How to: Transvaginal ultrasound - 7 April 2022

  Рет қаралды 55,123

Zedu Ultrasound Training Solutions

Zedu Ultrasound Training Solutions

Күн бұрын

In this month's Coaching Corner - our highest ever subscribed - Suean discusses the tips, tricks and techniques of transvaginal ultrasound assessment.
Learn how to understand the images you see on a transvaginal probe, the probe movements and how to troubleshoot, the scanning approach PLUS the tricky question of how to find the ovaries. We also cover the issue of consent and scanning injury avoidance (ergonomics).
If you'd like to learn more about transvaginal ultrasound join our course - more information here - www.ultrasoundtraining.com.au...
If you'd like to learn more about how to be a better ultrasound trainer join our TRain the UltraSound Trainer program - www.ultrasoundtraining.com.au...
Be sure to tune in the first Thursday of each month, 7:30pm AEST for our #coachingcorner​​.
Join our community of clever - www.ultrasoundtraining.com.au​​.
AND if you have a question, a case you want to share or a paper you are keen to talk about please - join us.
Chapters
02:16 - Understanding the image - TA vs TV images
03:25 - Uterus in TA vs TV
04:11 - Ovaries in TA vs TV
05:10 - How to hold the probe
10:20 - Image orientation
13:45 - Where is the bladder?
15:40 - The probe moves
25:00 - Inserting the prpbe
33:40 - How to find the ovaries
38:20 - Q&A Session
For more free ultrasound courses check out our website - www.ultrasoundtraining.com.au/

Пікірлер: 84
@diary_of_a_sonographer
@diary_of_a_sonographer Жыл бұрын
the most helpful Transvaginal scanning ever! what a lifesaver !!! I constantly lose the uterus and this is an exam that was never thought in school! so all your tips and tricks are exceptional!!! thank you for sharing all of your knowledge
@zedunow
@zedunow Жыл бұрын
Thank you so much for you lovely comments. Never lose that uterus again 😎
@amypinder
@amypinder Жыл бұрын
Probably the most helpful video I've ever seen on EVS - thank you so much!
@zedunow
@zedunow Жыл бұрын
Thanks Amy - really appreciate the feedback. Ultrasound is hard to teach online as it really is something you need to practically develop skills in - but we do our best:) Was there anything in particular that was particularly enlightening?
@qauserparveen5419
@qauserparveen5419 Жыл бұрын
Hi Zedu, your presentation is really really great. You are highly appreciated .
@qauserparveen5419
@qauserparveen5419 Жыл бұрын
Thank you so much
@zedunow
@zedunow Жыл бұрын
Thank you so much Quaser - we really appreciate you taking the time to let us know. Where are you working and in what clinical context? Which bit of the presentation helped the most?
@donnelpascall5588
@donnelpascall5588 8 ай бұрын
I needed this orientation. thank you.
@zedunow
@zedunow 7 ай бұрын
Glad it was helpful!
@hazelvillar8717
@hazelvillar8717 Жыл бұрын
Very helpful! Thankyou so much! 💕
@zedunow
@zedunow Жыл бұрын
Thank you Hazel - glad we could help 😀 What did you find most useful specifically? We’re planning more topics at the moment so let us know. What medical specialty are you practicing in and where?
@BeneG7
@BeneG7 Жыл бұрын
This is great, thank you so much!
@zedunow
@zedunow Жыл бұрын
Thanks Benedetta - really appreciate IT :) Was there something specifically you found helped your understanding/practice of transvaginal ultrasound?
@jessyantony2498
@jessyantony2498 Жыл бұрын
Thank you doctor. Very helpful.
@zedunow
@zedunow Жыл бұрын
Thank you Jessy - although I'm not a doctor - a keen student/teacher of ultrasound :) What was it about the how to video you liked in particular?
@harithavishnu2419
@harithavishnu2419 9 ай бұрын
Thank you so much mam for giving us the insights of TVS from basics to common mistakes in practice 😊🎉
@zedunow
@zedunow 9 ай бұрын
It's my pleasure @harithavishnu2419 - glad it helps. Where are you working? What did you find most helpful in the presentation?
@elizabethmensah5232
@elizabethmensah5232 Жыл бұрын
Thank you doc This is so helpful
@zedunow
@zedunow Жыл бұрын
Thanks Elizabeth - glad we could help with a little ultrasound training :)
@sohelrana1784
@sohelrana1784 Жыл бұрын
Thank you so much. Very helpful
@zedunow
@zedunow Жыл бұрын
Happy we could help Sohel - which part of the video has been most enlightening for you?
