Re: Bicornuate versus Septate uterus
From: art fougner, md (evsono@pipeline.com)
Tue Sep 4 20:54:41 2007
Actually, I don't do renal sonar so I'm agnostic in the cost issue.
Ultrasound is less invasive and there's no potential nasty reaction to
contrast. What say you, Dan?
Art
At Tue, 4 Sep 2007, R. Daniel Braun wrote:
>
>OK, Renal US is just as good. Which is less expensive? i.e. makes less money
>for Art.
>
>TIC
>
>Dan
>
>On 9/4/07, art fougner, md <evsono@pipeline.com> wrote:
>>
>> Why IVP when a renal ultrasound will most certainly document the
>> presence of both kidneys as well as the configuration of the renal
>> pelvis?
>>
>> Art
>>
>> At Tue, 4 Sep 2007, R. Daniel Braun wrote:
>> >
>> >I agree with Steve, but you do need an IVP, if you didn't check the
>> kidneys
>> >while the belly was open.
>> >
>> >BTW, I quit counting at twenty, the number of times that I was the first
>> to
>> >diagnose a uterine anomaly at the time of REPEAT C/S. All but two of
>> those,
>> >the first C/S had been for Breech, The other guy just didn't pay any
>> >attention to the uterus or else forgot to mention it.
>> >
>> >Dan
>> >
>> >On 9/4/07, Raymond Stephen <stephen.raymond@dhhs.tas.gov.au> wrote:
>> >>
>> >> Yes this is not a septate, or subseptate uterus, but bicornuate. What
>> >> do you want the imaging for? You have already eyeballed it and seeing
>> >> it on MRI would be of academic interest only.
>> >>
>> >> Steve
>> >>
>> >> -----Original Message-----
>> >> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry
>> >> E. Siegel, M.D.
>> >> Sent: Tuesday, 4 September 2007 12:07 PM
>> >> To: Multiple recipients of list OB-GYN-L
>> >> Subject: Gyn: Bicornuate versus Septate uterus
>> >>
>> >> Recently, I did a term breech section on one of our CNM patients who
>> was
>> >> noted at around 8 or 10 weeks to have a bicornuate uterus (new
>> >> diagnosis).
>> >>
>> >> At surgery, she had a full septum, and the fundus had an indentation
>> and
>> >> two equal halves.
>> >>
>> >> I assume that this is bicornuate, as opposed to sepate, given the
>> >> concavity on the external aspect of the fundus. . .correct?
>> >>
>> >> Anyway, would you simply image her with an MRI at 6 weeks? Does anyone
>> >> have any experience with this? Also, and I don't mean to sound crappy,
>> I
>> >> wonder if this is a no-brainer for a radiologist who probably rarely
>> >> sees MRIs for Mullerian abnormalities.
>> >>
>> >> Garry
>> >>
>> >> --
>> >> Garry E. Siegel, M.D.
>> >> Private Practice
>> >> Roswell, GA
>> >>
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>> >--
>> >R. Daniel Braun, MD FACOG(L) CMT
>> >Professor Emeritus
>> >Dept. of Obstetrics and Gynecology
>> >Indiana U. School of Medicine
>> >
>> >R. Daniel Braun
>> >
>> > "Science without Religion is LAME; Religion without Science is
>> BLIND"
>> > Einstein 1941
>> >
>>
>> --
>> art fougner, md
>> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>>
>--
>R. Daniel Braun, MD FACOG(L) CMT
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> "Science without Religion is LAME; Religion without Science is BLIND"
> Einstein 1941
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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