Download A Practical Guide to Real-Time Office Sonography in by Robert V. Giglia R.T., R.D.M.S., Kara L. Mayden R. T., PDF

By Robert V. Giglia R.T., R.D.M.S., Kara L. Mayden R. T., R.D.M.S., Norbert Gleicher M. D. (auth.)

Real-time ultrasonography has entered workplace perform in obstetrics and gynecology. With expanding numbers of sonography structures coming into the ambulatory place of work surroundings, obstetric sonography at a regimen point (level I) has principally been the special quarter. contemporary advancements in gynecologic real-time sonography have, besides the fact that, considerably enlarged the sector of applicability of sonographic apparatus in an place of work environment. The very speedy progress of follicular sonography in infertility overview and administration has made real-time sonography of accelerating significance to the gynecologic practitioner. In place of work settings just like the authors', gynecologic place of work sonography represents as regards to 50% of all ordered sonography. This instruction manual of workplace sonography in obstetrics and gynecology was once conceived to mirror those alterations in perform styles. This quantity isn't intended to interchange general sonography texts for the full-time sonographer yet is as a substitute directed towards the training obstetrician/gynecologist who makes use of real-time sonography within the workplace atmosphere in the framework of day-by-day perform. Technical reviews have been for this reason limited to a minimal, with functional suggestion and photographic examples taking their position. lots of the sonographic real-time photographs have been retrieved from the authors' personal documents. even if, a few have been got throughout the generosity of buddies and associates, for which we wish to increase acknowledgment and appreciation. comparable appreciation is prolonged to Dr. Haim Elrad and Dr. Jari Friberg, who additionally participated within the editorial technique; to Sheila Martin, who played fantastically as our editorial assistant, a so much tough accountability; and to Hilary Evans, our editor at Plenum Publishing Corporation.

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3). • The fetal bladder should be routinely visualized after 20 weeks gestational age. • Absence of the fetal bladder with normal amounts of amniotic fluid may only indicate recent fetal voiding. A repeat sonogram should be obtained after 30 min. Whenever in doubt a Lasix test may be performed. Administration of 20-40 mg of Lasix (furosemide) to the mother will achieve a diuretic effect in the fetus. ) • Variations in normal bladder size may be extensive. Abnormally large bladders over prolonged observation periods may indicate urethral obstruction 21 and polyhydramnios-associated conditions.

1). • Both kidney circumferences should not occupy more than one-third of the total abdominal circumference. If they occupy more than one-third of the abdomen, fetal urinary tract abnormalities have to be ruled out. ) • It is important to identify a centrally located renal pelvis that will have the sonographic appearance of a more echo-dense area than the surrounding cortex. Minimal caliectasis represents a normal finding (see Fig. 2). Increased dilation, however, may be indicative of hydronephrosis and needs further evaluation.

Am J Obstet GynecoI1979;133:915. 3. Grannum PAT, Hobbins JC: The placenta, in Callen PW (ed): Ultrasonography in Obstetrics and Gynecology. Philadelphia, WB Saunders, 1983, p 141. 50 PART I • REAL-TIME SONOGRAPHY IN OBSTETRICS Chapter 6 Amniocentesis Amniocentesis has been greatly enhanced by the use of ultrasound. Ultrasound can provide an assessment of fetal anatomy and growth and also permits the correct placement of the needle into the amniotic cavity. • Genetic mid-trimester amniocentesis is best performed at 16-18 weeks gestational age (see Fig.

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