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Obstetric
 Gynecology
Abdomen
Neck
CONTENTS
 Gestational sac-5 weeks
 Mean Sac Diameter: 2-3 mm
 Yolk sac -5 weeks
 Circular anechoic
structure within gestational sac, but
outside the amniotic membrane
 Fetal pole and cardiac activity -
6weeks
 Thickening on the margin of the yolk
sac .
 Cardiac activity detected
when fetal pole measures ≥7 mm.
 Location and number of fetus
1.CONFIRMATION OF PREGNANCY
• In first trimester :
• Miscarriage
• Blighted ovum
• Molar pregnancy
• Snowstorm appearance
Ectopic pregnancy
• Absence of intrauterine pregnancy
with positive pregnancy test
• Adnexal mass separated from the
ovary
2. VAGINAL BLEEDING IN PREGNANCY
• In second and third trimester
:
• Placenta previa
• Placenta abruptio
2. VAGINAL BLEEDING IN PREGNANCY
 The Crown-rump length
 6-13 weeks gestational
age
 Femur length ,biparietal
diameter, head
circumference and
abdominal circumference
 Shepard’s formula
 Hadlock’s formula
3.GESTATIONAL AGE AND FETAL WEIGHT
 Before 20 weeks
4. FETAL MALFORMATION DETECTION
Polyhydramnios
AFI >24 cm
Largest vertical pocket
>8cm
Oligohydramnios
AFI <5cm
Largest vertical pocket
<2cm
5. AMNIOTIC FLUID ASSESSMENT
 To assess pelvic organs,
 To diagnose and manage
gynecologic problems including
endometriosis, leiomyoma,
adenomyosis, ovarian cysts and
lesions,
 To diagnose gynecologic cancer
GYNECOLOGICAL USES
 Abdominal ultrasound imaging is
performed to evaluate the:
 Kidneys
 Liver
 Gallbladder
 Pancreas
 Spleen
 Abdominal aorta and other blood
vessels of the abdomen
 Can be diagnostic or therapeutic
ABDOMINAL USG
 Indications for head and neck
ultrasound examinations :
 Salivary glands;
 Lymph nodes;
 Congenital lesions;
 Miscellaneous mass lesions;
 Infection and trauma;
 Endocrine
HEAD AND NECK USG
DC Dutta Textbook of obstetrics
http://www.aium.org/resources/guidelines/headneck.pdf
www.ob-ultrasound.net
http://www.radiologyassistant.nl
http://radiopaedia.org
REFERENCE

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Mellss yr4 radiology usg

  • 1.
  • 3.
  • 4.  Gestational sac-5 weeks  Mean Sac Diameter: 2-3 mm  Yolk sac -5 weeks  Circular anechoic structure within gestational sac, but outside the amniotic membrane  Fetal pole and cardiac activity - 6weeks  Thickening on the margin of the yolk sac .  Cardiac activity detected when fetal pole measures ≥7 mm.  Location and number of fetus 1.CONFIRMATION OF PREGNANCY
  • 5. • In first trimester : • Miscarriage • Blighted ovum • Molar pregnancy • Snowstorm appearance Ectopic pregnancy • Absence of intrauterine pregnancy with positive pregnancy test • Adnexal mass separated from the ovary 2. VAGINAL BLEEDING IN PREGNANCY
  • 6. • In second and third trimester : • Placenta previa • Placenta abruptio 2. VAGINAL BLEEDING IN PREGNANCY
  • 7.  The Crown-rump length  6-13 weeks gestational age  Femur length ,biparietal diameter, head circumference and abdominal circumference  Shepard’s formula  Hadlock’s formula 3.GESTATIONAL AGE AND FETAL WEIGHT
  • 8.  Before 20 weeks 4. FETAL MALFORMATION DETECTION
  • 9. Polyhydramnios AFI >24 cm Largest vertical pocket >8cm Oligohydramnios AFI <5cm Largest vertical pocket <2cm 5. AMNIOTIC FLUID ASSESSMENT
  • 10.
  • 11.  To assess pelvic organs,  To diagnose and manage gynecologic problems including endometriosis, leiomyoma, adenomyosis, ovarian cysts and lesions,  To diagnose gynecologic cancer GYNECOLOGICAL USES
  • 12.
  • 13.  Abdominal ultrasound imaging is performed to evaluate the:  Kidneys  Liver  Gallbladder  Pancreas  Spleen  Abdominal aorta and other blood vessels of the abdomen  Can be diagnostic or therapeutic ABDOMINAL USG
  • 14.
  • 15.  Indications for head and neck ultrasound examinations :  Salivary glands;  Lymph nodes;  Congenital lesions;  Miscellaneous mass lesions;  Infection and trauma;  Endocrine HEAD AND NECK USG
  • 16. DC Dutta Textbook of obstetrics http://www.aium.org/resources/guidelines/headneck.pdf www.ob-ultrasound.net http://www.radiologyassistant.nl http://radiopaedia.org REFERENCE

Editor's Notes

  1. YS : seen around 5-10 w, distinguishing from a pseudogestational sac, a decidual cast cyst or an anembryonic pregnancy,  two concentric rings surrounding an anechoic gestational sac
  2. (CRL) of ≥7 mm and no heartbeat on a transvaginal scan  (MSD) of ≥25 mm and no embryo on a transvaginal scan absence of embryo with heartbeat ≥11 days after a scan that showed a gestational sac with a yolk sac
  3. NT; dilated lymphatic channel , down, turner,omphalocele, cong diap hernia, >2.*mm hydrocephalus
  4. Gallstones/Pancreatitis/kidney blockage or cancer/kidney stones/liver cancer/appendicitis Drainage from abscess