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Re: clinical problem From: art fougner, md (evsono@pipeline.com) Thu Jan 7 06:43:05 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joseph A Worrall: "Re: clinical problem" Previous message: Mary Shoup: "Chat Update and January Events!!" In reply to: Terry J. DuBose: "Re: Ultrasound or menstrual dating" Next in thread: vval@earthlink.net: "Re: Ultrasound or menstrual dating" sounds good to me. call me old-fashioned but i'd kinda like to know what i'm dealing with before i or more importantly, my patient, is knee-deep in it. additionally, it makes pre-op counseling of the patient and family much easier when you know what you're counseling about. CT is indicated and make that chest as well. as far as general surgeon in gyn tumors, while the technical skills are there, sometimes decision-making differs with gyn onc folks. would strongly recommend gyn onc back-up here. if unavailable, and transfer NOT an option, then ya gotta do what ya gotta do. good luck and pls let us know what you find. also, perhaps you can post an image of the sono? art At Wed, 6 Jan 1999, Ultravas99@aol.com wrote: > >I have been reading, with interest, the postings about possibly not obtaining >a CT scan for the patient with a cul de sac abnormality. I would think that a >CT of the abdomen and pelvis would be in order,for one thing to delineate the >anatomy a little more clearly and for another thing to evaluate for any other >findings such as liver metastases, ascites or possible pleural effusion. These >are all things that can be seen by sonography as well. The bowel contrast >during the pelvic and abdominal CT would help in delineating the bowel and the >mass. Barium enema or sono enema would also help in the area of the rectum. I >would think that these are things that a surgeon would want to know ahead of >time, however, I am not a surgeon. I think that doing sonography for as long >as I have though, that this would be the protocol at my place of employment. >IMHO >Kelly -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: Joseph A Worrall: "Re: clinical problem" Previous message: Mary Shoup: "Chat Update and January Events!!" In reply to: Terry J. DuBose: "Re: Ultrasound or menstrual dating" Next in thread: vval@earthlink.net: "Re: Ultrasound or menstrual dating"

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