"Our protocol has been for many years, to do both TA and TV. I cannot stress how often pathology is found on negative transabdominal. The fact that you see "nothing" transabdominal is not a good indicator that the pelvis is normal.…"
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Daftary
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Carol Rossa replied to Daftary's discussion Requisition needed for transvaginal ultrasound component?? in the group Gynecologic Ultrasound Community
Robin Hurni replied to Daftary's discussion Requisition needed for transvaginal ultrasound component?? in the group Gynecologic Ultrasound Community
"This is standard practice at the hospital where I work. All pelvic orders come with a note "TV prn". However, we must then call the ordering MD and ask that the Transvaginal componet be added. This is time consuming. I know that the ACR…"
Daftary replied to Daftary's discussion Requisition needed for transvaginal ultrasound component?? in the group Gynecologic Ultrasound Community
"Interestingly, this decision came down from Admin AFTER they interviewed the system hospital ultrasound suites and found out that it is sanctioned by AIUM ! Now, I don't know what ACR says...
Oh, well. Nose to the grindstone and keep plugging…"
Rebecca Strole replied to Daftary's discussion Requisition needed for transvaginal ultrasound component?? in the group Gynecologic Ultrasound Community
"Whatever it takes to achieve the desired result. If a TA exam isn't sufficient, than a TV exam should be performed. I always give the patient the option of refusing, but most people realize that it's only for their benefit. Even though I…"
Bashir H Samma;MD,PGD&C,SrMAIUM replied to Daftary's discussion Requisition needed for transvaginal ultrasound component?? in the group Gynecologic Ultrasound Community
"well, though TVS is a gold standard for pelvic exam these days, I personally perform it only when really very necessary. With experience, well filled bladder, and careful knobology adjustment and getting the beam target by angling it right across…"
Daftary added a discussion to the group Gynecologic Ultrasound Community
Requisition needed for transvaginal ultrasound component??
Within our health system, the administrators have decided that we needto call the referring doctor for permission (i.e., obtain a requisition)for the transvaginal component of a pelvic ultrasound examination --this is if the original requisition did not specifically ask for this.This seems, to our group, as craziness -- AIUM guidelines specifically allow for this if the transabdominal component is insufficient orinconclusive.What say you all??See More
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- What is your profession?
- Physician
- What is your medical specialty or primary interest in ultrasound?
- Ob/Gyn and Maternal-Fetal Medicine
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- Yes
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