Re: ULTRASOUND digest 1155
From: Lynne W. Schreiber (Lynne_W._Schreiber@jackson.cc.mi.us)
Thu Feb 15 14:07:25 2001
Terry I love it when bright students challenge me but when they refer to a
specific wording in a text I always ask immediately what is the publishing
date, who is the author, etc. as many times older text contain confusing
or old information.
I have always understood the term adnexa to be a broad referance to an
appendage or accessory of an organ and not specific to anterior/posterior,
etc. Maybe we have been misinformed???
Good luck and tell your student to keep up the challenges,
Lynne Schreiber, Assoc. Professor
Dir. DMS Programs
Jackson Community College
ultrasound@obgyn.net writes:
> ULTRASOUND Digest 1155
>
>Topics covered in this issue include:
>
> 1) Re: MSTS Risk
> by gene@vol.com (Richard M. Roberts)
> 2) Uterine adnexa
> by DuboseTerryJ@uams.edu
> 3) RE: Uterine adnexa
> by "Rapp, Cindy" <Cindy.Rapp@RIACO.COM>
>
>----------------------------------------------------------------------
>
>----------------------------------------------------------------------
>Date: Wed, 14 Feb 2001 18:30:02 -0600 (CST)
>----------------------------------------------------------------------
>From: gene@vol.com (Richard M. Roberts)
>To: ULTRASOUND@OBGYN.NET
>Subject: Re: MSTS Risk
>Message-ID: <200102150030.SAA09049@mail.medispecialty.com>
>
>Yes, I noticed. The bookie is betting that the risk of your loosing is
>10 in 11, not 1 in 11. Must have been a typo. That's it, a typo.
>"genious"!
>
>--
>Richard M. Roberts, PhD, MD, FACMG
>
>------------------------------
>
>------------------------------
>Date: Thu, 15 Feb 2001 11:02:17 -0600
>------------------------------
>From: DuboseTerryJ@uams.edu
>To: ULTRASOUND@OBGYN.net, soundadvice@listbox.com
>Cc: BakerAnthonyL@uams.edu
>Subject: Uterine adnexa
>Message-ID: <FA16403E0560D211B453006097CEBBBE06F90DF7@exchange2.uams.edu>
>MIME-Version: 1.0
>Content-Type: text/plain;
> charset="iso-8859-1"
>
>A bright student has stumped me. She found in a textbook the statement:
>"The ovaries are situated in the adnexa, the regions of the true pelvis
>posterior to the broad ligaments."
>
>Yet, I had always taught that the "uterine adnexa" was the area bilateral
>to
>the uterus, regardless if it was anterior or posterior to the broad
>ligament. So would an appendix, low in the pelvis, just anterior to the
>ovary (and broad ligament) be considered in the "adnexa"?
>
>Taber's defines "Adnexal" as "Adjacent or appending". So, in general
>gynecologic vernacular should we emphasize the "adjacent" or the
>"appending"
>part of the definition?
>
>Thanks for your help.
>
>Terry J. DuBose, M.S., RDMS, Assistant Professor
>Director, Diagnostic Medical Sonography Program
>CHRP, University of Arkansas for Medical Sciences
>Little Rock, Arkansas, USA
>501-686-6510
>http://www.io.com/~dubose/
>http://www.uams.edu/CHRP/dmshome.htm
>http://www.obgyn.net/us/panel/panel.htm
>
>------------------------------
>
>------------------------------
>Date: Thu, 15 Feb 2001 10:36:47 -0700
>------------------------------
>From: "Rapp, Cindy" <Cindy.Rapp@RIACO.COM>
>To: "'soundadvice@listbox.com'" <soundadvice@listbox.com>,
> ULTRASOUND@OBGYN.net
>Cc: BakerAnthonyL@uams.edu
>Subject: RE: Uterine adnexa
>Message-ID: <D42A2D86C5E9D311AAFD0060945793A1313410@ntes.riaco.com>
>MIME-Version: 1.0
>Content-Type: multipart/mixed;
> boundary="----_=_NextPart_000_01C09775.E4ECBFA4"
>
>------_=_NextPart_000_01C09775.E4ECBFA4
>Content-Type: text/plain;
> charset="iso-8859-1"
>
>Terry,
>
>I would say yes to your appendix question. I have seen a few cases of
>appendicitis, on a pelvic transvaginal exam. In two of the cases the
>inflamed appendix was seen between the right ovary and uterus (Which I
>would
>refer to as the adnexa).
