|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Endovaginal vs. TransabdominalFrom: Terry J. DuBose (tjdubose@juno.com)Fri Mar 6 23:10:05 1998
Nancy, I know that you and Donna Kepple are correct on this. But most of the people who insist on TA exams are thinking about that one case of abdominal pregnancy that TA picked up that had been missed in an office EV. Been there. Once you accept that a TA should be done, you are faced with the schedule. If, a priori, TA is to be done, then it is most expeditious to do the TA first, and IF the EV is needed, then the patient can empty her bladder. But if a IUP is found on TA, she's home free. And you are absolutely correct in your proposal: " I am proposing, however, that the examination be tailored to suit the circumstances. " Peace, TJDuB -- On Fri, 6 Mar 1998 09:04:19 -0600 Spnglr <Spnglr@aol.com> writes: >In a message dated 98-03-04 21:22:18 EST, you write: > ><< 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. >>>> > >This opinion, which I admit is shared by many, >has always puzzled me. I simply do not agree that >a transabdominal scan be performed first, if at all. >The majority of patients that I see need not >endure a full bladder to receive >the best possible evaluation for their complaints. >The uterus can most often >be seen in its entirety, and transabdominal rarely provides additional >information when the ovaries are well seen on endovaginal scan. <snip> >A transabdominal scan can always be performed >after the endovaginal if sufficient information has >not been gained. To me, this makes much >more sense than "torturing" all of my patients for >something that benefits a very small percentage. >IMHO Endovaginal is always the first approach >for 1st trimester evaluation, as well.> >Nancy A. Spangler, RDMS, CNMT >
|
|
Return to
|
Mail a New Message to the Forum: ultrasound@obgyn.net Forum Administrator: terry.dubose@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:38:45 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.