Ultrasound in the First Trimester of Pregnancy. Elizabeth Lipson, HMS III
|
|
|
- Josephine Daniels
- 8 years ago
- Views:
Transcription
1 Ultrasound in the First Trimester of Pregnancy Elizabeth Lipson, HMS III
2 First Trimester Sonography Localization of Gestational Sac Intrauterine vs. ectopic Identification of abnormalities Embryonic demise Embryo at risk for demise
3 Sonographic Features: Normal First Trimester Gestational sac Shape: smooth; round or oval Position: fundal or mid-portion of uterus; eccentric Wall: echogenic, at least 3mm thick 2º to trophoblastic/decidual reaction Early, 50% show double decidual sign: Internal Structures: Yolk sac -initially most predominant structure Embryo Cardiac activity Growth: Rate: embryo-1mm/d; sac-1.1mm/d Correlate development with dates and B-hCG levels
4 Normal Intrauterine Pregnancy: 7weeks Gestational sac Sagittal view of uterus (abdominal) Embryo Yolk sac Amnion Embryo Yolk sac Transverse view of uterus (endovaginal)
5 9 Week Gestation: Embryo and Yolk Sac Yolk sac Transverse uterus
6 M-mode Measurement of Cardiac Activity Cross section through heart Measures cardiac activity components of cross section Time
7 Adnexa of 9 Week Gestation Corpus luteum filling right ovary Left ovary Transverse right adnexa Transverse left adnexa
8 Timing of Findings in Normal First Trimester Pregnancy Finding Timing (LMP) B-hCG + Intradecidual sign Gestational sac Yolk sac Embryo 23d 25-29d Earliest 34d, usually 37-38d Earliest 36d, usually 42d Earliest 43d, usually 45d Cardiac activity Earliest 43d, usually 45d Findings by endovaginal ultrasound
9 Case: 28 yo female, LMP 3/13/00 No significant PMH Presented on 5/2 several weeks of vaginal spotting abdominal cramping passage of clots over the past week B-hCG on 4/18 was 368, only 473 at presentation
10 No Intrauterine Pregnancy Transverse view of uterine fundus
11 Hemorrhage and Debris in Cul-de-sac Free Fluid Debris Transverse of uterus and cul-de sac
12 Abnormal Right Adnexa Normal Right Ovary Right Adnexal Mass Sagittal of right adnexa, with doppler Normal Left Ovary Transverse of left adnexa
13 Pseudogestational Sac of Ectopic Pregnancy Pseudogestational Sac Endometrial Stripe Sagittal Uterus
14 Sonographic Findings in Ectopic Pregnancy Specific for Ectopic: Embryo in adnexa Less Specific (must correlate with B-hCG): Empty uterus Adnexal mass (>95%tubal) classic=thick echogenic ring separate from ovary tubal pregnancy>2-3cm at risk for rupture Pelvic free fluid Pseudogestational sac
15 Normal Left Ovary Heterotopic Pregnancy Left Adnexal Ring (ectopic sac) Sagittal Left Adnexa Nonviable intrauterine gestation Sagittal Uterus
16 Spontaneous Abortion (15-25% of all clinically recognized pregnancies) Threatened abortion: vaginal spotting/bleeding, mild uterine cramping, closed os may see intrauterine hematoma if viable gestation, just observe, as many as 50% abort Inevitable abortion: persistent cramps and bleeding, abortion in in progress, os open appearance varies depending on retained products present Missed abortion: products of conception retained at least 2mo after fetal death, pregnancy test becomes negative, os closed Complete abortion: all products of conception have been expelled, os closed
17 Inevitable Abortion (Spontaneous Abortion in Progress) Anembryonic gestational sac Clot passing through lower uterine segment Sagittal of Fundus Sagittal of Lower Uterus
18 Inevitable Abortion (continued) Open os in inevitable abortion Closed os in normal pregnancy Sagittals of Uteri
19 Subchorionic Hemorrhage Hemorrhage between chorion and decidua, compressing empty gestational sac Transverse of uterus subchorionic hematoma in 1st trimester with viable embryo risk of spontaneous abortion risk increases with hematoma size, older maternal age, <8wk gestation(lmp)
