Top
20
Doctor insights on: Complete Ultrasound Exam Of Pelvis Including Transvaginal

Share
1

1
Do ultrasound techs take measurements of all organs during an abd ultrasound?

Do ultrasound techs take measurements of all organs during an abd ultrasound?

Yes: Ultrasound can give three dimensional measurements of most organs height, depth, and width. Most common organs measured are kidneys, spleen, liver, ovaries, uterus, bladder, and two dimensional measurements of appendix aorta, and inferior vena cava. Of course if tumor or lymph nodes present these can be measured. ...Read more

See 1 more doctor answer
Dr. Michael Gabor
2,271 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


2

2
Is this order for a transvaginal or abdominal ultrasound?" US-S-PELVIS; NON-N OBSTETRIC, COMPLETE(76856)"

Is this order for a transvaginal or abdominal ultrasound?" US-S-PELVIS; NON-N OBSTETRIC, COMPLETE(76856)"

Neither: Code 76856 is for a pelvic ultrasound (not an abdominal U/S), and includes evaluation of the female pelvic anatomy. This examination includes a description and measurements of the uterus and adnexal structures, measurement of the endometrium, measurement of the bladder, etc. If a transvaginal U/S probe is used, the would be billed as 76830 (an extra charge). Codes may change from year to year. ...Read more

3

3
How helpful is a pelvic sonogram (ultrasound) in diagnosis of endometriosis?

How helpful is a pelvic sonogram (ultrasound) in diagnosis of endometriosis?

Endo dx: Only of there is a mass, ultrsound is very non specific tool. Laparoscopy continues to be the gold standard for the diagnosis of endometriosis. ...Read more

See 1 more doctor answer
4

4
Would an ultrasound and a transvaginal ultrasound still miss signs of ovarian cancer?

Would an ultrasound and a transvaginal ultrasound still miss signs of ovarian cancer?

Yes: Almost all test and imaging studies have false positive and false negative results. Early ovarian cancer is particularly difficult to detect as the normal ovary often has cystic changes and varies in size during the reproductive period. Having said that, transvaginal ultrasound is a useful and perhaps the best test for detecting ovarian cancer. ...Read more

See 1 more doctor answer
5

5
What's doppler ultrasound exams are done on the fetus or placenta?

What's doppler ultrasound exams are done on the fetus or placenta?

Check blood flow: The doppler exam is using ultrasound to asses the blood flow to the baby or placenta. It is a tool for assessing the health of the baby and monitoring the effects of certain problems such as diabetes or hypertension. ...Read more

6

6
Can small ovarian cysts go undetected in an external ultrasound and pelvic exam?

Can small ovarian cysts go undetected in an external ultrasound and pelvic exam?

Maybe: Small ovarian cysts may not be detected but usually are not clinically significant. Usually can detect ovarian cysts of 3-4 mm in diameter with good diagnostic ultrasound. ...Read more

8

8
Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Give indication: Xr, and anything without direct visualization give an indication as to what is suspected. The symptoms, the exam and the history makes a doctor arrive at a diagnosis as the most likely thing. If in doubt, then direct visualization needed. I hope that gives you reassurance. ...Read more

9

9
Ultrasound of pelvis possible if virgin?

Ultrasound of pelvis possible if virgin?

Yes: Transrectal pelvic ultrasound, or transvaginal with a slinder probe, or through the suprapubic area aiming probe downwards. ...Read more

See 1 more doctor answer
10

10
What's the difference between a pelvic ultrasound and a transvaginal ultrasound?

What's the difference between a pelvic ultrasound and a transvaginal ultrasound?

Nearly same...: There are two ways to image the pelvic organs. One is by transabdominal route (transducer in placed on the skin of lower abdomen with a distended urinary bladder); and the other is transvaginal ultrasound where the transducer is placed inside the vagina to assess pelvic organs. Transvaginal ultrasound means just that; whereas, pelvic ultrasound includes both transabdominal and transvaginal US. ...Read more

11

11
Would an pelvic ultrasound, transvaginal ultrasound or cat scan show up a miscarriage?

Would an pelvic ultrasound, transvaginal ultrasound or cat scan show up a miscarriage?

Ultrasound: A combination of ultrasound (either transabdominal or transvaginal), B-hcg levels, and clinical information are used to diagnose a miscarriage. CT is not used because of its ionizing radiation. ...Read more

12

12
How precise is the pelvic and transvaginal ultrasound for early detection of ovarian cancer?

How precise is the pelvic and transvaginal ultrasound for early detection of ovarian cancer?

Limited: Ultrasound, tumor marker evaluation, history, and physical exam have not been shown to be effective in adequately screening for this disease (even when used all together). This is a disease we don't really have a handle on right now. This doesn't mean patients who have pelvic pain or risk factors shouldn't be evaluated, but the tools available have not been shown to increase life expectancy. ...Read more

13

13
Ct imaging of the pelvis, can the ovaries be seen well?

Ct imaging of the pelvis, can the ovaries be seen well?

Not ideal: Ovaries are usually seen on ct, especially in premenopausal women, and ct will be able to identify any large cysts or masses. Ultrasound is the the best method for evaluating ovaries in general; MRI can also help if there is a need for better. ...Read more

15

15
Cramping pain after trans-vaginal ultrasound and pelvic examination, why? and normal?

Cramping pain after trans-vaginal ultrasound and pelvic examination, why? and normal?

Normal: It is not uncommon to have cramps after a transvaginal US or pelvic exam, since a foreign body - ultrasound probe or gloved hand often causes release of prostaglandins leading to uterine cramping. Try taking ibuprofen or naproxen for symptoms, then night before and morning of procedure next time to reduce symptoms. ...Read more

16

16
Can a transvaginal ultrasound and/or pelvic ultrasound show enlarged lymph nodes around the ovary?

Can a transvaginal ultrasound and/or pelvic ultrasound show enlarged lymph nodes around the ovary?

Yes,: but not reliably. Regional bowel gas can obscure pelvic lymph nodes. Also the position of the ovaries is variable, and they may not be situated next to internal iliac nodal chains. So not seeing enlarged lymph nodes on a pelvic sonogram is not sufficient to exclude them. CT or MRI is much better. ...Read more

See 1 more doctor answer
18

18
Mammogram showed macro calcifications but ultrasound is normal. Family history of bc and uterine. Is a biopsy required for further evaluation?

Mammogram showed macro calcifications but ultrasound is normal. Family history of bc and uterine. Is a biopsy required for further evaluation?

Not enough info: to make an assessment. Whether or not calcifications need to be biopsied primarily depends on their size, shape, and distribution. If they are typically benign based on those criteria, biopsy is usually not indicated. ...Read more

See 1 more doctor answer
19

19
How precise is the pelvic and trans vaginal ultrasound for early detection of ovarian cancer?

How precise is the pelvic and trans vaginal ultrasound for early detection of ovarian cancer?

Limited: Ultrasound, tumor marker evaluation, history, and physical exam have not been shown to be effective in adequately screening for this disease (even when used all together). This is a disease we don't really have a handle on right now. This doesn't mean patients who have pelvic pain or risk factors shouldn't be evaluated, but the tools available have not been shown to increase life expectancy. ...Read more

20

20
Whats the difference of ultrasound like for ovaries and pregnancy ultrasound?

Whats the difference of ultrasound like for ovaries and pregnancy ultrasound?

No difference: Ultrasound uses sound waves to create an image. The main difference is just the area tha is being evaluated. ...Read more