In an Article entitiled "Impact of the availability of sonography in the acute gynecology unit." in Ultrasound Obstet Gynecol 2006 Jun 29; [Epub ahead of print] by Haider Z et al, the authors investigated the impact of the availability of transvaginal sonography at the time of initial assessment of the emergency gynecology patient. The initial assessment of acute gynecology patients is usually based on history and clinical examination and does not involve ultrasound. Authors found that Following the ultrasound examination there was a change in clinical management for 38.1% of non-pregnant women and a reduction in admissions (from 37.1% to 19.4%) and outpatient follow-up examinations (from 25.7% to 18.1%). It appears that the availability of transvaginal sonography at the time of initial assessment of emergency gynecology patients improves diagnostic accuracy and reduces unnecessary admissions and follow-up examinations.
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