Interactive Transcript
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Lastly, let's review the normal anatomy
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of the female pelvis on ultrasound.
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This is a sagittal transabdominal
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ultrasound cine clip through the uterus.
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We know that they have used a transabdominal
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probe because of this wide fan-shaped
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appearance of the skin surface.
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And so as we scroll through, we can see
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the uterus, this is the uterine fundus,
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we see the myometrium, and then echogenic,
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or bright appearing endometrium.
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This is a transverse image of the uterus. Again,
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this is a transabdominal ultrasound. We can
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see that curved shape at the skin's surface.
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And we see the myometrium, a little
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bit of hypoechoic, or dark appearing
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junctional zone, and then hyperechoic,
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or bright appearing endometrium.
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endometrium.
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When you are reviewing a pelvic ultrasound,
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you will often have the advantage of having
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transabdominal and transvaginal images.
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This is a transvaginal image. We know because
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the shape of the probe has changed, and
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we're currently at the level of the cervix.
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We can get exquisite pictures of the
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cervix on transvaginal ultrasound, and as we
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scroll through, we can see both lips of the
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cervix as well as the endocervical canal.
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This is a transvaginal long or
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sagittal view of the uterus.
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We can again see the myometrium.
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You'll notice there are many
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serpiginous hypoechoic structures
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within the myometrium.
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These are myometrial vessels.
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And as we scroll through, we can see the
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hyperechoic or bright endometrial cavity here.
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We can also get beautiful high-resolution
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images of the ovaries on ultrasound.
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www.
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ottobock.
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com. This is the left ovary.
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We can see multiple hypoechoic or
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dark follicles within the ovary.
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The sonographers will also typically obtain
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color Doppler images of the ovary to prove
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that the ovarian vasculature is patent.
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So we see the left ovary here. It's
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hypoechoic, it's almond-shaped, and we
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see the surrounding adnexal vasculature.
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In addition to doing color Doppler
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evaluation of the ovaries, we will also
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perform a spectral Doppler evaluation of
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the ovaries so that we can verify that
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the ovarian veins and arteries are patent.
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This is the cursor centered over this vessel
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in the central portion of the ovary.
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And we're evaluating the flow
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within this vessel in particular.
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And so we can see that there is an upstroke
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in addition to sort of a flat background.
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And this is a mixed arterial
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and venous waveform.
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