@benedictachristopher6417
@benedictachristopher6417 Жыл бұрын
Thank you very much for this, I appreciate
@zedunow
@zedunow Жыл бұрын
You're very welcome Benedicta - which aspect of the video was most useful for you?
@antoniolopez4133
@antoniolopez4133 8 ай бұрын
Very good video, thanks a lot!!!
@zedunow
@zedunow 8 ай бұрын
Glad you liked it! What aspect did you find most useful?
@rojayelamanchili3006
@rojayelamanchili3006 Жыл бұрын
Thanq for sharing valuable tips. God bless u.
@zedunow
@zedunow Жыл бұрын
So nice of you - thank you
@user-sd9ro9cy1e
@user-sd9ro9cy1e 9 ай бұрын
Really appreciate this presentation.Thank you!! Am a newly graduate radiologist,need more TV scanning exposure.This is very helpful..🙏🏽🙏🏽
@zedunow
@zedunow 9 ай бұрын
You're very welcome! What aspect did you find most useful?
@marvymusic7
@marvymusic7 Жыл бұрын
Thank you so much
@c.kwanzala7774
@c.kwanzala7774 Жыл бұрын
so useful,u changed my sono life
@zedunow
@zedunow Жыл бұрын
Thank you for your amazing feedback. Where are you working/based? What aspect of the recording did you find most useful? Are you training others? If you are please join our POCUS educators support network on Facebook - we'd love to see you there facebook.com/groups/2320595437975758
@TameemAkhtarDr
@TameemAkhtarDr 7 ай бұрын
Excellent concept given
@zedunow
@zedunow 7 ай бұрын
Thank you
@rnr8trinidad
@rnr8trinidad Жыл бұрын
fantastic presentation
@zedunow
@zedunow Жыл бұрын
Thank you Harry 👍
@swaroopak8368
@swaroopak8368 Жыл бұрын
Very helpful vedio. Thank you
@zedunow
@zedunow Жыл бұрын
Thank you Swaroopa - I'm glad you found my transvaginal ultrasound presentation valuable. Was there something in particular you found helped you?
@nale1004
@nale1004 Жыл бұрын
Thank you
@zedunow
@zedunow Жыл бұрын
Thanks Nale 👍- what did you find most useful?
@marvymusic7
@marvymusic7 Жыл бұрын
Very helpful
@zedunow
@zedunow Жыл бұрын
Thanks Marvy - what was the most useful aspect of the video for you?
@0230Raveena
@0230Raveena Жыл бұрын
Thank You so very much. Starting this section of my clinicals and needed a refresher course. In class we used a phantom and it so happened that the student I was shadowing just days ago, had to readjust the probe because she couldn't see anything, turns out that she was too deep and was seeing bowel gas. Once she readjusted, everything came into view. I appreciate the tip about inserting the probe slowing while watching the monitor.
@zedunow
@zedunow Жыл бұрын
Thanks for your awesome feedback - so glad I could help 😊 - good luck with your clinicals 👍 Happy Holidays
@benedictachristopher6417
@benedictachristopher6417 Жыл бұрын
Am really happy watching with the steps you have given, I understand everything thank you.
@zedunow
@zedunow Жыл бұрын
That's fantastic - glad to be of service :)
@mikmiklabastera5296
@mikmiklabastera5296 Жыл бұрын
Thabk u so much..😍more utz trAining pls thank u God Bless
@zedunow
@zedunow Жыл бұрын
Keep and eye out - there's more to come!
@Tagmose89
@Tagmose89 Жыл бұрын
Your videos are a great resource before going into rotations - I’m currently about to go into my ob/gyn rotation , but I’ve used your other videos very much as well I saw on some of the other comments that you asked for specifics on why your videos are great / how to improve . So from an EM physicians perspective: They are great because - step by step without too much jargon for us non-radiologists - Very good slides especially with explanation of orientation and with a good amount of tips and tricks to optimise views / make it comfortable for the patient - moving pictures and examples of everything you talk about , with good 2D drawings before moving into the actual ultrasound views Not many free resources with such an high quality . Thank you !! Minor suggestions for even better videos: - case-based learning at the end of some of your videos are great , and this could easily be longer - graphics on LR+/- and IRR and/ or how long it takes to learn if data exists (ie like PocusATLAS’ evidence page). Especially data on clinicians Vs radiologists (when to get the radiologist to do it and when we can do it with practise) Thanks again !!!
