Download e-book for iPad: All About Thalassaemia by Androulla Efeftheriou

By Androulla Efeftheriou

ISBN-10: 9963623956

ISBN-13: 9789963623952

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This 38 Manual of Ultrasound in Obs. & Gyne. endometrium, divided into five zones, is capable of supporting implantation when the spiral arteries coil up along the glandular elements of the endometrium from D7. Blood flow can be measured within these vessels from D7. 4: Pulsatile flow in endometrium Uterine arteries and ovarian arteries are also followed throughout the cycle since high velocity flow throughout cardiac cycle with low PI is good for positive pregnancy outcome. A PI of 3 or more usually will not allow enough perfusion and thus nutrition to the embedding blastocyst.

Doppler 35 In Gynaecology Doppler study has made it possible not only to study the pelvic anatomy but the physiology throughout the menstrual cycle by studying the various pelvic vessels and thus get information regarding vascular - functional pathophysiology. Torsion of ovarian mass results in disturbed blood flow which can be studied well. In detection of ovarian malignancy in early stage Doppler plays an important role. Being a leading cause of gynaecologic cancer mortality, the 5 year survival rate having only increased from 36% in 1975 to 39% in 1990 it is disturbing to note that over 90% patients with stage I ovarian malignancy can be given a better prognosis with early diagnosis.

A follicle in normal cycle grows in a linear fashion and ruptures approximately around D14. However, the cycle length of every patient is different and it can rupture as late as D21 which would also be normal. Hence serial study is very important. The mature follicle has a diameter of 18-21 mm. 15: Growth of follicle In oligomenorrhoeic cycles follicle might normally grow however delayed, and rupture even later or not rupture at all. Unruptured follicle that undergoes vascularisation like corpus luteum can only be detected by ultrasound and 24 Manual of Ultrasound in Obs.

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All About Thalassaemia by Androulla Efeftheriou

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