20 Summary Normal First Trimester Pregnancy: Gestational Sac Regular oval/round shape, eccentric, thick echogenic wall Yolk Sac Embryo Presence, growth, cardiac activity Appearance of corpus luteum Ectopic Pregnancy: Extrauterine embryo or mass; classic adnexal ring No IUP Free fluid Pseudogestational sac Heterotopic Pregnancy: IUP and ectopic
21 Summary (cont d) Spontaneous Abortion: Abnormal gestational sac (ie. distorted, thin wall, empty) Absence of yolk sac, embryo, cardiac activity Always give gestation benefit of the doubt. Correlate findings with B-hCG; dates may be wrong Variable appearance of blood/debris Open os in inevitable abortion Subchorionic hemorrhage: Hemorrhage between chorion and decidua Normal pregnancy(small), threatened abortion, spontaneous abortion Importance of size, maternal age, age of gestation
22 Bibliography DIAGRAMS OF GESTATIONAL SAC: Callen, PW, Ultrasound in obstetrics and gynecology, 3 rd ed. W.B.Saunders Co From ch. 6-Ultrasound Evaluation During The First Trimester, Roy A. Filly, M.D. Figure 6-3
1 st Trimester OB Ultrasound
Indications/Goals: 1 st Trimester OB Ultrasound Geoffrey E. Hayden, MD Director of Emergency Ultrasonography Vanderbilt Emergency Medicine Primary objective is to identify an intrauterine pregnancy Secondary
Use of Ultrasound in the Provision of Abortion. Juan E. Vargas, MD Assistant Professor of Clinical Obstetrics and Gynecology and Radiology, UCSF
Use of Ultrasound in the Provision of Abortion Juan E. Vargas, MD Assistant Professor of Clinical Obstetrics and Gynecology and Radiology, UCSF Overview Uses and indications of ultrasound in the provision
Outcome of Patients with an Indeterminate Emergency Department First-trimester Pelvic Ultrasound to Rule Out Ectopic Pregnancy
912 Tayal et al. d INDETERMINATE US AND ECTOPIC PREGNANCY Outcome of Patients with an Indeterminate Emergency Department First-trimester Pelvic Ultrasound to Rule Out Ectopic Pregnancy Abstract Vivek S.
The embryonic period lasts for 8 weeks after conception
SOGC CLINICAL PRACTICE GUIDELINES No 161, June 2005 Ultrasound Evaluation of First Trimester Pregnancy Complications PRINCIPAL AUTHORS Lucie Morin, MD, FRCSC, Montreal QC Michiel C. Van den Hof, MD, FRCSC,
What is the diagnostic value of ultrasound for determining a viable intrauterine pregnancy?
What is the diagnostic value of ultrasound for determining a viable intrauterine pregnancy? Full citation Sample size Tests Methods Results Limitations Steinkampf,M.P., Guzick,D.S., Hammond,K.R., Blackwell,R.E.,
Free Echogenic Pelvic Fluid: Correlation with Hemoperitoneum
Free Echogenic Pelvic Fluid: Correlation with Hemoperitoneum G. Kimberly Sickler, MD, Phebe C. Chen, MD, Theodore J. Dubinsky, MD, Nabil Maklad, MD, PhD Echogenic fluid is an important extrauterine finding
Ultrasound Examinations Performed by Nurses in Obstetric, Gynecologic, and Reproductive Medicine Settings: Clinical Competencies and Education Guide
Ultrasound Examinations Performed by Nurses in Obstetric, Gynecologic, and Reproductive Medicine Settings: Clinical Competencies and Education Guide 3rd Edition The Association of Women s Health, Obstetric
First, Do No Harm... to Early Pregnancies
Editorial First, Do No Harm... to Early Pregnancies Peter M. Doubilet, MD, PhD Carol B. Benson, MD Department of Radiology Brigham and Women s Hospital Harvard Medical School Boston, Massachusetts USA
Up to 25% of all women in the early stages of. Vaginal bleeding in the early stages of pregnancy CME CE
feature n Learning objectives: n complete the posttest: Page xx n additional CME/: Pages xx Turn to page 27 for additional information on this month s CME/ courses. Kimberly D. Walker; Kathy Dexter, MLS,
The following chapter is called "Follow-ups with a Positive or a Negative Pregnancy Test".