>
>Cindy Rapp BS, RDMS
>
>-----Original Message-----
>From: DuboseTerryJ@uams.edu [mailto:DuboseTerryJ@uams.edu]
>Sent: Thursday, February 15, 2001 10:02 AM
>To: ULTRASOUND@OBGYN.net; soundadvice@listbox.com
>Cc: BakerAnthonyL@uams.edu
>Subject: Uterine adnexa
>
>A bright student has stumped me. She found in a textbook the statement:
>"The ovaries are situated in the adnexa, the regions of the true pelvis
>posterior to the broad ligaments."
>
>Yet, I had always taught that the "uterine adnexa" was the area bilateral
>to
>the uterus, regardless if it was anterior or posterior to the broad
>ligament. So would an appendix, low in the pelvis, just anterior to the
>ovary (and broad ligament) be considered in the "adnexa"?
>
>Taber's defines "Adnexal" as "Adjacent or appending". So, in general
>gynecologic vernacular should we emphasize the "adjacent" or the
>"appending"
>part of the definition?
>
>Thanks for your help.
>
>Terry J. DuBose, M.S., RDMS, Assistant Professor
>Director, Diagnostic Medical Sonography Program
>CHRP, University of Arkansas for Medical Sciences
>Little Rock, Arkansas, USA
>501-686-6510
>http://www.io.com/~dubose/
>http://www.uams.edu/CHRP/dmshome.htm
>http://www.obgyn.net/us/panel/panel.htm
>
>------_=_NextPart_000_01C09775.E4ECBFA4
>Content-Type: application/ms-tnef
>Content-Transfer-Encoding: base64
>
>eJ8+IjoRAQaQCAAEAAAAAAABAAEAAQeQBgAIAAAA5AQAAAAAAADoAAEIgAcAGAAAAElQTS5NaWNy
>b3NvZnQgTWFpbC5Ob3RlADEIAQWAAwAOAAAA0QcCAA8ACgAkAC8ABABKAQEggAMADgAAANEHAgAP
>AAoAJAA5AAQAVAEBCYABACEAAAAxMTYwMTcwM0M2MDJENTExQUIxOTAwNjA5NDU3OTNBMQCzBgEE
>gAEAEwAAAFJFOiBVdGVyaW5lIGFkbmV4YQBeBgENgAQAAgAAAAIAAgABA5AGAGgKAAAyAAAAAwA2
>AAAAAAADAFuACCAGAAAAAADAAAAAAAAARgAAAABShQAAJ2oBAB4AXIAIIAYAAAAAAMAAAAAAAABG
>AAAAAFSFAAABAAAABAAAADkuMAALAI6ACCAGAAAAAADAAAAAAAAARgAAAAAGhQAAAAAAAAMADoAI
