Transabdominal Pelvic Ultrasound can detect most larger abnormalities such as large fibroids, ovarian cysts, neoplasms, etc. However, its views may be limited by abdominal structures such as bowel gas.
In general for POCUS exams, it is usually good to start with the transabdominal ultrasound and then use the transvaginal approach if needed.
- Full bladder (if possible)
Ultrasound Machine Preparation
- Transducer: Curvilinear Ultrasound Probe (Ideal Choice) or Phased Array Probe.
- Preset: Pelvic or Abdomen
- Machine Placement: Position the ultrasound machine on the right side of the patient with the screen facing you. With this configuration you can face both the patient and the ultrasound screen, scanning with your right hand and manipulating buttons on the machine with the left hand.