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The visualization can be difficult in obese patients.
Contrast-enhanced ultrasound is notorious for being user dependent, can be difficult in obese patients and is sometimes hampered by the presence of bowel gas [ 24, 25].
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Finally, access to the femoral site was difficult in obese patients, such that two of such patients were excluded.
This technique is difficult in obese patients who may require a longer skin incision so that the fascia and muscle layers can be opened.
Achieving such a target can be difficult in sedentary groups and especially in overweight/obese populations, therefore inventing simple, easy to implement methods which help to provide environmental cues and motivation to increase physical activity should be investigated.
Difficult students are difficult in detention too.
Also, stiffness measurements can be difficult to obtain in obese patients and impossible in patients who have ascites.
NASH and NAFLD can be difficult to diagnose in obese children and adolescents.
However, as the authors pointed out, it can be difficult to identify the EHL in obese patients.
Radiologic findings may not be present in the early stages of the disease, especially in the presence of dehydration, or may be difficult to be interpreted in the obese or those with a history of lung disease.
It is strongly operator-dependant ; some ultrasound machines have low-quality images that may not able to detect intraperitoneal free air.; furthermore, some patients may be less cooperative to allow for scanning of different regions; sonography is also difficult in obese patients and with those having subcutaneous emphysema [10, 31].
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