Slide 1 Welcome to chapter 7. The following chapter is called "Follow-ups with a Positive or a Negative Pregnancy Test". The author is Professor Pasquale Patrizio. Slide 2 This chapter has the following
Gynecology Abnormal Pelvic Anatomy and Physiology: Cervix. Cervix. Nabothian cysts. cervical polyps. leiomyomas. Cervical stenosis
Gynecology Abnormal Pelvic Anatomy and Physiology: (Effective February 2007) pediatric, reproductive, and perimenopausal/postmenopausal (24-28 %) Cervix Nabothian cysts result from chronic cervicitis most
Prognosis of Very Large First-Trimester Hematomas
Case Series Prognosis of Very Large First-Trimester Hematomas Juliana Leite, MD, Pamela Ross, RDMS, RDCS, A. Cristina Rossi, MD, Philippe Jeanty, MD, PhD Objective. The aim of this study was to evaluate
ULTRASOUND DIAGNOSIS OF EARLY PREGNANCY
ULTRASOUND DIAGNOSIS OF EARLY PREGNANCY MISCARRIAGE CLINICAL PRACTICE GUIDELINE Institute of Obstetricians and Gynaecologists, Royal College of Physicians of Ireland and Directorate of Quality and Clinical
Pregnancy-related complications are, unfortunately, a common
Complications In Pregnancy Part I: Early Pregnancy It is Sunday evening and the place is dead. You re thinking about napping when the charge nurse lets you know about a new patient in room 9, the dreaded
Review Article Pitfalls in Emergency Department Focused Bedside Sonography of First Trimester Pregnancy
Emergency Medicine International Volume 2013, Article ID 982318, 4 pages http://dx.doi.org/10.1155/2013/982318 Review Article Pitfalls in Emergency Department Focused Bedside Sonography of First Trimester
Cornual ruptured pregnancy with placenta increta CORNUAL RUPTURED PREGNANCY WITH PLACENTA INCRETA A RARE CASE
142 CORNUAL RUPTURED PREGNANCY WITH PLACENTA INCRETA A RARE CASE Agarwal NR 1, Rani A 1 *, Batra S 1 1. Department of Obststetrics and Gynaecology, Institute of Medical Sciences, Banares Hindu Univarsity.
Changing Patterns of Ultrasound-Related Litigation
Commemoration Changing Patterns of Ultrasound-Related Litigation A Historical Survey Roger C. Sanders, MD Los Alamos Women s Health Center Los Alamos Medical Center Los Alamos, New Mexico USA Abbreviations
New approaches to management of early pregnancy loss (miscarriage) Larry Leeman MD MPH UNM MCH Resident School September 5, 2012
New approaches to management of early pregnancy loss (miscarriage) Larry Leeman MD MPH UNM MCH Resident School September 5, 2012 Disclosure Statement No conflicts of interest Misoprostol is not FDA approved
Intrauterine devices in early pregnancy: findings on ultrasound and clinical outcomes Elysia Moschos, MD; Diane M. Twickler, MD
Research OBSTETRICS Intrauterine devices in early pregnancy: findings on ultrasound and clinical outcomes Elysia Moschos, MD; Diane M. Twickler, MD OBJECTIVE: The objective of this study was to describe
Early Pregnancy Assessment Unit EPAU
Early Pregnancy Assessment Unit EPAU Introduction Miscarriage occurs in 20 30% of clinical pregnancies and accounts for 55,000 couples experiencing early pregnancy loss each year in Australia. With the
ProSono Copyright 2006. Ovarian Pathology
Ovarian Pathology Physiologic cysts: Functional cysts Pathology: A simple cyst is a sac containing fluid or semi-solid material. Physiologic cysts are generic types of hormonally active cysts that result
Three-Dimensional Inversion Rendering
Image Presentation Three-Dimensional Inversion Rendering New Sonographic Technique and Its Use in Gynecology Ilan E. Timor-Tritsch, MD, RDMS, na Monteagudo, MD, RDMS, Tanya Tsymbal,, RDMS, Irina Strok,
Sonographic Spectrum of Hemorrhagic Ovarian Cysts
Image Presentation Sonographic Spectrum of Hemorrhagic Ovarian Cysts Kiran A. Jain, MD Objective. To present the spectrum of sonographic findings associated with hemorrhagic ovarian cysts. Methods. Experience
Over the past two to three decades, pelvic ultrasonography
review article current concepts Edward W. Campion, M.D., Editor Diagnostic Criteria for Nonviable Pregnancy Early in the First Trimester Peter M. Doubilet, M.D., Ph.D., Carol B. Benson, M.D., Tom Bourne,
Ovarian Torsion: Sonographic Evaluation
J Clin Ultrasound 17:327-332, June 1989 Ovarian Torsion: Sonographic Evaluation Mark A. Helvie, MD,* and Terry M. Silver, MDI Abstract: The sonographic and clinical findings of 13 patients with surgically
OVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional
OVARIAN CYSTS Follicular Cyst Ovarian cysts are fluid-filled sacs that form within or on the ovary. The majority of these cysts are functional meaning they usually form during a normal menstrual cycle.