@zedunow
@zedunow Жыл бұрын
Hi Peter Thank you so much for taking the time and making the effort to send through such amazing feedback - I (Suean) really appreciate it. I have made it my life goal to make ultrasound less jargony and complex, which is not a simple task! I've also got a passion to not cause death by PowerPoint, so I try and convey information that's relevant - as opposed to overwhelming people by throwing as much into a slide that fits. I'm glad you like it. It's great to hear you have found these POCUS videos valuable pre-rotation - that had never occurred to me. Have they helped you out in a clinical situation? Be sure to spread the word to others :) Re improvements - I couldn't agree more. Where I can I try and include stats from research - but often time and access gets in the way. Re more cases - this is what the Coaching Corner was desigend for, and I encourage people to bring their own images/experiences along. Again - spread the word - the more the merrier. Thanks again for the comments - truly appreciate them Suean
@Tagmose89
@Tagmose89 Жыл бұрын
@@zedunow I'm an clinical educator myself, and always appreciate any feedback myself, so I'm glad if I can be at the providing end this time :) I hope it's helpful! It shows, that you have thought about the language and presentation and not making the powerpoint a "slidument" (as Ross Fischer, powerpoint-guru in EM would call it, when it's just bullitpoints)! Highly appreciated! Re clinical situations: Currently at the hospital I work at (scandinavian capital hospital), we have a great ultrasound program and are trying to implement POCUS to most areas where it benefits the patient and is attainable. As part of this program I teach new doctors about the probabilistics and when (and when not) to use it. I usually have a couple of resources that I highly recommend - For short overview videos (5-10 min): VanPOCUS (LITFL) and 5minsono / coreultrasound and EmCases POCUS videos - For a bit more in depth videos (>30 min): Your videos , POCUS101 blogs / videos and MetroHealth Emergency Ultrasound page - Very in depth: Utah POCUS videos - For emergency medicine cases: LITFL POCUS case library - Pic library and evidence: UltrasoundGel podcast / blogs and PocusAtlas evidence page and pic page + books (i.e the canadian EDE book and other more in depth resources) You may know a lot of them, but as you are part of educators with a passion for delivering good ultrasound education, I just wanted to show these in case you may find some of them inspirational Clinically I have had great help from your videos to help me make important core concepts stick. One example of the top of my head is scrotal pocus: how to adjust gain (and scale) to see what you need to see. I use this every day. So thank you! :)
@zedunow
@zedunow Жыл бұрын
Hi Peter - apologies for the slow response it has been a hectic few weeks! Ross is a dear friend and a constant source of inspiration for improving presentations - awesome that you made the link independently- no more death by PowerPoint! Very familiar with the listed sites - again the people behind these have become personal friends over the years - it’s a small community 😎 Our website has a great collection of resources (including those you list) at www.ultrasoundtraining.com.au/resources/
@Tagmose89
@Tagmose89 Жыл бұрын
​@@zedunow I can very much relate - no worries! :) Hope you found more stable times! Ross is awesome! Had the pleasure to share a curry with him at a course in Manchester, UK a couple of years back. It's a small world and just as the ultrasound education community seems to be small, so it sometimes seems as well with our emergency medicine FOAMed community I thought you probably knew most or all of them :P Thank you so much for the homepage - another great one for the collection to give to our students Keep up the great work! and thank you for it! All the best Peter, EM resident
@usharani-zo6lj
@usharani-zo6lj Жыл бұрын
I am from India 🇮🇳 lots of love dear 💕
@zedunow
@zedunow Жыл бұрын
Thanks Usha - I hope you are finding the ultrasound resources useful :)
@docteurbougheraraahmedsade2081
@docteurbougheraraahmedsade2081 2 жыл бұрын
Thank s
@zedunow
@zedunow 2 жыл бұрын
Thank you 🙏
@saimagulnaz1949
@saimagulnaz1949 Жыл бұрын
Excellent presentation and every query in my mind was discussed and it helped me alot. And in the end i enjoyed the funny part of doing Tvs with gloves on the probe..... Hahaha . We also use gloves btw.