>IAYAAAAAAMAAAAAAAABGAAAAAAGFAAAAAAAACwAQgAggBgAAAAAAwAAAAAAAAEYAAAAAA4UAAAAA
>AAALABGACCAGAAAAAADAAAAAAAAARgAAAAAOhQAAAAAAAAMAN4AIIAYAAAAAAMAAAAAAAABGAAAA
>ABCFAAAAAAAAAwA4gAggBgAAAAAAwAAAAAAAAEYAAAAAEYUAAAAAAAADAD6ACCAGAAAAAADAAAAA
>AAAARgAAAAAYhQAAAAAAAB4AS4AIIAYAAAAAAMAAAAAAAABGAAAAADaFAAABAAAAAQAAAAAAAAAe
>AEyACCAGAAAAAADAAAAAAAAARgAAAAA3hQAAAQAAAAEAAAAAAAAAHgBNgAggBgAAAAAAwAAAAAAA
>AEYAAAAAOIUAAAEAAAABAAAAAAAAAAIBCRABAAAA9QQAAPEEAAB4BwAATFpGdUppRCEDAAoAcmNw
>ZzEyNeIyA0N0ZXgFQQEDAff/CoACpAPkBxMCgA/zAFAEVj8IVQeyESUOUQMBAgBjaOEKwHNldDIG
>AAbDESX2MwRGE7cwEiwRMwjvCfe2OxgfDjA1ESIMYGMAUDMLCQFkMzYWUAumIFRxBJByeSwKogqE
>CoBJBCB3CGBsZCBzYch5IHkHkXRvHsAIYRAgYXBwCfBkaXhEIHEKUHN0aQIgLswgIB4QE+B2ZR6A
>CeHJH4AgZgfRY2EUEAQgJG9mH4ZjaSBgcyxnIkAhch+wbHYN4B8AcrEAcXZhZwuAB0AgDsBsYW0g
>ogOgdB4wIkJ03mghICH0JgILgGYLYAeAWx5wH5d3IgAhNGIUIHenIVImAgUQZ2gFQG8kcCcdIB+A
>H9AgdQ6wcnXRBCAoV2gN4GggwR40PxggIbAFwB8RKBEmAmFkum4k8SkgoB1ULTVDC4CKZB6wUh+R
>IEJTI0CsUkQF4B1aLTACTylRzSSjTQeQHpBnZTADHVTCRgNhOiBEdQbgFBCRHPNKQHUlEHMuCYC4
>dSBbAMADEB8QOjJvPTNyXR1UBmACMDJAVGgZCHBzZB6gI0BGZWIzKoAp0jE1I0AB0DAxkTeAMDow
>FEBBTR1UAlQ0ICBVTFRSQQBTT1VOREBPQpBHWU4uLNB0Ox6AjwhgH9AssCPhZUBsBABRAlBveC4F
>oG0ttWNRMkBCYWsEkEECMGi5AiB5TDMnNaU0UGoFkH02MVUqYQuALJYdWh1UQfcogClUIFB1AQAC
>MCDhKCG9QaBtH7AecAeAIKFTJhE/AhA6wSbRIYEOsgbgb2t7JfMgUGEOsAeANiEdVCL/NmAhICmy
>CJAEIArAISEjAL8zMA6wQ6MseCNAKRNlJJC/AiAiMyYCJCAKUCOkcx1UfnA0cD8SBbEfESYCNyBv
>dSywIDtgZychAjAzYCJ7ILAdWlkUICNAINInUWzlKAB5HvFhdSlyJgBFAP0l8yIqUj9ITMAoAixz
>GCD9IZBiAxBFASQwAyAfEB1U3yYCKlQjQEixCxFsMPEm0P8iYCMAJ/MAcErlBbFKv0vD/x1UTCZC
>8h8gHjQDkR+WI0DfF7AH4EeFSfQjQGoqkAVAb1TnS1QdVCm0KCoSS8wptyiBIeBI8WkEgUdYIlBl
>2j8dWlQBoASQJwQgAQHTP0EEICJBLMNsTMAoET1hkWoA0EHSBbEflW5n/iJX4yNAQ8ExMCzQUhEd
>VPxneSzQF5IkkCQAIRAEoPcA0B5QCsFzPTAeUijAJODzQoBCEWl6SYFfFGKUTMD/SyJfE2NHSlUK
>wCmRJeRhE7sjAQIgP0zrNmAAcGsEIM8CEAXAH0MmEGxwLSY4pdkdAiBKIKA0QEI0cSNAsE0uUy4u
