Transvaginal Pelvic Ultrasound in the ED

Pelvic ultrasound is frequently performed in the ED in non-pregnant women to assess for
ovarian pathology. During the pelvic examination a transvaginal ultrasound probe is used to
visualize ovarian size, determine echotexture, assess whether ovarian tenderness is present,
and sometimes measure ovarian blood flow. Though pelvic ultrasound is used in the Hennepin
County Medical Center ED routinely, there is a paucity of literature assessing it's utility.

This observational study will help determine the usefulness of this imaging modality, and
how often it changes management in clinical practice.

Specifically, this study will attempt to determine how often transvaginal ultrasound
identifies the structures of interest, and then will correlate these findings with the final
ED diagnosis. If a formal ultrasound is obtained, the findings of the ED ultrasound will
also be compared to the findings of the formal ultrasound.

The treating physicians will be queried the diagnosis and management plans before and after
the pelvic US to ascertain changes in management.

Inclusion Criteria:

- Age >= 18 years old female

- ED bedside transvaginal ultrasound to be performed in a non-pregnant woman with at
least one ovary

- Willing to discuss how they are doing at 7-10 days via phone

- Valid phone number

Exclusion Criteria:

- If a diagnosis of ovarian torsion, mass, TOA or other ovarian pathology is known
before ED ultrasound

- Previously enrolled in this study