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Re: Endovaginal in 1st trimesterFrom: James S Smeltzer MD (gaperina@mindspring.com)Fri Mar 6 02:20:19 1998
At 08:22 PM 3/4/1998 -0600, you wrote: >I do hope full bladder views are done first. Many times the endovaginal >only views do not adequately penetrate above the uterine fundus and high >ovarian masses as well as pedunculated fibroids are missed too often. Good point. I've seen ovarian tumor (14 cm) missed & a fibroid that reached the xiphoid. TVS alone is not adequate, but the detection of early nuchal lucency & other severe defects early in pregnancy are still good reasons to perform TVS. Moral of the story: Its hard to see the tree when your nose is in the bark!
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