soft palate implants. This less invasive option, also known as the pillar procedure, implants three small rods in the roof of your mouth. The implants prop up your soft palate to prevent it from collapsing over your upper airway.

Tongue reduction surgery. If you have a large tongue that blocks your airway, surgery can make it smaller.

Tonsil and adenoid removal. Your tonsils and adenoids sit in the back of your throat. If they’re so large that they block your airway, you may need to have them removed.

Uvulopalatopharyngoplasty (UPPP or UP3). A common surgical treatment for OSA, this procedure removes extra tissue from the back of your mouth and the top of your throat to let more air into your airway. An alternative is a uvulectomy, which removes all or part of the uvula, which is the teardrop-shaped tissue that hangs down at the back of your throat.

Weight loss



When you have overweight or obese, fat can settle around your neck and throat. During sleep, that extra tissue may block your airflow and cause sleep apnea.

Losing just 10 percent of your body weight can improve sleep apnea symptoms. It may even cure the condition.

Losing weight isn’t easy. With your doctor’s help, you can find the right combination of dietary changes and exercise techniques to make a difference with your OSA.

If diet and exercise aren’t enough to help you lose weight, you might be a candidate for bariatric surgery.




Lifestyle changes



These simple changes to your routine could help you sleep better at night:

Sleep on your side. This position makes it easier for air to get into your lungs.

Avoid alcohol. A few glasses of wine or beer before bed can relax your upper airway muscles and make it harder to breathe, which can interrupt your slumber.

Exercise often. Regular aerobic activity can help you lose the extra weight that makes it hard to breathe. Exercise can also help reduce the severity of sleep apnea.

Relieve congestion. Take a nasal decongestant or antihistamine to help open up your nasal passages if they’re clogged.

Don’t smoke. In addition to its other harmful effects on your health, cigarette smoking worsens OSA by increasing airway swelling.

CPAP is the standard treatment for OSA, but it’s not the only treatment. If you’ve tried a CPAP machine and it didn’t work for you, ask your doctor about other options.

Along with taking OSA treatment, try maintaining healthy habits. Losing weight, exercising regularly, and quitting smoking can all go a long way toward helping you get more restful sleep.












How Do I Know If I Have Sleep Apnea?

How Do I Know If I Have Sleep Apnea?

How do I know if I have sleep apnea? If you have trouble staying asleep or if you feel excessively tired during the daytime, you may suffer from sleep apnea. This common condition causes disruptions in your breathing pattern during sleep, leading to poor quality rest. Left untreated, sleep apnea can leave you feeling exhausted and affect your overall health. If you get concerned that you may have sleep apnea, there are a few things you need to know about sleep apnea.

Article Overview

1. What Is Sleep Apnea?
2. What Are the Warning Signs of Sleep Apnea?
3. Who’s at Risk for Sleep Apnea?
4. 4 Ways to Diagnose Sleep Apnea Without a Sleep Study
5. How Wellue Helps Treat Apnea?

What Is Sleep Apnea?

Sleep apnea is a chronic condition that causes you to stop breathing during sleep. This can lead to snoring, disrupted sleep, and daytime fatigue. The good news is that sleep apnea can get treated with lifestyle changes, devices, or surgery. If you think you might have sleep apnea, talk to your doctor about getting tested.

Did you know that sleep apnea is a condition that affects over 18 million Americans? If you have sleep apnea, you may not be getting the restful night’s sleep you need. This condition can cause daytime fatigue, headaches, and even heart problems. Make sure you seek the best treatment if you’re affected by this condition!

What Are the Warning Signs of Sleep Apnea?

While there are no definite rules for detecting and diagnosing sleep apnea, there are some common warning signs. A person may become at increased risk of sleep apnea if they are overweight, particularly if it gets concentrated in the neck. This accumulation of weight predisposes an individual to obstruction of the upper airways, a significant characteristic of sleep apnea.

Other warning signs include:

  • Habitual snoring in an individual’s family or friends
  • Frequently waking up with a dry mouth or sore throat
  • Frequently waking up tired
  • Excessive daytime dizziness
  • Loud snoring
  • Morning headaches
  • Difficulty concentrating during the day

If an individual is experiencing any of these symptoms, they should consult their physician, who can help diagnose sleep apnea, or carefully monitor the causes of these symptoms.


