Re: Lawson: Don't touch that belly button please.........

From: udaya kumar (udaya@md2.vsnl.net.in)
Fri Jan 5 18:25:25 2001


Oh, I see. Thanks Art. Will try on a few patients, maybe with my endfiring endocavitory(Toshiba- small footprint). ...Udayakumar

"art fougner, md" wrote:

> Dr. Kumar -
>
> depends on two factors - the diameter of the umbilicus and the size of
> the transducer. with a sufficiently capacious umbilicus and a
> microconvex or small phased array transducer, adequate contact can be
> made to provide quite clear images. conversely, as you doubtless have
> noticed, with larger transducers and smaller "belly buttons," all you
> get is a sonographic "dead zone." i can recall a case in which only an
> intraumbilical scan with a ge rt3000 sector probe allowed the diagnosis
> of an AV canal at 14.5 wks.
>
> hope this helps.
>
> art
>
> art
>
> At Fri, 05 Jan 2001, udaya kumar wrote:
> >
> >Dont know what Mark is saying about the umbilicus.
> >I find the umbilicus produces a shadow that runs across the image. I try to
> >avoid placing the probe over the 'Belly button'. So how could one do a
> >'Trans belly buton' scan.
> >Please tell me if it just a joke or is Mark Lawson serious.
> >..Udayakumar
> >
> >MARK LAWSON wrote:
> >
> >> You said:
> >> >Transvaginal images of the cervix are superior to transabdominal and
> >> >translabial. >Allen Worrall
> >>
> >> I don't debate the superior image of invasive procedures Allen, rather I
> >> contend that if a cervix under 20mm is going to raise the risk level of
> >> premature birth than I can pick those moms out transabdominally.... Most
> >> all of the time.
> >>
> >> BTW have I told ya'll about the trans-bellybutton approach.... no doubt
> >> with some of our more generous Texas Moms we've found we can get some
> >> startling good images thru the belly button :-) Yes we do the belly
> >> lift technique at times but we like to get the larger moms on their side
> >> as quick as possible where the adipose tissuse seems to "thin out".....
> >>
> >> Yours in ultrasound,
> >>
> >> mark lawson
> >> texas
> >> PS.... What is it with those sensitive belly buttons?..... I've heard it
> >> a hundred times...." whatever you do don't touch my belly button
> >> please".... Dads, just nod in aggreement :-| m.
> >>
>
> --
> art fougner, md
>
> A series of 1000 cases begins with but a single anecdote.




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