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Ultrasound in gynecology - Dr.Suresh Babu Chaduvula
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Ultrasound in gynecology - Dr.Suresh Babu Chaduvula

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This presentation deals with how to perform ultrasound examination in the field of Gynecology. …

This presentation deals with how to perform ultrasound examination in the field of Gynecology.
I hope this is useful for under graduate students of medicine.

Published in: Health & Medicine

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  • 1. Dr.Suresh Babu Chaduvula Professor College of Medicine, KKU, Abha, Saudi Arabia
  • 2.  Ultrasound was 1st introduced by Ian Donald in 1950 from Glasgow, UK.  Father of ultrasonography – Ian Donald  Ultrasonography is commonly used diagnostic test due to high safety, more acceptance and low cost.
  • 3.  3.5 MHz frequency is used in abdominal ultrasound where as 5-7.5 MHz is used in vaginal type.  Higher is the frequency more will be the resolution of the image but lower will be the depth of tissue penetration.
  • 4.  1. Infertility – for folliculometry and endometrial thickness.  2. Diagnose ovulation time of ovulation  3. Ectopic pregnancy  4. Oocyte retrieval in IVF  5. Ovarian masses like cysts and tumors  6. Uterine fibroid, Tubo-ovarian masses
  • 5.  7. Oncology- Color Doppler – low impedance and high flow velocity suspects of malignancy.  8. Endometrial diseases – polyps, fibroid, growths  9. Misplaced IUCD  10. DUB or AUB and post menopausal bleeding  11. Pelvic pain causes  12. Molar pregnancy  13. Malformations of uterus and vagina
  • 6.  1. Trans abdominal  2. Trans vaginal
  • 7.  Bladder should be full [ Full bladder will push bowel away from the field- acoustic window] Explain  Consent [verbal]  Female attendant [chaperone]  Privacy  Gentle  Brief Gynecological history  Examination findings – abdominal and vaginal
  • 8.  Bladder full is not needed  It has a range of about 8-10 cm.  Wear a pair of Gloves Trans-vaginal probe movements: a] Penetrating – introducing into vagina b] Rocking – antero-posterior movement c] Sliding – lateral movement d] Roatating – to 45 to 90 degrees  Drawbacks –  1. Virgins  2. Elderly Postmenopausal women  3. Post radiation stenosis  4. Children  5.Psycho-sexual disorder
  • 9.  Identify bladder  Uterus size – 6-8X5X4 cm  Uterus position – anteverted or retroverted  Myometrium  Cervix – for growths like polyps or fibroids  Endometrial lining  Bilateral ovaries  Any other adnexal masses – ovarian or fallopian tubal masses  Color Doppler – flow of the blood in a vessel can be identified  Fluid in the Pouch of Douglas
  • 10.  Proliferative phase – 2-4 mm  Secretory phase – 5 - 14 mm  In post-menopausal women – more than 4 mm warrants or is an indication for biopsy
  • 11. Thank You All