Prediction of Pregnancy Outcome Using HCG, CA125 and Progesterone in Cases of Habitual Abortions
Prediction of Pregnancy Outcome Using HCG, CA125 and Progesterone in * (MBChB, FICMS, CABOG) **Sawsan Talib Salman (MBChB, FICMS, CABOG) ***Huda Khaleel Ibrahim (MBChB) Abstract Background: - Although
K Raja/N Varol FPA 2013. FPA Sydney August 31 2013
FPA Sydney August 31 2013 Ms wilson 32 year old woman Presents with worsening, heavy menstrual and intermenstrual bleeding and pain for 6 months. Ms Wilson What is the differential diagnosis What are the
Gynecology Abnormal Physiology of the ovaries. Simple Cystic Masses
Gynecology Abnormal Physiology of the ovaries (Effective February 2007) pediatric, reproductive, and perimenopausal/postmenopausal (24-28 %) Simple Cystic Masses ovary s function is to mature oocytes until
School of Diagnostic Medical Sonography
Semester 1 Orientation - 101 This class is an introduction to sonography which includes a basic anatomy review, introduction to sonographic scanning techniques and physical principles. This curriculum
Ultrasound and Hysteroscopy in Infertility
Ultrasound and Hysteroscopy in Infertility James M. Shwayder, M.D., J.D. Professor and Chair Department of Obstetrics and Gynecology University of Mississippi Medical Center Jackson, Mississippi Ultrasound
CHAPTER 2 ANATOMY AND PHYSIOLOGY OF UTERUS AND FOETAL HEART
10 CHAPTER 2 ANATOMY AND PHYSIOLOGY OF UTERUS AND FOETAL HEART the foetal heart. This chapter describes the anatomy and physiology of the uterus and 2.1 ANATOMY OF THE UTERUS The uterus is a pear shaped
Diagnosis Codes for Pregnancy and Complications of Pregnancy
This list is for informational purposes only and is not a binding or definitive list of covered conditions. It is not a guarantee of coverage; coverage depends on the available benefits and eligibility
UPDATE. OB/GYN SONOGRAPHY An Illustrated Review. Study Alert for RDMS Candidates
UPDATE 1 OB/GYN SONOGRAPHY An Illustrated Review Study Alert for RDMS Candidates DAVIES PUBLISHING INC. Ob/Gyn Sonography Study Update UPDATED SEPTEMBER 16, 2011 Marie De Lange, BS, RT, RDMS, RVT, FSDMS,
First-Trimester Cesarean Scar Pregnancy Evolving Into Placenta Previa/Accreta at Term
Case Report First-Trimester Cesarean Scar Pregnancy Evolving Into Placenta Previa/Accreta at Term Jara Ben Nagi, MD, Dede Ofili-Yebovi, MD, Mike Marsh, MD, Davor Jurkovic, MD Placenta accreta is a rare
Placenta, Cord, & Fluid
, Cord, & Fluid Abruption Accreta/Increta/Percreta Chorioangioma Complete Partial Not generally Relevant to U/S Gestational Age (Weeks) Distance from 16-23.9 24 to Internal Os >20 mm No No 11-20 mm 0-10
Significance of weakly positive urine pregnancy tests
Al Am een J Med Sci 2013; 6(1):75-79 US National Library of Medicine enlisted journal ISSN 0974-1143 ORIGI NAL ARTICLE C O D E N : A A J MB G Significance of weakly positive urine pregnancy tests Suguna
Clinical Interruption of Pregnancy (Medical/Surgical Abortion)
Clinical Interruption of Pregnancy (Medical/Surgical Abortion) Approximately one fifth of all pregnancies in the United States end in abortion (Ventura et al., 2009). According to the CDC (2011a), there
Transvaginal Sonographic Guidance of Puncture Procedures: Minimally Invasive Surgery
: Safety and Efficacy Frances R. Batzer, MD, MBE Clinical Professor, Obstetrics & Gynecology Thomas Jefferson University Hospital Philadelphia, PA Safety and Efficacy Learning Objectives Describe patient
Interrupted Pregnancy Coding
Interrupted Pregnancy Coding American College of Obstetricians and Gynecologists Terry Tropin, RHIA, CPC, CCS-P, ACS-OB, PCS Content Development Expert, DecisionHealth ACOG Committee on Coding and Nomenclature
Ovarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002
Case Reports 21 August 2002 Ovarian Cyst Homoeopathy Clinic Check Yourself If you have any of the following symptoms call your doctor. Sense of fullness or pressure or a dull ache in the abdomen Pain during
良 性 附 屬 器 腫 瘤 簡 介. Benign adnexal mass
良 性 附 屬 器 腫 瘤 簡 介 Benign adnexal mass Prepubertal Age Group Adolescent Age Group Reproductive Age Group Postmenopausal Age Group Prepubertal Age Group Differential Diagnosis Diagnosis and Management Prepubertal
Obstetric Ultrasound Examinations
obstetric.qxp_1115 12/1/15 3:24 PM Page 1 AIUM Practice Parameter for the Performance of Obstetric Ultrasound Examinations Parameter developed in conjunction with the American College of Radiology (ACR),
WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Ovarian Cysts
Ovarian Cysts WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 The ovaries are two small organs located on either side of a woman s uterus. An ovarian cyst is a sac or pouch filled with fluid
Abnormal Uterine Bleeding
Abnormal Uterine Bleeding WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Abnormal uterine bleeding is one of the most common reasons women see their doctors. It can occur at any age and has
Variations in Appearance of Endometriomas
CME rticle Variations in ppearance of Endometriomas Elizabeth sch,, Deborah Levine, MD Objective. ecause of the range of patient ages with endometriosis, the persistence of endometriomas, and the degradation
American Journal of Emergency Medicine
American Journal of Emergency Medicine 32 (2014) 1464 1469 Contents lists available at ScienceDirect American Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/ajem Original Contribution
Eastern Mediterranean Health Journal, Vol. 10, No. 3, 2004 437
Eastern Mediterranean Health Journal, Vol. 10, No. 3, 2004 437 Report Normal uterine size in women of reproductive age in northern Islamic Republic of Iran S. Esmaelzadeh, 1 N. Rezaei 1 and M. HajiAhmadi
PREGNANCY OF UNKNOWN LOCATION (PUL) - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline
PREGNANCY OF UNKNOWN LOCATION (PUL) - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline All clinical staff working in the Division of women, children & sexual health to provide evidence based guidance
CAR Standard for Performing Diagnostic Obstetric Ultrasound Examinations
CAR Standard for Performing Diagnostic Obstetric Ultrasound Examinations The standards of the Canadian Association of Radiologists (CAR) are not rules, but are guidelines that attempt to define principles
Facts for Women Termination of pregnancy, abortion, or miscarriage management
Patient Education Facts for Women Termination of pregnancy, abortion, or miscarriage management This handout answers common questions about miscarriage management and the termination of a pregnancy, also
CHLAMYDIA SCREENING IN WOMEN
CHLAMYDIA SCREENING IN WOMEN APPLICATIONS OBJECTIVE Purpose of Measure: ELIGIBLE POPULATION Which members are included? STANDARD OF CARE What screening should be done? NCQA ACCEPTED CODES DOCUMENTATION
School of Diagnostic Medical Sonography Course Catalog
School of Diagnostic Medical Sonography Course Catalog 2 School of Diagnostic Medical Sonography Course Schedule Our program provides a broad base of education and performance- based clinical experience
Assessment and management of miscarriage
Assessment and management of miscarriage Dawn Miller is a Senior Lecturer in Women s Health at the Dunedin School of Medicine, University of Otago. She is also a doctor at Family Planning, Dunedin, and
