{"id":2153,"date":"2016-03-25T17:09:20","date_gmt":"2016-03-25T17:09:20","guid":{"rendered":"http:\/\/praenatal-zuerich.ch\/?page_id=2153"},"modified":"2016-03-31T14:03:13","modified_gmt":"2016-03-31T14:03:13","slug":"pocket-scan-normal-gyn","status":"publish","type":"page","link":"https:\/\/praenatal-zuerich.ch\/?page_id=2153","title":{"rendered":"Pocket Gyn"},"content":{"rendered":"

What this site offers<\/a><\/span><\/strong>\u00a0 Go to IOTA course material<\/a><\/span><\/strong><\/p>\n

Click on the annotated images to open educational ultrasound volumes online. These volumes \u00a0can be scrolled through using a mouse or a touch-enabled device (smartphone).<\/p>\n

Transabdominal gynecologic ultrasound\u00a0imaging<\/h3>\n

The abdominal\u00a0transducer\u00a0is positioned in the midline cranial to the\u00a0pubic bone. The landmarks to be included in the starting image\u00a0should be the\u00a0maximum sagittal diameter of the bladder\u00a0and\u001b\u00a0usually a median section of the uterus.<\/p>\n

\"abd-ut-extended-labeled\"<\/a><\/p>\n

Retroflexed uterus<\/p>\n

 <\/p>\n

Retroflexed uterus with early pregancy<\/p>\n

 <\/p>\n

Handling the transvaginal transducer<\/h3>\n

First, the transducer is inserted carefully and gently into the introitus, making sure that no pressure is exerted in particular towards the anterior vaginal wall.\u00a0At the level of the introitus the following structures can be seen (in case of an anteflexed uterus): (add VR)<\/p>\n

\"introitus\"<\/p>\n

With the transducer partially inserted, these structures can be seen: (add VR)<\/p>\n

\"part-ins\"<\/p>\n

Having inserted the transducer in the axis of the vagina, placing its\u00a0tip in the anterior fornix just in contact with the anterior uterine wall, provides the first view of an anteflexed\u00a0uterus.<\/p>\n

\"vag-ante-composite\"<\/a><\/p>\n

Turning the transducer to the right and slightly counterclockwise will display the external iliac vessels and often the right ovary.<\/p>\n

\"right-pelvic-wall-composite\"<\/a><\/p>\n

Turning the transducer to the left\u00a0and slightly clockwise will display the external iliac vessels and often the left\u00a0ovary.<\/p>\n

\"left-pelvic-wall-composite\"<\/a><\/p>\n

Turning and rotating the transducer further to the pelvic wall can display an oblique section of the uterus, the ovary laterally and, often, the Fallopian tube. (add VR ovary, tube and uterus)<\/p>\n

 <\/p>\n

This view benefits from the concurrent use of color Doppler as the vessels running alongside the tube can be used to identify it. (add VR)<\/p>\n

\"Fallopian-Doppler\"<\/p>\n

Retroflexed uterus<\/p>\n

 <\/p>\n

Thick, hypoexchoic myometrium<\/p>\n

 <\/p>\n

Thick\u00a0hyperechoic („transformed“) endometrium<\/p>\n

 <\/p>\n

Normal variants<\/p>\n

Multifollicular ovary, tube and uterus<\/p>\n

 <\/p>\n

Hemorrhagic ovarian cyst<\/p>\n

 <\/p>\n

Hemorrhagic ovarian cyst (with color Doppler)<\/p>\n

 <\/p>\n

Intramural fibroids<\/p>\n

 <\/p>\n

 <\/p>\n

Next…<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

What this site offers\u00a0 Go to IOTA course material Click on the annotated images to open educational ultrasound volumes online. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1703,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-2153","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/2153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2153"}],"version-history":[{"count":21,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/2153\/revisions"}],"predecessor-version":[{"id":2223,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/2153\/revisions\/2223"}],"up":[{"embeddable":true,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/1703"}],"wp:attachment":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}