Transvaginal Pelvic Ultrasound in the ED
Transvaginal Pelvic Ultrasound in the ED
Pelvic ultrasound is frequently performed in the ED in non-pregnant women to assess for
 ovarian pathology, though its use has not been described in the medical literature. This
 observational study aims to describe its use in clinical ED practice.
Pelvic ultrasound is frequently performed in the ED in non-pregnant women to assess for
 ovarian pathology. During the pelvic examination a transvaginal ultrasound probe is used to
 visualize ovarian size, determine echotexture, assess whether ovarian tenderness is present,
 and sometimes measure ovarian blood flow. Though pelvic ultrasound is used in the Hennepin
 County Medical Center ED routinely, there is a paucity of literature assessing it's utility.

 This observational study will help determine the usefulness of this imaging modality, and how
 often it changes management in clinical practice.

 Specifically, this study will attempt to determine how often transvaginal ultrasound
 identifies the structures of interest, and then will correlate these findings with the final
 ED diagnosis. If a formal ultrasound is obtained, the findings of the ED ultrasound will also
 be compared to the findings of the formal ultrasound.

 The treating physicians will be queried the diagnosis and management plans before and after
 the pelvic US to ascertain changes in management.
Inclusion Criteria:

 -  Age >= 18 years old female

 -  ED bedside transvaginal ultrasound to be performed in a non-pregnant woman with at
 least one ovary

 -  Willing to discuss how they are doing at 7-10 days via phone

 -  Valid phone number

 Exclusion Criteria:

 -  If a diagnosis of ovarian torsion, mass, TOA or other ovarian pathology is known
 before ED ultrasound

 -  Previously enrolled in this study