South Dakota Task Force to Study Abortion Pierre, South Dakota September 21, 2005
South Dakota Task Force to Study Abortion Pierre, South Dakota September 21, 2005 Section III. : The review and exposition of the body of medical, psychological, and sociological knowledge that has accumulated
SUBSEROSAL FIBROIDS TREATMENT
INTRODUCTION Uterine fibroids, also known as leiomyomas, are the most common pelvic mass found in women. Fibroids are benign tumors that arise from the uterine muscular tissue (myometrium). They occur
3 Normal Early Pregnancy (First Trimester)
17 3 Normal Early Pregnancy (First Trimester) Pregnancy Dating Menstrual age and conceptual age. Because the date of conception is not precisely known, it is customary in obstetrics to date a pregnancy
REPRODUCTIVE ENDOCRINOLOGY
FERTILITY AND STERILITY VOL. 82, NO. 5, NOVEMBER 2004 Copyright 2004 American Society for Reproductive Medicine Published by Elsevier Inc. Printed on acid-free paper in U.S.A. REPRODUCTIVE ENDOCRINOLOGY
ACR ACOG AIUM SRU PRACTICE PARAMETER FOR THE PERFORMANCE OF OBSTETRICAL ULTRASOUND
The American College of Radiology, with more than 30,000 members, is the principal organization of radiologists, radiation oncologists, and clinical medical physicists in the United States. The College
LINCOLN UNIVERSITY DI 281 B Practicum / Externship II in Sonography Summer 2015 Course Syllabus
LINCOLN UNIVERSITY DI 281 B Practicum / Externship II in Sonography Summer 2015 Course Syllabus Course Number: DI 281 B Course Title: Practicum / Externship II in Sonography Course Credit: 3 units = 135
Sonographic Evaluation of the Lower Uterine Segment in Patients With Previous Cesarean Delivery
Article Sonographic Evaluation of the Lower Uterine Segment in Patients With Previous Cesarean Delivery Vincent Y. T. Cheung, MBBS, FRCOG, FRCSC, RDMS, Oana C. Constantinescu, MD, RDMS, Birinder S. Ahluwalia,
ECTOPIC PREGNANCY. Prior endothelial tubal injury is the common risk factor for tubal ectopic pregnancy.
ECTOPIC PREGNANCY Evaluating a patient with possible ectopic pregnancy early in pregnancy is often problematic. Symptoms often appear between six and eight weeks following the last menstrual period but
CONFIDENT CODING FOR OB/GYN CONFIDENT CODING FOR OB/GYN
Arlene J. Smith, CPC AAPC National Advisory Board 2007-2009 1 So when exactly does the global period start? Unraveling the confusion in antepartum care coding Correct coding for multiple gestations! Vaginal
LIPPES LOOP TRADEMARK. your intrauterine contraceptive
LIPPES LOOP TRADEMARK your intrauterine contraceptive LIPPES LOOP Patient Information This brochure provides information on the use of In trauterine Contraceptive Devices (lud s). There are other birth
Advanced ICD-10-CM/PCS Coding for OB/Pregnancy
Advanced ICD-10-CM/PCS Coding for OB/Pregnancy October 14, 2014 Karen Feltner, RHIA, CCS Plan for Today What are we discussing today? What is different in ICD-10-CM for pregnancy? What about ICD-10-PCS
Frequently Asked Questions
Frequently Asked Questions What is Medabon? Medabon is a combination therapy for medical abortion. Medical abortion refers to the process of ending a pregnancy by taking medication, rather than through
BELIEVE MIDWIFERY SERVICES, LLC
, LLC TITLE: ESTABLISHING the GESTATIONAL AGE & ROUTINE ULTRASOUND EFFECTIVE DATE: November 11th, 2013 POLICY STATEMENT Establishing accurate pregnancy dating impacts the management of normal and abnormal
Fetal loss following ultrasound diagnosis of a live fetus at 6 10 weeks of gestation
