To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Ultrasound is the appropriate first investigation for the majority of pelvic symptoms in the female. It is however very operator-dependent and when used by appropriately trained personnel with appropriate equipment is cost-effective and safe. Transvaginal scanning is essential to increase the diagnostic accuracy of ultrasound and should be used in all cases unless there is a specific contraindication, such as in the paediatric population. It is essential that transabdominal ultrasound is also performed in order that the large fibroid uterus or other masses can be fully assessed in addition to imaging transvaginally.
There is a need for a meticulous approach to scanning in all cases so that significant pathology is not missed. The sonographer, having completed the ultrasound examination, must then issue an appropriate report. A structured report is also an essential part of the examination and should not only include the biographical details of the patient but also the salient ultrasound findings, both normal and abnormal, followed by either a definite diagnosis if this is possible, or a differential diagnosis.
Further investigations or definitive management can then be arranged.
The sonographer performing the examination should be clearly identified in the report.
A report that is structured in this way will allow retrospective audit of the ultrasound findings relative to operative findings and histology. This audit of accuracy of the ultrasound to histological outcome is essential for best practice.
Email your librarian or administrator to recommend adding this to your organisation's collection.