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Gynaecologist Template

Ultrasound

A professional Gynaecologist template for healthcare professionals.
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Specialty

Gynaecologist

Used

32 times

Type

Note

Last edited

9/10/2024

Created by

Ricarda Benz

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About this template

This ultrasound documentation template is ideal for Radiologists who need to record detailed findings from pelvic ultrasounds. It includes sections for referring physician details, patient history, imaging techniques, findings, and impressions. This template is optimized for use with Heidi, ensuring accurate and efficient documentation of ultrasound results. Radiologists can use this template to streamline their workflow and ensure comprehensive patient records.

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REFERRING PHYSICIAN: Dr. Emily Carter HISTORY: The patient is a 32-year-old female presenting with pelvic pain and irregular menstrual cycles. The ultrasound was requested to evaluate for possible ovarian cysts or other abnormalities. TECHNIQUE: Real time ultrasound imaging was performed using a multi-frequency curvilinear transducer with color/energy and PW Doppler utilizing a Philips Affinity 70G. FINDINGS: The ultrasound revealed a 4 cm simple cyst on the right ovary with no evidence of solid components or septations. The left ovary appeared normal, and there was no free fluid in the pelvis. IMPRESSION: The findings are consistent with a simple ovarian cyst on the right ovary. Follow-up ultrasound in 6-8 weeks is recommended to ensure resolution. Dictated by: Dr. Sarah Johnson Technician: Lisa Nguyen

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