Ultrasound Obstet Gynecol 23; 22: 368 372 Published online 2 September 23 in Wiley InterScience (www.interscience.wiley.com). DOI: 1.12/uog.24 Fetal loss following ultrasound diagnosis of a live fetus
School of Diagnostic Medical Sonography Course Catalog
School of Diagnostic Medical Sonography Course Catalog 2 School of Diagnostic Medical Sonography Course Schedule Our program provides a broad base of education and performance- based clinical experience
The Radiologic Evaluation of the Ovary
September 2000 The Radiologic Evaluation of the Ovary Aradhana M. Venkatesan,, Harvard Medical School Year- IV MD 1 Menu of Tests Trans-abdominal pelvic ultrasound Trans-vaginal pelvic ultrasound Pelvic
Septate Uterus: Detection and Prediction of Obstetrical Complications by Different Forms of Ultrasonography
Septate Uterus: Detection and Prediction of Obstetrical Complications by Different Forms of Ultrasonography Sanja Kupesic, MD, PhD, Asim Kurjak, MD, PhD The aims of the study were to compare the accuracy
The Mysterious World of OB Ultrasound Coding
The Mysterious World of OB Ultrasound Coding The Mysterious World of OB Ultrasound Coding Presented by: Lori-Lynne A. Webb CPC, CCS-P, CCP, CHDA, COBGC, AHIMA Accredited ICD-10 Trainer AHIMA ACE mentor
PROTOCOL RECOMMENDATIONS FOR USE OF METHOTREXATE AND MISOPROSTOL IN EARLY ABORTION
PROTOCOL RECOMMENDATIONS FOR USE OF METHOTREXATE AND MISOPROSTOL IN EARLY ABORTION INTRODUCTION: Both methotrexate and misoprostol have been approved by the U.S. Food and Drug Administration (FDA) for
Department of Health. Maternity and Neonatal Clinical Guideline. Early pregnancy loss
Department of Health Maternity and Neonatal Clinical Guideline Early pregnancy loss Document title: Early pregnancy loss Publication date: September 2011 Document number: Document supplement: Amendments:
OB/GYN. Clerkship Learning Objectives. Office for Clinical Affairs Department of OB/GYN (515) 271-1629 (515) 271-1421 FAX (515) 271-1727
OB/GYN Clerkship Learning Objectives Rebecca Shaw, MD, FACOG Office for Clinical Affairs Department of OB/GYN (515) 271-1629 (515) 271-1421 FAX (515) 271-1727 General Description Required Rotation This
Applications of Doppler Ultrasound in Fetal Growth Assessment. David Cole
Applications of Doppler Ultrasound in Fetal Growth Assessment David Cole Aims The aim of this presentation is to consider the use of Doppler ultrasound to investigate and monitor those pregnancies at risk
Outpatient Management of Early Pregnancy Loss
Outpatient Management of Early Pregnancy Loss Linda Prine, MD Associate Clinical Professor of Family Medicine Beth Israel & Harlem Family Medicine Residency Institute for Family Health Sarah Pickle, MD
Objective. Indications for IUDs. IUDs 3 types. ParaGard IUD. Mirena IUD. Sonographic Evaluation of Intrauterine Devices (IUDs) Inert
Sonographic Evaluation of Intrauterine Devices (IUDs) Anna S. Lev-Toaff, MD FACR Department of Radiology Hospital of the University of Pennsylvania Philadelphia, Pennsylvania Leading Edge in Diagnostic
Abnormal Uterine Bleeding FAQ Sheet
Abnormal Uterine Bleeding FAQ Sheet What is abnormal uterine bleeding? Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period. Bleeding that occurs between
Presence of a Yolk Sac on Transvaginal Sonography Is the Most Reliable Predictor of Single-Dose Methotrexate Treatment Failure in Ectopic Pregnancy
Article Presence of a Yolk Sac on Transvaginal Sonography Is the Most Reliable Predictor of Single-Dose Methotrexate Treatment Failure in Ectopic Pregnancy Sarah Bixby, MD, Richard Tello, MD, Ewa Kuligowska,
the abortion pill by David Hager, M.D.
