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ItemSonographic View of Pelvic Congestion Syndrome( 2017)A particular pelvic pathology that may not be recognized, and is easily missed, is pelvic congestion syndrome. There is limited understanding about this condition, and many sonographers may have limited to no knowledge of this disorder. This article is to bring an awareness of this condition and the sonographic images necessary to obtain, so that further testing and possible treatment could relieve the patient of symptoms. Since a pelvic sonogram is generally the first modality of choice when an assessment of the pelvic organs is ordered, detailed imaging of all the pelvic region should be evaluated, including the vessels within this area. When evaluating a patient with chronic pelvic pain and visualizing any dilated vessels during a transabdominal or transvaginal sonogram, further imaging and documentation are essential. With this additional information, further testing with computed tomography or magnetic resonance imaging, along with a venogram, may result in a definitive diagnosis of pelvic congestion syndrome to facilitate treatment.
ItemIntrauterine Device Perforation( 2016)Intrauterine devices (IUDs) have had a controversial history but are regarded as a safe, effective form of contraception for all women. IUDs have many benefits, but at the same time, risks and complications may occur in a small percentage of women. The case study first resents a patient with an IUD that perforated the uterus and then offers a discussion of the risks and benefits of IUD contraception.
ItemTakotsubo: A Case Study of Broken Heart Syndrome( 2014)Takotsubo cardiomyopathy (often referred to as broken heart syndrome) typically presents as apical ballooning, chest pain, shortness of breath, abnormal cardiac enzymes, and electrocardiogram changes. Although takotsubo cardiomyopathy mimics symptoms of an acute coronary event, in most cases it is a reversible cardiomyopathy with no long-term effects. Echocardiography is the noninvasive test of choice for initial presentation and follow-up of this syndrome. A case of takotsubo cardiomyopathy is presented and its clinical signs, echocardiographic features, and management discussed.