Curriculum for observership in Ultrasound in Obstetric & Gynaecology- 1
- Know your scanner & adjusting the correct setting
- Doppler
- Knobology
- Settings
- Safety of ultrasound
Gynaec Scans
- Systematic transvaginal scans
- Various manuals for transvaginal scan & their indications
Congenital Uterine Anomalies
Different classification systems –
- Diagnosis
- Clinical relevance
Acquired Uterine Anomalies
- Endometrial pathologies
- Polyp
- Hyperplasia
- Synachiea
- Blood
- Myometrial pathologies
- Fibroids
- Adenomyoma
- Ultrasound diagnosis & clinical relevance
Adnexal lesions – Differential diagnosis
- Different morphologies
- Doppler characteristics
- Role of dynamic assessment
Gynecological Malignancies: Ultrasound diagnostic criteria in malignancies of
- Endometrium
- Myometrium
- Ovaries
Ultrasound in Infertility:
- Ultrasound Diagnosis of PCO – relevance to endocrinology
- Cycle monitoring for infertility
- Tubal assessment
Obstetric
- Scanning Early Pregnancy
- Signs of abnormal pregnancy
- Prognosticating pregnancy
- Nuchal scan
- Method
- Guidelines
- Risk assessment
- Further management
- Second trimester – target scan
- Biometry- methodology – relevance
- Common congenital fetal anomalies
- Markers for chromosomal abnormalities
- Basics fetal echocardiography
- Detailed fetal neurosonography
- Rh isoimmunisation
Diagnosis of Growth Restriction
- Prediction & diagnosis of vascular insufficiency
- Doppler based management of pregnancies with IUGR
Doppler, it’s role in Obstetric Scans
- Changing trends in circulation in different vessels – related physiology
- Understanding placental physiology
- Abnormalities of placenta- morphology, size, adherence, position.
- Cord morphology, abnormalities, attachments, number of vessels
- Cord coiling physiology – related abnormalities
- Knot, cord round neck
- How often to scan
- Repeating of obstetric scans
- Documentation of obstetric scans
- Documentation of gynaec scans
- Repeating of gynaec scans
Multiple Pregnancies
- Complication
- Reporting
Pregnancies with Medical Disorders
- Thyroid
- Prolactin
- Hypertension
- D.M.
- Anemia
3D – 4D US basics
- Application of 3D – 4D in obstetric scans
- Application of 3D-4D in gynaec scans
- Infertility application of 3D 4D
Invasive US guideline procedures in Gynaecology
- Ovum pickup
- Embryo transfer
- Sonohysterography
- Sonosalpingography