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Diagnostic Procedure Gyn
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To keep you safe: Ectopic pregnancies are somtimes hard to locate. They also are life-threatening if not caught in time. Your doc has probably determined that it is safer to perform a laparoscopic procedure to visually evaluate your pelvic organs, make sure an ectopic is identified early & treated if needed. A salpingostomy can be performed (open the tube & remove the ectopic) which spares your tube if undamaged. ...Read more
Is there blood investigations for suspicion of endometriosis, before invasive procedures?
When pelvic ultrasound is clear
No: No, there are no blood tests that confirm a diagnosis of endometeriosis. ...Read more
Excellent question!: Screening means checking for something when you don't have any symptoms (e.g., screening mammograms). Diagnostic procedures are done in order to figure out what is causing some problem (e.g., mammograms to see what is causing a breast lump). A list of needed screenings by age can be found in an iphone app called my health checklist 2012. ...Read more
Need more info: A cone biopsy isn't a vaginal wall repair, but perhaps your physician did both. Ask, or get a copy of the operative note and see what is described. Billing for a procedure not done would be fraud and most physicians are honest, so it may have been done or could be a coding error. ...Read more
What are some more extensive evaluations and followup procedures to expect after multiple abnormal paps, cone biopsies and a leep procedure. ?
You named them: The procedures used to evaluate for pre-cancer cells of cervix are: paps, hpv dna probe, cervical biopsy, leep and cold knife conization of cervix. Typically a doctor will remove affected tissue of a cin 3 biopsy until the margins are clear of abnormal cells. At 29, docs should be conservative and try to remove as little tissue as possible, so not to ^ ur risk cervical incompet and preterm birth. ...Read more
How accurate is an office hysteroscopy endometrial biopsy &polypectomy in showing cancer or hyperplasia?
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
Digital mammogram: For general screening, mammograms, while imperfect, remain the best tool and digital mammograms are better at "seeing through" breast tissue. A mammogram is more likely to miss cancers in women with dense breast tissue and young women. Ultrasound is most often used with mammogram either to help characterize abnormalities seen on mammogram or to aid in finding abnormalities in dense breast tissue. ...Read moreSee 2 more doctor answers
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
Both: A cath will allow them to look inside the arteries. If there is a significant blockage they can fix it. ...Read more
Not common: If a cystic lesion of ovary has been noted, its size is carefully managed as to >5cm . A solitary lesion removed laparoscopically and proven benign ends exploration. If malignant then a hysterectomy also indicated. If there is evidence of intraperitoneal spread then formal lap with omentectomy and debulking of peritoneal spread performed followed by chemo. Second look of value with hyperthermia ...Read more
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