A pelvic ultrasound can be viewed as a form or extent of physical examination. In transabdominal scanning, a full bladder is used to displace bowel gas and serve as an acoustic window to allow a wide field of view of the pelvis. Endovaginal images is the preferred technique for emergency physicians, because a full bladder is not necessary. Delays in filling the bladder pelvic ultrasound examination.ClinicalHistoryClinical indications include the following: * Evaluation of vaginal bleeding in early pregnancy or This indication is well described in ectopic pregnancy. subchorionic or bleeding (implantation bleeding) is a common cause of the location. or endovaginal study using high frequency transducer allows optimal acquisition of organs near the probe, including the endometrium, myometrium, CuldeSac, and ovaries, which can be seen in detail. * Assessment of pain in the pelvic or ultrasound can be used to evaluate pelvic pain, a common complaint of patients attending the emergency department, and entities such as ovarian cysts, tuboovarian abscess, uterine fibroids, or even a kidney pelvic infection. or in a patient is obese, pelvic ultrasound can simplify the physical examination difficult. * Assessment of a pelvic mass or pelvic ultrasound may be used to determine the etiology of a pelvic mass. O compared with transvaginal sonography, transabdominal ultrasound uses a lower frequency and can penetrate deeper, with a large field of view. Therefore, fibroids or ovarian cysts situated high in the pelvis may be outside the range of the transvaginal probe. Moreover, pelvic kidneys can be visualized. * Evaluation of pelvic infection or abscess tuboov�rico are difficult to diagnose on physical examination. or a normal fallopian tube can not be visualized on transvaginal ultrasound, however, a tube filled with fluid or pus can be identified. or pelvic inflammatory disease can be identified on ultrasound. * The location of an intrauterine device or a foreign body or an ultrasound can help in the identification or detection of an intrauterine device or foreign body. or an intrauterine device produces an artifact of acoustic features (pitch), which is useful for medical sonographer. * Assessment of the views or trauma to the pelvis are used in ultrasound to assess free fluid or coagulated blood, which may be present in the pouch of Douglas (CuldeSac). views or of the pelvis obtained before insertion of a Foley catheter is helpful. * Evaluation of abnormal uterine bleeding in patients preand postpartum patient and postabortion br br br br
