Friday, 6 November 2015

Pouch of douglas

 Liza: Dr, I have questions. Is cul de sac same as pouch of Douglas ? And to examine the fluid in that space, we shoud do PR Or bimanual exam ?

Dr Shaiful Ehsan: POD = cul de sac.... Bimanual for adnexal mass....
 To examine the fluid....
Clinical = shifting dulness = ascites....
 PR also can detect bogginess = fullness at POD...

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