ultrasound gyae & obs
DESCRIPTION
radiologyTRANSCRIPT
![Page 1: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/1.jpg)
![Page 2: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/2.jpg)
![Page 3: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/3.jpg)
ULTRASOUND
GYENAECOLOGY & OBSTETRICS
![Page 4: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/4.jpg)
ULTRASOUND
• Sonography is is effective method of examining female pelvis.
• Technique is essentially risk free.• Provides excellent visualization of pelvic
viscera..• Done either through distended bladder or
transvaginal approach.
![Page 5: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/5.jpg)
![Page 6: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/6.jpg)
PELVIC ULTRASOUND
• Pelvic sonography should be viewed not as a diagnostic procedure but as a adjunct to physical examination.
• It usually answers following questions:• Is the pelvis normal or abnormal.• What is the origin of mass detected by
physical examination.
![Page 7: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/7.jpg)
PELVIC ULTRASOUND
• What are the gross characteristics of pelvic lesion.
• Does the sonographic appearance of a pelvic lesion matches the clinical impression.
• Is a pelvic lesion regressing or enlarging.• What is the status of the female reproductive
organs in patients with delayed menarche, precocious puberty, infertility or congenital anomalies.
![Page 8: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/8.jpg)
PELVIC ANATOMY
• Ultrasound examination is performed through a full bladder.
• The basic orientation structure is Uterus.• Uterus and each broad ligament divides the
pelvic peritoneal space into anterior uterovesical pouch & posterior Pouch of Douglas/ Rectouterine pouch/ Cul-de-sac.
• Cul-de-sac is good to see for pelvic collection/ pelvic peritoneal deposits.
![Page 9: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/9.jpg)
![Page 10: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/10.jpg)
![Page 11: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/11.jpg)
![Page 12: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/12.jpg)
![Page 13: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/13.jpg)
PELVIC ANATOMY
• The size & appearance of normal uterus is dependent upon age.
• The normal non pregnant uterus measures 6-10cm in length.
• The prepubescent uterus is smaller e.g 4 cm.• In old age again it is atrophic and small in size.• The Post partal uterus is large in size and may
take months to involute to kits regular size.
![Page 14: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/14.jpg)
PELVIC ANATOMY
• Anatomically normal uterus is anteverted & anteflexed.
• Retroverted uterus is by no means abnormal but it is sometimes difficult to find early pregnancy sac echographically in this type of uterus.
![Page 15: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/15.jpg)
![Page 16: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/16.jpg)
![Page 17: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/17.jpg)
![Page 18: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/18.jpg)
![Page 19: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/19.jpg)
![Page 20: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/20.jpg)
![Page 21: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/21.jpg)
![Page 22: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/22.jpg)
![Page 23: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/23.jpg)
![Page 24: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/24.jpg)
OBSTETRIC ULTRASOUND
• Common obstetric problems addressed with ultrasound.
• No. of gestations. When uterus is large for dates or following fertility enhancement procedures like IVF.
• Pregnancy location- intrauterine or ectopic.• Uncertain dates.
![Page 25: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/25.jpg)
![Page 26: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/26.jpg)
![Page 27: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/27.jpg)
![Page 28: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/28.jpg)
![Page 29: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/29.jpg)
![Page 30: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/30.jpg)
![Page 31: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/31.jpg)
![Page 32: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/32.jpg)
![Page 33: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/33.jpg)
![Page 34: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/34.jpg)
![Page 35: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/35.jpg)
![Page 36: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/36.jpg)
T0465.mov
![Page 37: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/37.jpg)
![Page 38: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/38.jpg)
![Page 39: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/39.jpg)
OBSTETRIC ULTRASOUND
• Uterus small for dates. Incorrect LMP, growth retardation, olighydramnios, fetal urinary tract problems etc.
• Uterus large for dates. Incrrect LMP, multiple gestations, hydatidiform mole, fibroid or other pelvic mass, polyhydramnios, Meternal diabetes etc.
![Page 40: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/40.jpg)
OBSTETRIC ULTRASOUND
• Risk of fetal Anomaly.• Vaginal Bleeding. In first trimester, it could be
incidental or pregnancy failure.• In later pregnancy Placenta previa, placental
abruption.• Pain during pregnancy. Abruptio placentae,
haemorrhagic lieomyoma, ovarian tumours/ cysts, appendicytis, cholecystitis.
![Page 41: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/41.jpg)
![Page 42: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/42.jpg)
![Page 43: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/43.jpg)
![Page 44: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/44.jpg)
T1110.mov
![Page 45: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/45.jpg)
![Page 46: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/46.jpg)
![Page 47: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/47.jpg)
OBSTETRIC ULTRASOUND
• Possible fetal demise. • Presentation & lie.
![Page 48: Ultrasound Gyae & Obs](https://reader036.vdocuments.mx/reader036/viewer/2022081802/546a6ec6af795976298b46d7/html5/thumbnails/48.jpg)