Altamonte Springs: 385 Center ... - All About Ultrasound
PELVIC ULTRASOUND WORKSHEET
Transvaginal Imaging Performed
[pic]
Cul-de-sac Fluid: TRACE MINIMUM MODERATE SEVERE
Comments: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
-----------------------
Name:____________________________________________ Date:_____/_____/____ ID:_________________
DOB: _____/______/______ Age:______ Referring Physician:____________________________________
Indications:__________________________________________________________________ Tech:_________
Height: _____________ Weight:______________ LMP ____/____/____ G____P____M____A____
HRT/BCP: YES / NO_______________________________________________________________
Previous Surgery:_________________________________________________________________
Uterus: ______ X_____ X______cm Nabothian Cysts
Endometrium: ________cm
Masses/Fibroids:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____
Right Ovary: ______ X_____ X_____ cm
( Simple Cyst(s) ( Complex Cyst(s) ( Mass ( Other
Left Ovary: ______ X_____ X_____ cm
( Simple Cyst(s) ( Complex Cyst(s) ( Mass ( Other
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
Related searches
- all about science and technology
- all about the winter solstice
- all about me questions
- all about being a teacher
- all about me questions printable
- all about digital marketing
- all about me essays examples
- all about me preschool activities
- toddler all about me art
- all about me theme
- all about me worksheet
- all about photosynthesis