Pelvic ultrasound (transvaginal): Difference between revisions
| Line 39: | Line 39: | ||
===Abnormal=== | ===Abnormal=== | ||
[File:cervical ectopic.jpg|thumb|Writing that you want on the bottom of the photo]] | [[File:cervical ectopic.jpg|thumb|Writing that you want on the bottom of the photo]] | ||
==Pearls and Pitfalls== | ==Pearls and Pitfalls== | ||
Revision as of 21:14, 12 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
