Answer by Gavin Harrington. Confidence votes 4.0K. A bitch is a female canine. The same word is often used in reference to something unpleasant or difficult to do. E.g- We had to deliver twenty large crates to the top floor, and the lift was out-that job was a bitch.
The internal jugular vein should be imaged and placed in the center of the ultrasound field. The needle should be angled at 40 to 60 degrees from the plane of the neck and 1 cm back from the middle of the ultrasound probe (Image 5).
Both of these. angles are measured with the patient in the prone position with the one leg flexed at the knee to form. the number four. This will allow the visualization of the bisections of the tibia and calcaneus and. facilitate the measurement of these angles with a goniometer. In 1996, Nekrasas reported intra-rater. reliability of bisection vs. no bisections in the measurement of the calcaneal tibial angle2.