>5CNAQQQQ8ztxVOEgUANgIbAEEAWw+R1URGkYID7ABbAjQHIg/SSAblWxI/Ew4CLRJMFYEPdzAAnA
>H5BoHrBxMXQxPAboSFJQI0BVAwBmAUbx9x6wIlEHEGsAcSgRbRJzd68i8AnwOzBKRUwjAHRT8DkH
>8WNrcHF2xXWxU0GFHVQ1N/AtNjg2exAONTggHVQpgHRwOi80L3d8cC4gcDvSL367M5A0Yi8tNXwJ
>MzYvdXK8L2QzUD0wQtEpgG1M1ll8CW9iZUE6Qi8qkC87CrAs0GyCRIASP+8KfQGEcAAAAB4AcAAB
>AAAADwAAAFV0ZXJpbmUgYWRuZXhhAAACAXEAAQAAABsAAAABwJdxDdMDF18aAsYR1asZAGCUV5Oh
>AADlafAAAwAmAAAAAAADAC4AAAAAAAsAAgABAAAAAwAJWQEAAAAeAEIQAQAAAD4AAAA8RkExNjQw
>M0UwNTYwRDIxMUI0NTMwMDYwOTdDRUJCQkUwNkY5MERGN0BleGNoYW5nZTIudWFtcy5lZHU+AAAA
>AwDeP69vAABAADkA0B753nWXwAEDAPE/CQQAAB4AMUABAAAABwAAAENSMDAwMQAAAwAaQAAAAAAe
>ADBAAQAAAAcAAABDUjAwMDEAAAMAGUAAAAAAAwD9P+QEAAADAIAQ/////wIBRwABAAAAKQAAAGM9
>VVM7YT0gO3A9UklBO2w9TlRFUy0wMTAyMTUxNzM2NDdaLTI1OTMAAAAAAgH5PwEAAABDAAAAAAAA
>ANynQMjAQhAatLkIACsv4YIBAAAAAAAAAC9PPVJJQS9PVT1OVEVTL0NOPVJFQ0lQSUVOVFMvQ049
>Q1IwMDAxAAAeAPg/AQAAAAwAAABSYXBwLCBDaW5keQAeADhAAQAAAAcAAABDUjAwMDEAAAIB+z8B
>AAAAQwAAAAAAAADcp0DIwEIQGrS5CAArL+GCAQAAAAAAAAAvTz1SSUEvT1U9TlRFUy9DTj1SRUNJ
>UElFTlRTL0NOPUNSMDAwMQAAHgD6PwEAAAAMAAAAUmFwcCwgQ2luZHkAHgA5QAEAAAAHAAAAQ1Iw
>MDAxAABAAAcwuJhxKHWXwAFAAAgwpL/s5HWXwAEeAD0AAQAAAAUAAABSRTogAAAAAB4AHQ4BAAAA
>DwAAAFV0ZXJpbmUgYWRuZXhhAAAeADUQAQAAADgAAAA8RDQyQTJEODZDNUU5RDMxMUFBRkQwMDYw
>OTQ1NzkzQTEzMTM0MTBAbnRlcy5yaWFjby5jb20+AAsAKQAAAAAACwAjAAAAAAADAAYQArW+QwMA
>BxCzBAAAAwAQEAAAAAADABEQAAAAAB4ACBABAAAAZQAAAFRFUlJZLElXT1VMRFNBWVlFU1RPWU9V
>UkFQUEVORElYUVVFU1RJT05JSEFWRVNFRU5BRkVXQ0FTRVNPRkFQUEVORElDSVRJUyxPTkFQRUxW
>SUNUUkFOU1ZBR0lOQUxFWEFNSU4AAAAAAgF/AAEAAAA4AAAAPEQ0MkEyRDg2QzVFOUQzMTFBQUZE
>MDA2MDk0NTc5M0ExMzEzNDEwQG50ZXMucmlhY28uY29tPgDAdg==
>
>------_=_NextPart_000_01C09775.E4ECBFA4--
>
>------------------------------
>
>------------------------------
>End of ULTRASOUND Digest 1155
>------------------------------
>*****************************
|
|