the abortion pill by David Hager, M.D. A positive pregnancy test is one of the most life-changing moments for a woman. Never is it more important to base your decisions on accurate information. Try to
details >>> HERE POSTMENOPAUSAL ASSESS AND WHAT TO DO
POSTMENOPAUSAL OVARIAN CYSTS:HOW TO ASSESS AND WHAT TO DO Steven R. Goldstein, MD Professor of Obstetrics and Gynecology Director of Gynecologic Ultrasound Co-Director, Bone Densitometry New York University
Summa Health System. A Woman s Guide to Hysterectomy
Summa Health System A Woman s Guide to Hysterectomy Hysterectomy A hysterectomy is a surgical procedure to remove a woman s uterus (womb). The uterus is the organ which shelters and nourishes a baby during
A report of 300 cases using vacuum aspiration for the termination of pregnancy
A report of 300 cases using vacuum aspiration for the termination of pregnancy Wu, Yuantai and Wu, Xianzhen Chinese Journal of Obstetrics and Gynaecology (1958:447-9) More than 100 years after Recamier
Symposium on RECENT ADVANCES IN ASSISTED REPRODUCTIVE TECHNOLOGY
Symposium on RECENT ADVANCES IN ASSISTED REPRODUCTIVE TECHNOLOGY Dr Niel Senewirathne Senior Consultant of Obstetrician & Gynaecologist De zoyza Maternity Hospita 1 ART - IVF & ICSI 2 Infertility No pregnancy
Coding for the OB/GYN Practice
Coding for the OB/GYN Practice NAMAS 5 th Annual Auditing Conference Atlanta, GA December 10, 2013 Peggy Y. Green, CMA(AAMA), CPC, CPMA, CPC I Coding Principals Correct coding implies the selection is
Assisted reproductive technologies (ART) in Canada: 2011 results from the Canadian ART Register
1 Assisted reproductive technologies (ART) in Canada: 2011 results from the Canadian ART Register Joanne Gunby, M.Sc. CARTR Co-ordinator Email: gunbyj@mcmaster.ca Supported by the IVF Directors Group of
Sonography. 1. Introduction. 2. Documentation of Compliance. 3. Didactic Competency Requirements. 4. Clinical Competency Requirements
PRIMARY CERTIFICATION Sonography 1. Introduction Candidates for certification and registration are required to meet the Professional Education Requirements specified in the ARRT Rules and Regulations.
In Vitro Fertilization
Patient Education In Vitro Fertilization What to expect This handout describes how to prepare for and what to expect when you have in vitro fertilization. It provides written information about this process,
AIUM Practice Parameter for Ultrasonography in Reproductive Medicine
AIUM Practice Parameter for Ultrasonography in Reproductive Medicine Prepared in collaboration with the American Institute of Ultrasound in Medicine (AIUM) and the Society for Reproductive Endocrinology
University College Hospital. Miscarriage Women s Health
University College Hospital Miscarriage Women s Health 2 Introduction The purpose of this leafl et is to: Describe what a miscarriage is and why it happens What it means for your health What treatment
2014 OB/GYN Surgery Medicare Reimbursement Coding Guide
2014 OB/GYN Surgery Medicare Reimbursement Coding Guide Effective January 1, 2014 Medicare National Average Rates and Allowables (Not Adjusted For Geography) CPT * HCPCS Code 58150 58152 58180 58200 58210
GYNAECOLOGY. Ahmed Mohamed Abbas*, Mohamed Khalaf*, Abd El-Aziz E. Tammam**, Ahmed H. Abdellah**, Ahmed Mwafy**. Introduction ABSTRACT
Thai Journal of Obstetrics and Gynaecology April 2015, Vol. 23, pp. 113-117 GYNAECOLOGY The Diagnostic Value of Saline Infusion Sonohysterography Versus Hysteroscopy in Evaluation of Uterine Cavity in
Ovarian cysts Diagnosis and Management
Ovarian cysts Diagnosis and Management Mr P K Athanasias MRCOG Consultant Gynaecologist St Anthony s Hospital pathanasias@gmail.com Introduction ovary is an ovum-producing reproductive organ located in
Contents. Physical and Technical Principles. 1 Physical and Technical Principles of Color Doppler Sonography
viii Contents Physical and Technical Principles 1 Physical and Technical Principles of Color Doppler Sonography R. Kubale and G. Hetzel Historical Development... 2 B-Mode Sonography... 2 Physical Principles
OPTIONS GUIDE TO EARLY ABORTION
THE EARLY OPTIONS GUIDE TO EARLY ABORTION Understanding Options oeearlyoptions For Early Abortion Table of Contents Why This Guide 1 Making Your Decision..3 Understanding Early Pregnancy.6 Early Abortion
Beverly E Hashimoto, M.D. Virginia Mason Medical Center, Seattle, WA
Pelvic Floor Relaxation Beverly E Hashimoto, M.D. Virginia Mason Medical Center, Seattle, WA Disclosures Beverly Hashimoto: GE Medical Systems: research support and consultant (all fees given to Virginia
Assisted Reproductive Technologies at IGO
9339 Genesee Avenue, Suite 220 San Diego, CA 92121 858 455 7520 Assisted Reproductive Technologies at IGO Although IGO no longer operates an IVF laboratory or program as such, we work closely with area