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Rochelle F. Andreotti, MD, FACR, FSRU, FAIUM
Approach to Acute and Chronic Pelvic Pain: The Role of Ultrasound
Rochelle F. Andreotti, MD, FACR, FSRU, FAIUM
03/04/2013 | Time : 66 min
About This Lecture:

Topics mentioned in this video : Objectives, What is the concern?, Imaging?, Diagnostic considerations, Selection of imaging, Sonography as the modality of choice, Use of both sonographic techniques, Sonography with abdominal compression, Sliding organ sign, Role of Doppler, Pelvic pain and normal pelvic sonogram, Pelvic pain and computed tomography, Acute pelvic pain and MRI, Acute and chronic pelvic pain, Cyclic pain, Approach to imaging of pelvic pain in the female patient, Acute pelvic pain, Presentation of acute pelvic pain, Pregnancy status and acute pelvic pain, Obstetrical causes of acute pelvic pain in the first trimester, Gynecological causes of acute pelvic pain, Most common causes, Non-neoplastic cysts: simple or hemorrhagic, Ovarian functional cysts, Hemorrhagic functional cyst, Hemorrhagic functional cyst evolution, Hemorrhagic functional cyst Doppler evaluation, Pelvic inflammatory disease, Netter drawing, Intra-opertive image, Clinical diagnosis of PID, Clinical diagnosis of PID: laproscopic gold standard, Clinical diagnosis of PID, Imaging of diagnosis of PID transvaginal sonography, Salpingitis, Tubo-ovarian complex, Tubo-ovarian abscess, Imaging diagnosis of PID Computed Tomography, Fluid filled thick walled fallopian tubes, Imaging diagnosis of PID MRI, MR and CT imaging of an abscess, Imaging diagnosis of pelvic abscess by MRI and CT, Imaging diagnosis of PID MRI, Ovarian torsion, The diagnosis of adnexal torsion, Common denominator, Ovarian torsion, Early intervention is key, Sonographic findings of ovarian torsion, Non-specific findings of ovarian torsion, Doppler evaluation of ovarian torsion, Paratubal cyst as fulcrum for torsion, Doppler evaluation of ovarian torsion, Presence of Doppler signal and ovarian torsion, Presence of arterial and venous Doppler signal, “Twisted pedicle” sign, The diagnosis of ovarian torsion, The role of CT and MRI, CT features, “Twisted pedicle” sign, MRI ovarian torsion, Non-gynecological causes of acute pelvic pain, Common gastrointestinal and genitourinary causes where imaging plays a role, Common gastrointestinal and genitourinary causes where ultrasound plays a role, Appendicitis, Sonographic features of uncomplicated appendicitis, Sonographic features of appendicitis, Complicated appendicitis, CT features of appendicitis, MR features of appendicitis, Enlarged edematous appendix, Urinary tract, Ureteral calculi, Inflammatory bowel disease, Monitoring activity of inflammation in inflammatory bowel disease with CE US, Vascular etiologies, Ovarian vein thrombosis, Approach to pelvic pain, Emphasize the importance of sonography, Pelvic pain and MRI, Common etiologies with imaging findings, Endometriosis, Endometriosis: sites involved, Symptoms of endometriosis, Diagnosis of endometriosis – role of ultrasound, Sonographic features of endometriosis, Diagnosis of endometriosis – role of ultrasound, Sonographic features of implants, Extensive endometriosis of the posterior pelvic compartment, Cervical implant of endometriosis s/p supracervical hysterectomy, Endometriotic implant in posterior cul de sac, The role of MRI as a problem solving tool, MRI and cystic endometriosis, MRI and nodular endometriosis, MRI features nodular endometriosis, The tender uterus, Adenomyosis, Symptoms, Sonographic signs, Globular configuration, Abnormal myometrial echogencity, Abnormal myometrial echogencity myometrial cysts, Abnormal myometrial echogencity echogenic nodules, Heterogeneous myometrial echotexture, Heterogeneous myometrial echotexture linear striations, Endometrial myometrial junction poor definition, Endometrium pseudo-widening, Most accurate findings, Adenomyosis and fibroids, Ultrasound signs of adenomyosis mass effect, Mass effect, Mass effect with leiomyomas, Color Doppler, Adendomyomas and leiomyomas, Video clip, MRI as a problem solving tool, MR imaging of adenomyosis, MR imaging signs, MR imaging of the endometrium, Pelvic congestion syndrome, Sonography and pelvic congestion, Pelvic congestion: sonographic criteria, Pelvic congestion: other sonographic signs, Sonographic image, Venography, Other causes of chronic pelvic pain, Ovarian remnant syndrome, Ovarian remnant syndrome – imaging findings, Intrauterine contraceptive device, IUD visualization, Satisfactory IUD location, Unsatisfactory IUD location, Sonographic images, Approach to pelvic pain, Cyclic pain dysmenorrhea, Dysmenorrhea, Secondary dysmenorrhea, Schematic image, Uterus didelphys with hematocolpos due to an obstructing vaginal septum, Cornual hydrosalpinx post endometrial ablation, Hematocolpos following LEEP, Approach to pelvic pain, Points to ponder regarding radiation, Summary, Approach to pelvic pain, Thank you

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Keywords : acute pelvic pain, adenomyosis, appendicitis, beta HCG, cervical motion tenderness, CEUS, chronic pelvic pain, CMT, color Doppler, contrast enhanced ultrasound, corpus luteum cyst, corpus luteum, dysmenorrhea, dyspareunia, ectopic pregnancy, endometrial ablation, endometrial canal, endometrioma, endometriosis, endometriotic implants, endometrium, gynecological ultrasound, hematocolpos, hemorrhagic functional cyst, high impedance arterial flow, hydronephrosis, Hydrosalpinx, hyper mobile adnexa, hyperstimulation syndrome, IBD, inflammatory bowel disease, intrauterine contraceptive device, IUD, junctional zone, leiomyoma, low impedance arterial flow, myoma, obstetrical ultrasound, ovarian functional cyst, ovarian remnant syndrome, ovarian torsion, ovarian vein thrombosis, pelvic congestion syndrome, pelvic inflammatory disease, PID, posterior cul de sac, ruptured ovarian cyst, salpingitis, spectral Doppler, theca lutein cyst, TOA, transabdominal ultrasound, transvaginal ultrasound, tubo-ovarian abscess, tubo-ovarian complex, twinkle artifact, twisted pedicle sign, ureteral calculi, uterine malformations, uterus didelphys, whirlpool sign

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