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Doppler for office u/s. Was: ?hetertopic pregnancy From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Tue Feb 27 14:00:37 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: US docs only. Telephone consults" Previous message: Dr. Lynn Montgomery: "Re: US docs only. Telephone consults" In reply to: art fougner, md: "Re: ?hetertopic pregnancy" Next in thread: art fougner, md: "Re: Doppler for office u/s. Was: ?hetertopic pregnancy" Reply: art fougner, md: "Re: Doppler for office u/s. Was: ?hetertopic pregnancy" Reply: Larry Glazerman: "Re: Doppler for office u/s. Was: ?hetertopic pregnancy" Reply: Mark Perloe: "Re: Doppler for office u/s. Was: ?hetertopic pregnancy" I'm looking to purchase a new ultrasound for my office. The ole Ultramark IV is on its last legs. I've considered getting Doppler but just don't see that reimbursements are going to offset the extra cost of the machine. The way I look at it, it is kind of expensive just to hear fetal heart motion in the first trimester. Any thoughts on whether Doppler is a must for a small solo-practice with a diagnostic center right next-door? -- Richard Chudacoff, MD -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of art fougner, md Sent: Tuesday, February 27, 2001 7:57 AM To: Multiple recipients of list OB-GYN-L Subject: Re: ?hetertopic pregnancy Paul "ring of fire" often either absent or incomplete in some ectopics fizzling out. of course these could be managed expectantly, which is what might be the prudent course of action here. Mark, had a case recently featuring a healthy growing IUG sac, risiing Betas, pain and an adnexal mass separate from the ovary and consistent with thickened tube. increasing pain prompted laparoscopy, revealing torsion of the fallopian tube. art At Mon, 26 Feb 2001, Paul Prior MD wrote: > >On Mon, 26 Feb 2001 18:22:58 -0600, Mark Perloe <mperloe@ivf.com> >wrote: > >>KA is a 32 yo G3 ectopic 2 female s/p right salpingectomy. She conceived >>after ovulation induction and IUI (3 mature follicles with E2 384pg/ml >>peak). An intrauterine gestational sac with fetal pole and FHT is seen. She >>complains of left adnexal pain. The left ovary is enlarged suggesting mild >>hyperstimulation. A small 1cm saclike structure on the edge of the >>ovary. Over the past week it has not changed in size. It appears to be >>attached (moves with) the ovary. She is now 6W4D. > >Doppler on the ovary? I'm sure you are more experience in this than >I, Mark, but did you turn on the doppler in this area? I have found >the "ring of fire" to be very helpful for ectopics. > >-- >Paul Prior MD >Coshocton, OH >Solo Practice >OB/GYN, FACOG > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Efrain Ramirez: "Re: US docs only. Telephone consults" Previous message: Dr. Lynn Montgomery: "Re: US docs only. Telephone consults" In reply to: art fougner, md: "Re: ?hetertopic pregnancy" Next in thread: art fougner, md: "Re: Doppler for office u/s. Was: ?hetertopic pregnancy" Reply: art fougner, md: "Re: Doppler for office u/s. Was: ?hetertopic pregnancy" Reply: Larry Glazerman: "Re: Doppler for office u/s. Was: ?hetertopic pregnancy" Reply: Mark Perloe: "Re: Doppler for office u/s. Was: ?hetertopic pregnancy"

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