Pelvic ultrasound (transvaginal): Difference between revisions
(Created page with "==Background== ==Indications== ==Technique== ==Findings== ==Images== ===Normal=== ===Abnormal=== ==Pearls and Pitfalls== ==Documentation== ===Normal Exam=== ===...") |
No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Also known as endovaginal ultrasound | |||
*Used to evaluate female reproductive organs including uterus, ovaries, fallopian tubes, cervix, and vagina | |||
==Indications== | ==Indications== | ||
*Abnormal uterine bleeding | |||
*Abnormal abdominal or pelvic exam | |||
*Pelvic pain | |||
*Confirm intrauterine pregnancy | |||
*Gestational dating during pregnancy | |||
*Fetal monitoring and surveillance | |||
*Evaluation of placenta | |||
*Evaluate for spontaneous abortion | |||
*Evaluate for ectopic pregnancy | |||
*Uterine fibroids | |||
*IUD placement confirmation | |||
*Ovarian torsion | |||
*Ovarian cysts | |||
==Technique== | |||
*Probe and transducer | |||
**Endocavitary probe (high frequency, low penetration) | |||
**Probe "dot" stays on left side of ultrasound screen | |||
***Corresponds with anterior structures (if probe marker held at 12:00) and right-sided structures (if probe marker held at 9:00) | |||
*Patient positioning | |||
**Lithotomy position | |||
**Gently advance probe into vaginal canal | |||
**May be more comfortable for patient to insert probe into vagina herself | |||
Revision as of 22:45, 11 October 2017
Background
- Also known as endovaginal ultrasound
- Used to evaluate female reproductive organs including uterus, ovaries, fallopian tubes, cervix, and vagina
Indications
- Abnormal uterine bleeding
- Abnormal abdominal or pelvic exam
- Pelvic pain
- Confirm intrauterine pregnancy
- Gestational dating during pregnancy
- Fetal monitoring and surveillance
- Evaluation of placenta
- Evaluate for spontaneous abortion
- Evaluate for ectopic pregnancy
- Uterine fibroids
- IUD placement confirmation
- Ovarian torsion
- Ovarian cysts
Technique
- Probe and transducer
- Endocavitary probe (high frequency, low penetration)
- Probe "dot" stays on left side of ultrasound screen
- Corresponds with anterior structures (if probe marker held at 12:00) and right-sided structures (if probe marker held at 9:00)
- Patient positioning
- Lithotomy position
- Gently advance probe into vaginal canal
- May be more comfortable for patient to insert probe into vagina herself