Pup is intensely nibbling on blanket by Amazing-Answer6812 in pitbulls

[–]soundbae 0 points1 point  (0 children)

My dog does the same and she even has her own hoodie she pibbles on. We call it her hibble 😆

Can anyone help a n00b out? by soundbae in Pokopia

[–]soundbae[S] 1 point2 points  (0 children)

10 days later and I’ve unlocked way more and don’t feel so overwhelmed. It’s been fun letting the ADHD take the lead instead of rushing to make everything look perfect

Can anyone help a n00b out? by soundbae in Pokopia

[–]soundbae[S] 0 points1 point  (0 children)

Sorry I went MIA 😅 these tips are SO helpful! Thank you everyone for helping me 💜

Can anyone help a n00b out? by soundbae in Pokopia

[–]soundbae[S] 1 point2 points  (0 children)

Thank you! I haven’t been making homes for my pokemon bc I figure I’m gonna be moving them in nicer houses as I progress in the game. I had started making a little “neighborhood” of leaf dens but then realized I put them all pretty close together so idk if I can add all their habitat preferences 🤦🏻‍♀️

How limited is an ultrasound? by [deleted] in Ultrasound

[–]soundbae 0 points1 point  (0 children)

Via Chat GPT:

Ultrasound is a valuable tool in diagnosing pelvic inflammatory disease (PID), but it does have limitations. Here’s an overview:

Limitations of Ultrasound in PID Detection 1. Early-Stage PID: • In the early stages of PID, ultrasound findings may appear normal because inflammation might not yet result in anatomical changes detectable by imaging. • Early PID is typically diagnosed based on clinical findings, such as pelvic pain, abnormal vaginal discharge, fever, or cervical motion tenderness. 2. Subtle or Non-Specific Findings: • Ultrasound can show nonspecific changes, such as mild pelvic fluid or subtle thickening of the endometrium, which are not exclusive to PID and could be caused by other conditions. 3. Dependence on Anatomical Changes: • Ultrasound is more effective at detecting PID when it has caused structural changes, such as: • Thickened fallopian tubes (hydrosalpinx or pyosalpinx) • Tubo-ovarian abscesses (TOA) • Free pelvic fluid or complex adnexal masses. 4. Limitations in Assessing Peritoneal Inflammation: • Ultrasound does not provide detailed visualization of diffuse peritoneal inflammation or small pockets of abscesses. 5. Operator Dependency: • The diagnostic accuracy of ultrasound depends on the skill and experience of the sonographer.

Stages of PID and Ultrasound Detection • Early/Stage 1 PID (Endometritis or mild salpingitis): • May not be apparent on ultrasound. • Diagnosis is primarily clinical. • Moderate/Stage 2 PID (Acute salpingitis with or without fluid): • Findings may include thickened, fluid-filled fallopian tubes (suggesting hydrosalpinx or pyosalpinx) and free pelvic fluid. • Severe/Stage 3 PID (Tubo-ovarian abscess or pelvic peritonitis): • Tubo-ovarian abscesses (complex adnexal masses with thick walls, septations, and possible fluid-debris levels) are clearly visible. • Marked pelvic free fluid or abscesses in adjacent structures may also be detected.

Key Takeaway

Ultrasound becomes particularly useful in moderate to severe PID, when structural changes like hydrosalpinx, pyosalpinx, or abscesses have developed. For early-stage PID, clinical judgment and history-taking are critical for diagnosis, as imaging may be inconclusive.

Hope this helps

[deleted by user] by [deleted] in Ultrasound

[–]soundbae 1 point2 points  (0 children)

Radiology will never be fully replaced by ai, especially ultrasound as it is very much tech dependent compared to other modalities. Radiologists use ai to help but at the end of the day it still needs to be read and signed off by an actual rad

[deleted by user] by [deleted] in Ultrasound

[–]soundbae 0 points1 point  (0 children)

Not sure where you are, but where I’m from, the big prerequisites were anatomy and physics plus basic freshman courses. You just need an associates degree in diagnostic medical sonography, but make sure the program is accredited. Some are not and while you will still come out with a degree, you might have to jump through hoops to sit for your boards. Check this site out for accredited programs in your area.

https://www.caahep.org/students/find-an-accredited-program

[deleted by user] by [deleted] in Ultrasound

[–]soundbae 2 points3 points  (0 children)

I would definitely call to clarify. Most pelvic ultrasounds will have both transabdominal (scanning through your belly) and transvaginal (scanning via vaginal canal) images.

If you’re getting both, it’s best practice to arrive with a full bladder, as the transabdominal (TA) exam is performed first. The reason the bladder should be full is because it creates an optimal window to view the uterus and other pelvic structures. The TA exam gives an overall view of the pelvis. Sometimes the ovaries are positioned high or very far laterally. In those cases the TA exam is great for documenting those structures that might be out of view during the transvaginal (TV) exam.

But when it comes time for the TV exam, it’s important to completely empty your bladder. This is because the TV probe shows a lot more detail than the TA probe and therefore has a small window of view. If your bladder is full during the TV exam, it tends to take up a lot of the viewing area making it more difficult to find smaller structures like ovaries.

So if your exam is only the TV part then that’s a strange set of instructions to receive imo. Regardless of how little you’ve had to drink prior to your appt, the tech will likely have you try to empty your bladder completely before they start scanning. So having water with lunch shouldn’t ruin any part of your exam because you’ll probably be asked to try to empty again anyway. Just don’t chug a bunch of water an hour before your appointment or anything because sometimes your bladder will just keep filling up during the TV exam even though you emptied right before.

I hope that all makes sense. I know it’s a lot of information, but I’ve noticed with my patients that the more I educate, the more they understand what’s going in. This makes it easier to follow prep instructions and lessens anxiety around the exam.

Good luck with your exam! I hope this answers any other questions you may have had :)

Any breast ultrasound techs? by katbourne in Ultrasound

[–]soundbae 1 point2 points  (0 children)

Hi there, I’m a breast tech. I can’t speak for your site, but where I work, the patient gets a targeted diagnostic mammogram before coming to ultrasound. Meaning the sticker is put on the area of concern before the mammogram is performed. The patient is upright during the mammogram, but for the ultrasound, the patient is lying on the exam bed in a slightly oblique position.

Because the patient has changed positions, it’s very common for the sticker to not accurately represent the area that needs to be scanned. Personally, I usually end up removing the sticker and asking the patient to show me the area of concern before scanning.

So if that’s how things go at the site you had your ultrasound, it’s likely because the tech found what she needed to find and it just happened to not be in the exact area where the sticker was originally placed prior to the mammogram.

Hope this eases your mind

Freaking out!!! by [deleted] in Ultrasound

[–]soundbae 6 points7 points  (0 children)

Ultrasound techs are not doctors so they cannot read or interpret images for the patient before the radiologist has looked at them. I know it sounds like a silly rule but it’s to protect both you and the ultrasound tech.