@zedunow
@zedunow Жыл бұрын
Thank you for your kind words Saima. Where are you located? What have you been struggling with in the past?
@saimagulnaz1949
@saimagulnaz1949 Жыл бұрын
I am from Pakistan.... I m a gynecologist and have done my specialization... Here in periphery we dont have expert sonologists so all the job is done by gyne doctors herself.... Initially when i started doing TVS i wud enter the probe and get lost although i had watched alot many videos.... But just after ur video i attempted and successfully viewed the uterus and ovaries and believe me i literally wanted to hug u for this helpful video.... Thankyou so much for the sincere efforts.
@zedunow
@zedunow Жыл бұрын
Thank you so much Saima - that is fantastic. Ultrasound is not a simple imaging modality so I've made it my goal to take a step-by-step approach to make things as methodical as possible. I've spent a great deal of time refining the way I teach - particularly after covid forced remote teaching on us (instead of face-to-face). It is very difficult to communicate a hands-on skill like ultrasound without having the ability to touch the probe, but I think I'm getting there! Your story has really made my day! :) Keep up the good work.
@azharsyed1867
@azharsyed1867 Жыл бұрын
Thanks mam
@zedunow
@zedunow Жыл бұрын
Thank you Azhar - what did you find most helpful in the ultrasound video?
@Embrujar
@Embrujar 9 ай бұрын
Thank you so much. I got so much perspective, it happened with me too so many time when I saw bowels and was so confused
@zedunow
@zedunow 9 ай бұрын
Thanks for the awesome feedback. Glad it helped!
@arifnk257
@arifnk257 2 жыл бұрын
Very good , thank you
@zedunow
@zedunow 2 жыл бұрын
Thanks for the feedback - I hope you found it useful 👍 - where are you based?
@arifnk257
@arifnk257 2 жыл бұрын
@@zedunow India , working as a OBGYN consultant
@usharani-zo6lj
@usharani-zo6lj Жыл бұрын
I am a MD obstetrician and gynecologist
@zedunow
@zedunow Жыл бұрын
:)
@fatinhusnakamaruddin4971
@fatinhusnakamaruddin4971 Жыл бұрын
Hai. What happen if we turn the probe to 3 instead of 9? During transverse view / short axis
@zedunow
@zedunow Жыл бұрын
Hi Fatinhusna If you were to turn the probe to the 3 o'clock position rather than the 9 o'clock position, your left and right will be opposite. That is, on the screen the patient's right will be on the right of scree, the patient's left will be on the left of screen, because your probe marker and screen marker will be flipped, and any movements will be in the opposite direction (assuming your probe marker is in the traditional position top left of screen). Hope that makes sense? Let me know. Suean
@mikmiklabastera5296
@mikmiklabastera5296 Жыл бұрын
😍😍😍
@zedunow
@zedunow Жыл бұрын
:)
@sandhyakamble8351
@sandhyakamble8351 Жыл бұрын
Hi Zedu, Suean your presentation is really great and easy to understand. Do you a presentation on 3d4d Transvaginal ultrasound? Thanks
@zedunow
@zedunow Жыл бұрын
Thank you Sandhya - I'm happy it could help. Sometimes training becomes too bogged down in the theory - and as a teacher and student that bores me so I focus on trying to simplify and make things as practical as possible. I haven't developed material on 3D/4D applications - what are you using these modalitites for? If you are training others please join our POCUS educators support network on Facebook - we'd love to see you there facebook.com/groups/2320595437975758
@drfariza786
@drfariza786 Жыл бұрын
Wow
@zedunow
@zedunow Жыл бұрын
Thanks Fariza 👍
@Anniebunny_
@Anniebunny_ Жыл бұрын
Hi please can a virgin do transvaginal ultrasound.. if yes Does it hurt?
@zedunow
@zedunow Жыл бұрын
Hi Maryann Not being sexually active would be a contra-indication for the performance of a transvaginal ultrasound, but in some cases performing one may be necessary. I can't imagine it would be a comfortable experience, making it absolutely imperative that clear communication and informed consent is maintained at all times.
@usharani-zo6lj
@usharani-zo6lj Жыл бұрын
Hi
@zedunow
@zedunow Жыл бұрын
:)
@Gpshergill
@Gpshergill Жыл бұрын
What are chances of infection as same probe is used on different patients ?
@zedunow
@zedunow Жыл бұрын
Very low if appropriate decontamination controls are applied.
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