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The Pelvic Pain and Urgency/Frequency (PUF) patient symptom scale is a diagnostic tool used to screen patients with chronic pelvic pain. Developed by C. Lowell Parsons, MD, the PUF self-report questionnaire uses a symptom score (which measures how often a patient experiences problems) as well as a bother score (which notes the degree to which the symptoms bother the patient); the bother and symptom score combine for a total PUF score. The scale takes about 5 minutes to complete. Scores range between 0 and 35, and studies have indicated that a score greater than 12 is indicative of significant symptoms.

Boston Scientific Corporation has alerted the public about a stolen shipment of medical devices for endoscopy and urology/women’s health.

The FDA and the Federal Trade Commission (FTC) jointly launched the “Fraudulent STD Products Initiative.” This campaign targets over-the-counter (OTC) products sold online or in retail stores that claim to prevent, cure, or treat sexually transmitted diseases (STDs).

Single umbilical artery color doppler, transverse scan of urinary bladder shows single umbilical artery (left), transverse section of umbilical cord showing only two vessels: one vein and one artery (right).

Normal 35 week pregnancy

An approx. 12 week fetus, first ultrasound of this pregnancy.

4D image of 29 weeks pregnancy, multiple anomalies: Clinch hand, omphalocoele, single atrium

Is this lesion a fibroid or adenomyosis? Patient is a young (38n yr. old) married female with a history of dysmenorrhea and polymenorrhoea.

This is a confirmed case of scar ectopic pregnancy. Yesterday, I carried out this exam in an emergency room, without much time to perform an adequate sonogram, the patient did not feel good with “cramps” but no signs of bleeding.

Normal aspect of the ossification centers of the fetal sternum at 33 weeks. Size of the ossification centers decreases in a cranio-caudal sense.

Leiomyoma that has undergone fatty degeneration.

Sagittal image from a transvaginal sonogram in a patient with bleeding after a spontaneous abortion. The endometrium (between cursors) was thick and heterogeneous, measuring 8.5 mm in thickness (Fig1). Color doppler image in same patient shows focal flow (Fig. 2 - arrow) within the heterogeneous endometrium.

Images of "Bulky Uterus"

Cystic spaces in the sub-endometrial myometrium of the fundus.

The patient was a 38 year old G4 P3, 20w4d. I was doing an anatomic survey today. While I was looking at a long axis view of the fetal heart with color Doppler, the baby developed hiccups, and with each contraction of the fetal thorax (which was quite obvious) I could see an explosion of blue color representing blood going through the foramen ovale from right to left.