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acute pelvic conditions in female patients needs serious consideration i have to look for appendicitis ,torsion of right overy ,diverticulitis ,hydrosalpinx ,complex right adnexal mass /right side abscess ,exophytic fibroid which is necrotic ,dilate…
My answers
1) Ultrasound
2) Those clinicians who have lost their trust on ultrasound--or who are not aware of this great modality of ultrasound.
3) About 10% as reporting standards of CT are not staisfactory.
4) CME---AIUM shall try to come out of U…
we can get many such examples,yes some surgeons still dont trust ultrasound but be sure there are many sonologists who dont trust surgeons--- we can find good and bad professionals in every profession.We must upgrade ourself by CME and discussions a…
Well discribed by Dr.M.M.Nurus,I agree with him and would like to add that still there are many developing countries people can not write proper CT or MRI report above that many countries have no assess to CT.I have been to somalia to arrange three…
In our practice setting, it is US that is generally ordered first for evaluating ac pelvic conditions. This is not out of love of US over CT, but usually due to the fact that CT is very expensive in this economically deprieved locality. .The reasons…
The purpose of the AIUM Journal Club is to expand the educational experience through in-depth discussion of the literature. "Sign up" or "Sign in" at the right and then review the getting started information below. We
welcome your participation!
Dear Beryl,
Thank you for a great editorial. I agree with everything you say.
Imaging of the acute abdomen and pelvis has changed in the last 20 years with emergency departments in large tertiary referral hospitals such as the one I work in using…
I knew a surgeon who would only operate on a patient for suspected appendicitis after an otherwise normal pelvic sonogram (performed or interpreted by one specific radiologist) showed evidence of an inflamed or ruptured appendix. If the pelvic sonog…
In my experience, the typical scenario for utilization of CT for evaluation of the female pelvis is for acute or subacute lower abdominal/pelvic pain. In my years (less than Beryl!), I have seen less emphasis placed on history and physical exam in t…
The purpose of the AIUM Journal Club is to expand the educational experience through in-depth discussion of the literature. "Sign up" or "Sign in" at the right and then review the getting started information below. We
welcome your participation!
Dr. Benacerraf raises some good questions and I think the simplest answer is that CT scans give you standard consistent images no matter what the size of the patient and this has become the default for ordering physicians. Ultrasound is notoriously…
In the place where I work, pelvic ultrasounds are performed first as an initial approach. In so many cases, it follows CT to help determine the nature of a suspected mass seen in a CT ordered for other reasons. I need to mention that everybody in th…
I cannot answer all of these questions because I am now in academics and have been out of the clinical end of sonography for a number of years. However, I do have an opinion about the questions that deal with the comparison and contrast between CT (…
Where I work Ultrasound is always used for suspected pelvic abnormalities unless the symptoms resemble appendicitis or colitis or something in the lower abdomen. Ultrasound is NOT a good diagnostic modality for appendicitis unless the patient is ext…
The purpose of the AIUM Journal Club is to expand the educational experience through in-depth discussion of the literature. "Sign up" or "Sign in" at the right and then review the getting started information below. We
welcome your participation!
Yes, everyone is fine. It was back to school today.....thank you Lord! I had a question, maybe you can send me in the right direction......does the AIUM have an grants/scholarships that are specific to student loan forgiveness. I am on the hunt to get out of this debt!!!!! All my resources tell me to look into ultrasound specific organizations. Any ideas? When are we going to plan this trip?
Kathi
Hi! I am great. You? Working a third shift tonight. I am so crazy busy with school, it is unreal!!! Two more semesters to go. This blog action seems kinda cool. I will probably post some comments to the thread after I read the article. Hopefully after school I can get more involved, I would love that! Talk soon.