Ultrasound in Obstetrics and Gynecology for the...
-
Upload
nguyentruc -
Category
Documents
-
view
218 -
download
0
Transcript of Ultrasound in Obstetrics and Gynecology for the...
![Page 1: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/1.jpg)
Ultrasound in Obstetrics andGynecology for the Generalist
Dr S.MoolaOb/gyn - Nelson BC
![Page 2: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/2.jpg)
US for the Generalist
• Ultrasound should be viewed as an an adjunct tool to clinical exam and history (ie: like using performing an ECG for chest pain or using slit lamp)
• It should not be used as a diagnostic test (realm of radiology/perinatology)
![Page 3: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/3.jpg)
• 1000 consecutive women• Of the 521 women with a positive pregnancy
test, 75.6% were reassured immediately that their pregnancy was intrauterine.
• 143 women (27.4%) were given the diagnosis of a suspected ectopic pregnancy before sonography, compared with 29 (5.6%) after.
Impact of the availability of sonography in the acute gynecology unitZ. HAIDER*, G. CONDOUS*, A. KHALID*, E. KIRK*, F. MUKRI*, B. VAN CALSTER†, D. TIMMERMAN‡ and T. BOURNE*
![Page 4: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/4.jpg)
• Following the ultrasound examination there was a change in clinical management in 54.1% of the women with a positive pregnancy test and a reduction in admissions (including inpatient theater admissions) (from 40.3% to 17.1%) and outpatient follow-up examinations (from 41.1% to 35.5%).
• In 90 (23.8%) non-pregnant women a significant ovarian cyst (> 5 cm) was suspected clinically; 28/90 (31.1%) were confirmed on sonography.
![Page 5: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/5.jpg)
• Following the ultrasound examination there was a change in clinical management for 38.1% of non-pregnant women and a reduction in admissions (from 37.1% to 19.4%) and outpatient follow-up examinations (from 25.7% to 18.1%).
![Page 6: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/6.jpg)
Ob/Gyn US
• Know how to turn machine on• Know how to turn machine off• Know how to clean probes• Know how to document observations
![Page 7: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/7.jpg)
![Page 8: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/8.jpg)
Sac Diameter/ Crown Rump Length
![Page 9: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/9.jpg)
![Page 10: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/10.jpg)
![Page 11: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/11.jpg)
![Page 12: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/12.jpg)
![Page 13: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/13.jpg)
![Page 14: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/14.jpg)
![Page 15: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/15.jpg)
![Page 16: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/16.jpg)
![Page 17: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/17.jpg)
![Page 18: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/18.jpg)
![Page 19: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/19.jpg)
![Page 20: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/20.jpg)
![Page 21: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/21.jpg)
![Page 22: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/22.jpg)
![Page 23: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/23.jpg)
![Page 24: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/24.jpg)
![Page 25: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/25.jpg)
![Page 26: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/26.jpg)
![Page 27: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/27.jpg)
![Page 28: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/28.jpg)
![Page 29: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/29.jpg)
![Page 30: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/30.jpg)
![Page 31: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/31.jpg)
![Page 32: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/32.jpg)
![Page 33: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/33.jpg)
![Page 34: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/34.jpg)
![Page 35: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/35.jpg)
![Page 36: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/36.jpg)
![Page 37: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/37.jpg)
![Page 38: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/38.jpg)
![Page 39: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/39.jpg)
![Page 40: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/40.jpg)
![Page 41: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/41.jpg)
![Page 42: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/42.jpg)
Copyright © 2006 by the American Roentgen Ray Society
Kaakaji, Y. et al. Am. J. Roentgenol. 2000;174:641-649
--26-year-old woman with live tubal ectopic pregnancy
![Page 43: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/43.jpg)
![Page 44: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/44.jpg)
![Page 45: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/45.jpg)
Copyright © 2007 by the American Roentgen Ray Society
Kaakaji, Y. et al. Am. J. Roentgenol. 2000;174:641-649
--32-year-old woman with intra abdominal pregnancy
![Page 46: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/46.jpg)
Copyright © 2007 by the American Roentgen Ray Society
Kaakaji, Y. et al. Am. J. Roentgenol. 2000;174:641-649
--32-year-old woman with intra abdominal pregnancy
![Page 47: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/47.jpg)
![Page 48: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/48.jpg)
Remember non gynecologic causes
![Page 49: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/49.jpg)
![Page 50: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/50.jpg)
![Page 51: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/51.jpg)
![Page 52: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/52.jpg)
3 tenets of OB US
• Location…where is the head• Location….where is the placenta (or
where isn’t the placenta)• Location…where is the heart• ….how many fetuses
![Page 53: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/53.jpg)
![Page 54: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/54.jpg)
Weight= 0.1 X AC3
• Works for fetuses 1200-3800g• AC 22.9-33.6 cm• About 70% accurate for birth weight
prediction• Underestimates low birth weight <1200
and overestimates >3800g
![Page 55: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/55.jpg)
![Page 56: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/56.jpg)
![Page 57: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/57.jpg)
![Page 58: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/58.jpg)
![Page 59: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/59.jpg)
![Page 60: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/60.jpg)
![Page 61: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/61.jpg)
![Page 62: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/62.jpg)
Placenta previa
![Page 63: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/63.jpg)
![Page 64: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/64.jpg)
Abruptio placenta
![Page 65: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/65.jpg)
![Page 66: Ultrasound in Obstetrics and Gynecology for the …rccbc.ca/wp-content/uploads/2014/10/Moola-Ultrasound_in_OB.pdf · Ultrasound in Obstetrics and Gynecology for the Generalist Dr](https://reader031.fdocuments.net/reader031/viewer/2022022608/5b8953d07f8b9a5b688d653b/html5/thumbnails/66.jpg)
“Miles on the ultrasound odometer will not only sharpen sonographic skills but also will
help the EP to better communicate with nonpregnant patients presenting with
abdominal pain.
There is a fairly specific barometer already in place to gauge one gynecologic ultrasound skills: a seasoned EP sonographer never
skips over the chart of a young woman with right lower quadrant pain.” - M.lambert