Ultrasound: Pelvic: Difference between revisions

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**Want to visualize arterial and venous flow
**Want to visualize arterial and venous flow


==Diagnostic Algorithm ==
==Diagnostic Algorithm ==


See [[Ectopic Pregnancy]]  
See [[Ectopic Pregnancy]]  
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{{#widget:YouTube|id= CH4m-EaTGjw}}
{{#widget:YouTube|id= CH4m-EaTGjw}}


==See Also ==
==See Also ==


*[[Ultrasound (Main)]]  
*[[Ultrasound (Main)]]  
*[[Ectopic Pregnancy]]
*[[Ectopic Pregnancy]]


==References ==
==References ==
<references/>
<references/>


[[Category:Radiology]] [[Category:OBGYN]]
[[Category:Radiology]] [[Category:OBGYN]]
[[Category:Ultrasound]]
[[Category:Ultrasound]]

Revision as of 14:51, 10 July 2016

OB

In a normal pregnancy, the gestational sac appears as a hypoechoic structure encircled by an echogenic border within the endometrial cavity at 4-5 weeks
IUP at 6 wks

Definite IUP = gestational sac containing yolk sac

  • Occurs ~5.5th week
    • MUST contain yolk sac to be confirmed IUP. Pseudogestational sac possible in ectopic pregnancy
  • B-HCG below Discriminatory Zone = <1,500-3,000 mIU/ml
  • Consider Transabd US for IUP: >6000 mIU/ml

Endometrial mantle

  • normal size > 8 mm

Estimated gestational age

  • can be measured by crown rump length, femur length, biparietal diameter, etc.
    • depends on gestational age and quality/type of image acquired

Fetal Heart Rate

  • normal 120-160
  • Use M-mode to calculate
  • First visible on US ~6 wks at 100-120 bmp[1]

Nonpregnant

  • Ovarian Torsion
    • increased risk with cyst(s) > 5mm
    • Want to visualize arterial and venous flow

Diagnostic Algorithm

See Ectopic Pregnancy

Video

{{#widget:YouTube|id= ebpcUlQVmLE}}

{{#widget:YouTube|id= CH4m-EaTGjw}}

See Also

References

  1. Shetty A, Weerakkody Y. Fetal Heart Rate. http://radiopaedia.org/articles/fetal-heart-rate