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Re: Abdominal versus vaginal ultrasoundFrom: Garry E. Siegel (garrys@atl.mindspring.com)Mon Nov 25 08:05:46 1996
At 11:25 PM 11/24/96 -0600, you wrote: . The radiologist on call demanded that an >abdominal scan (with foley catheter in place) be performed first, followed by >a vaginal ultrasound to "make sure that nothing is missed." The radiologists at my place will "settle" for a vag scan only, but qualify them that they may not be able to see the rest of the pelvis as well. This essentially is a compromise, ie avoiding the foley, to assess the uterus for a sac. Our ER docs have taken a long time to understand that a scan after hours (meaning the tech has to come in, sometimes at 3 am) is usually not helpful without a quant of 2000, which is available on a 24 hour basis. Some of the even bold ER docs will allow the clinically stable patient (just like the ones we see in the office daily) to go home, and come back the next am for their scan, with ectopic precautions. But I digress. . .
-- Garry E. Siegel, M.D. Roswell, Ga.
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