STORY OF A RURAL ULTRASOUND CLINIC.

Some of my patients and their relatives complain that I am slow in doing an ultrasound examination in comparison to XYZ. I take it as a compliment as in 2010 in CUSP ( USG conference organised by Mediscan Chennai) Professor Suresh the Indian pioneer told that an obstetrics scan to make it good takes 18 minutes and I usually take almost equal time. In a rural area our everything is limited except availability of patients. Gradually a self made enthusiast tries to add value to his examination. 

Here are some example that I am posting for scrutiny by my expert friends any where around the world. This is humble pleasure of a rural enthusiast. My machine is not a very higher end machine. It is MEDISON S6 by Samsung with facility for colour doppler.    

This photo I examined the normal left ventricular out flow tract.

This is the normal right ventricular out flow tract.

This is same as  photo number 1.

So in addition to the routine examination of four chambers of the heart, the flow through the valves, the opening from right atrium to left atrium we have added the out flow tract in our observation on a regular basis. 

This is a single ton pregnancy with almost two equal lobes of placenta one in fundoanterior and another in fundoposterior area which is not a rare thing. What is rare here is the attachment of umbilical cord not to any of the lobes but in between the two lobes in a membranous fashion. I put a note that during third stage of labour no CCT should be tried. The same is better demonstrated in the picture below with colour doppler at the insertion of the umbilicus.

Sam as above with colour doppler demonstration of the membranous attachment of the cord in between the two lobes of placenta.

Same as above.

Needs no explanation for the diagnosis in a case of recurrent second trimester spontaneous abortion.


Thanks those who took interest to see these photographs.