Who’s at Risk for Sleep Apnea?

People who are at risk for sleep apnea include those who:

  • Are overweight. Being obese increases a person’s chance of developing obstructive sleep apnea.
  • Are over the age of 40. As people age, they lose muscle tone in their throat and air passages, making sleep apnea more likely.
  • Have a large neck size. People with larger necks often have narrower airways and are at risk for sleep apnea.
  • Have a family history of sleep apnea. If a person’s parents or siblings have obstructive sleep apnea, they are at a higher risk of developing it as well.

People who spend time sitting or lying down during the day and those who use sedatives, such as alcohol and tranquilizers, are more likely to develop sleep apnea. It may also relate the condition to fatigue at work or motor vehicle accidents.

Most common cause:


The most common cause of sleep apnea is obesity, but the sleeping position of the patient may also exacerbate sleep apnea. The more a person weighs, the less muscle tone they have in their throat, and the more likely that the soft tissue in their airways will obstruct their air passage. If they are lying on their back, it will be easier for the tissue to collapse and block their airway.

Lying on One’s Back

Lying on one’s back contributes to sleep apnea for several reasons. When a person is lying on their back, the tongue and soft palate fall toward the back of the throat. This makes it harder for a person to breathe, especially when the muscles in their throat relax while they sleep. However, if someone has sleep apnea and lies on their back, they are more likely to be aware of the condition.

The best position for people who suffer from sleep apnea is on their side. This will help keep the airways open and allow the person to continue breathing freely throughout his or her sleep.

4 Ways to Diagnose Sleep Apnea Without a Sleep Study

How do I know if I have sleep apnea?

Can I Test Myself for Sleep Apnea? How can I do a self-test?

Sure, there are several ways to perform a test on yourself for sleep apnea, and can even get done without your doctor’s knowledge. These test ways are especially effective for those patients who do not feel sleepy during the day or have difficulty sleeping.

We will cover four common techniques below:

  • Judging Symptoms: There are many symptoms that can help determine whether you have sleep apnea. They include waking up tired in the morning, difficulty concentrating during the day, feeling sleepy during the day, loud night breathing, morning headaches, and even high blood pressure.
  • Snoring testing with a mirror: The first step is to listen to your own snoring with a mirror. Listen for a raspy, loud snore. If you can actually see your jaw moving during the night while you are snoring, then you are at high risk of having sleep apnea.
  • Sleep Apnea testing with a recording: This technique involves wearing a small recording device on your belt to measure how much you snore, if at all. To get an accurate reading of how much you snore, it is best to have someone else sleeping in the room with you, since snoring can vary depending on your position in bed.
  • Home testing for sleeping positions: There are home tests that measure your blood oxygen levels. This is very easy to do, but you will need access to a computer to download the software and print out your results. These tests require you to wear a small clip on your finger as you sleep.

In fact, the biggest obstacle to accurate diagnosis is often not a serious medical problem but an inaccurate self-diagnosis.

How Wellue Helps Treat Apnea?

Sleep Apnea - O2ringWellue O2ring monitor is used to treat patients with breathing problems. This is a common, effective and inexpensive way to diagnose sleep apnea.

Wellue O2ring is very useful for individuals who suffer from sleep apnea.

It involves wearing a special ring on your finger at night. The ring gets hooked up to a recording device that will track your pulse and blood oxygen levels. Every night, it measures the patient’s blood oxygen saturation level and pulse wave. When the level of oxygen in the blood falls below a certain point, the device sounds an alarm to wake up the patient. With this device, patients can avoid the effects of sleep apnea.

The monitor measures the user’s pulse wave using this red light. When blood clots, it blocks the flow of oxygen and causes a slight change in the pulse wave.

When the user lies down at bedtime, Wellue O2Ring automatically starts measuring his or her oxygen saturation and pulse rate. The device takes a reading in 4-second intervals. If the monitor detects that the patient has stopped breathing, it emits an alarm and illuminates light to wake the patient up.

You will not need to go through a sleep study or have any in-depth medical knowledge to use this device effectively.