Interactive Transcript
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So here we'll review again, normal positioning,
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not on a PowerPoint, but in an actual case.
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So our sonography here nicely
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labeled the IUD for us right here.
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In this case, this was transabdominal.
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This is actually the bladder bit
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back here, and this is because
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that uterus was flopped anteriorly.
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This is the vagina back here, decompressed
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bladder, and then this is actually the
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body of the uterus and the fundus that
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had flopped anteriorly right here.
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You can see the arms of the IUD.
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So we already have a good idea that it's
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probably going to be in a good, normal location.
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When we go transvaginally, you
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can see some material, some echogenic
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material here in the cervix.
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This is probably going to be the string.
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See, it's sort of melds to the positioning of
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the cervix right here, where as an IUD is not
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going to kind of bend like a string would.
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But important to keep in mind, you want to see
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the rest of the IUD in the right positioning.
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So let's skip through some of these right here.
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And now we have our sagittal view.
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Here's your IUD.
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In this case, we have all that artifact
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and it's causing all the shadow right
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here, but beautifully positioned exactly
1:01
where we expect it to be right here.
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And again, you just go slightly off and you
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lose a lot of that shadowing right there.
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So your cine clips can be really helpful
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to tell you exactly where that is.
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So speaking of that, let's go to our cineclips.
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Here's our sagittal cineclip
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through the uterus right here.
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Come into the uterus right here.
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It's going to be decompressed
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bladder here anteriorly.
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You can already start to see some of the
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artifacts caused by one of the arms of the IUD.
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And there's the rest of it right here.
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And you can see it goes all the way up to
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the tippy top of the endometrium right here.
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So that's good positioning.
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We've confirmed it on the sagittal.
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But let's figure out where those arms are.
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Go back to a transverse,
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a little bit of bladder right here.
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So transverse cine clip right here.
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There's one arm right there.
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There's your other arm right there.
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Little bit of shadowing right there.
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But beautifully positioned.
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Here's the rest of the IUD.
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You can follow that all the way down as well.
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And then we don't even see the
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string necessarily in this image,
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little bits of string down here.
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The string itself, though, doesn't
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matter, it's where the IUD itself is.
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A lot of times, patients may come in for an
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IUD check because they can't feel that string
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anymore, and it's just because it kind of
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got pulled up or bunched up into the cervix.
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That's okay. That's not a problem.
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All that matters really is
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where the IUD itself is.
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