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Doctor insights on: When Is A Sonohysterography Useful

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When is a sonohysterography useful?

When is a sonohysterography useful?

Identify problems.: If the lining of the uterus looks thickened on ultrasound, the cells may be growing excessively or a fibroid or polyp may be within the cavity but not well seen because the cavity walls are collapsed around it. Injection of fluid will show if there is diffuse thickening (hormonal), thickening in one area only (could be retained placenta or cancer), or a fibroid or polyp. ...Read more

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What is an invasive ultrasound? When is it needed?

What is an invasive ultrasound? When is it needed?

Check terminology: "invasive" ultrasound is not a typically used term. Best to double check the terminology as well as to correlate with what question is trying to answered with the ultrasound? There are types of ultrasounds performed by inserting probes into the body - most commonly the vagina but also rectal ultrasound and trans esophageal ultrasound. ...Read more

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How typical is a repeat ultra sound needed when scanning for a blood clot, is this a bad sign?

How typical is a repeat ultra sound needed when scanning for a  blood clot, is this a bad sign?

Comon: In a patient who is at high risk for developing a blood clot due to injury, surgery or genetic reasons it is not unreasonable to do repeated ultrasounds of the legs to look for clot. They are not dangerous and can be repeated as needed throughout your life. ...Read more

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What is a pet scan, and when would a doctor use it instead of a CT or an mri?

What is a pet scan, and when would a doctor use it instead of a CT or an mri?

PET SCAN: Pet scan is diagnostic test used most of the time to help in the cases of seizures. Pet: positron emission test, depends on the function of the neurons in utilizing glucose, the actve neurons which are active and firing elecrical discharges and causing seizures, pet scan can help to localize the epileptic focus as preparation of epilepsy surgery. ...Read more

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When is a pelvic MRI needed?

When is a pelvic MRI needed?

Certain situations: Most of the time an ultrasound can visualize the uterus and ovaries as well or better than an mri. Exceptions are if adenomyosis is suspected or if more details are needed on fibroids, especially for pre-operative planning of a myomectomy. An MRI cannot usually distinguish a benign fibroid from a malignant leiomyosarcoma. ...Read more

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When getting a sigmoidoscopy screening is it true that radiation is used?

When getting a sigmoidoscopy screening is it true that radiation is used?

NO!!: Sigmoidoscopy is either with a rigid or flexible scope and involves no radiation at all unless combined with a barium enema or lower GI xray. ...Read more

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Which test is better for finding cancers, a mammogram or an ultrasound?

Which test is better for finding cancers, a mammogram or an ultrasound?

Mammogram: Mammograms are excellent for finding any abnormality in the breast, and thus are best as a screening test for cancer. Ultrasounds are most useful after finding an abnormality on mammogram or examination; we can then direct the ultrasound to the area in question to help determine if it is worthy of biopsy or observation. ...Read more

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For aAbdominal Myomectomy is it better for a MRI to be done or is just having a ultra sound good enough?

For aAbdominal Myomectomy  is it better for a MRI to be done or is just having a ultra sound good enough?

MRI is the best test: MRI is the best diagnostic test to tell how many fibroids you've and the precise size & position of each fibroid (submucous, intramural, subserous). This is essential info to help your doctor choose the optimal treatment for you in the context of your preferences. Many treatment options exist: watchful waiting; medications; hystero/laparoscopic myomectomy; Uterine fibroid embolization; focused US. ...Read more

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When a doctor requests an MRI what is the criteria for requesting this test with or without contrast? If a tear is suspected, is contrast best?

When a doctor requests an MRI what is the criteria for requesting this test with or without contrast? If a tear is suspected, is contrast best?

It depends: Contrast injected in a joint can increase the likelihood of identifying a subtle abnormality (e.g., labrum injury, post-op knee) on mri. In many cases, a ligament injury will be visible without the contrast. Factors determining whether contrast is useful (or necessary) include which joint is being imaged, what the suspected injury is and the personal experience/training of the doctors. ...Read more

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When a MRV is performed does it also look for muscle/tendon abnormalities?

When a MRV is performed does it also look for muscle/tendon abnormalities?

Usually NOT: MRV or MR Venography is to study the veins in the area of interest. There is usually no diagnostic evaluation of additional structures. ...Read more

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Is it helpful to perform cpr on a patient with an mi that is still breathing?

Is it helpful to perform cpr on a patient with an mi that is still breathing?

Probably not: A patient who is still breathing implies a functional heart rhythm, which is the primary reason to do mechanical cpr. So if one is still breathing, then supportive care to ensure a good, open airway, and calling for help asap, should be the priorities. If the patient stops breathing and no pulse is detected, and no AED device is readily available, then CPR needs to be instituted. ...Read more

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Which is a better diagnostic procedure a digital mammogram or sonogram?

Which is a better diagnostic procedure a digital mammogram or sonogram?

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 more

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Is hycosy test is painful for patient and what is a procedure to do hycosy?

Is hycosy test is painful for patient and what is a procedure to do hycosy?

May be mild: Hycosy , is hysterogram with sonogram non iodine contrast will given will give same tesults as regular hysterogram with out radiation and no iodine dye, to diagnose tubal patency and tubal pregnancy . It is simple an out patient procedure , will have little discomfort. ...Read more

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Why is the corsi block tapping test not used as a standard dementia test if it is a measure of hippocampus function?

Why is the corsi block tapping test not used as a standard dementia test if it is a measure of hippocampus function?

It is sometimes, but: This test has been used in research w/ Alzheimer's and was successful identifying moderately impaired but not mild cases. That's why it's not widely used. By the time it shows problems, patients are already diagnosed. It is more useful in injuries and MS and other brain damage screenings. Okay? ...Read more

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How accurate is a transvaginal ultrasound? And is it really better than a regular ultrasound at finding tumors in your ovaries and uterus?

How accurate is a transvaginal ultrasound? And is it really better than a regular ultrasound at finding tumors in your ovaries and uterus?

See answer: Transvaginal us is “closer” to the target organs – the uterus and ovaries - and usually demonstrates them in better detail. ...Read more

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Is it possible to find out if a woman is virgin just by doing a magnetic ressonance test?

Is it possible to find out if a woman is virgin just by doing a magnetic ressonance test?

Virginity: Nope. There is no real and valid test for virginity. The old fashioned examination of the hymen is just outdated to most of the world. We also have no test for virginity for men and i would bet that every doctor here on health tap would agree that if virginity is important it has to be equally important for the man as it is for the female to be a 'virgin'. Inequality in the sexes has to end. ...Read more

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What is an implantation dip when charting bbt? When does it typically happen and is it a good indication of pregnancy?

What is an implantation dip when charting bbt? When does it typically happen and is it a good indication of pregnancy?

This is a confusion: There can be a small drop in the BBT at ovulation just before the temperature rises, but there is no "implantation" dip. A sustained temperature rise for 18 days is a good indicator of pregnancy, although a home pregnancy test will be positive several days before that. ...Read more