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- W2007123136 abstract "Acute pelvic pain is a common symptom in women of all ages. Transvaginal ultrasound is the least invasive investigative tool available to the clinician. The transvaginal probe produces a high-resolution image of the pelvic organs, providing reliable and reproducible information, without the need for a full bladder. A detailed and accurate history combined with abdominal and pelvic assessment is essential in the assessment of women with acute pelvic pain. Acute pelvic pain is particularly suited to assessment by TVS, at the time of presentation in the emergency gynaecology unit. Using TVS, common gynaecological pathology involving the uterus, fallopian tube and/or the ovary can be diagnosed with confidence. Non-gynaecological pathology involving the bowel can also be diagnosed with accuracy, and will often be seen in the acute gynaecological setting. The history, physical findings and ultrasound assessment can be used to triage patients into appropriate treatment protocols, enabling the clinician to avoid surgery in some cases and select the correct surgical approach in others. If the patient has a negative pregnancy test, no pelvic tenderness on bimanual examination and a normal scan, significant pathology is very unlikely. Patients with a normal scan will have significant improvement of the pain in 48 hrs and in the majority the pain would have resolved within one week. TVS should be used to triage patients who present with acute pain to the emergency gynaecology unit." @default.
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- W2007123136 date "2004-08-01" @default.
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- W2007123136 title "OC055: The impact of ultrasound in the emergency gynecology unit" @default.
- W2007123136 doi "https://doi.org/10.1002/uog.1175" @default.
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