GP GUIDELINES FOR REQUESTING GYNAECOLOGICAL ULTRASOUND Pelvis clinical symptoms between the umbilicus and the symphysis pubis. – Wherever possible the GP should examine the patient before referring for scan. Referral Criteria for Gynaecological Conditions ACCEPTED at Kingston Hospital Imaging Department: Bleeding a) Abnormal/dysfunctional b) Inter-menstrual c) Post-menopausal d) Post coital bleeding Bloating/abdominal discomfort Dyspareunia Fibroids Iliac fossa tenderness Ovarian pathology Palpable pelvic/abdominal mass PCOS ultrasound is not helpful unless clinical and biochemical results at variance (biochemical reading must be documented on request form) Pelvic inflammatory disease Pelvic pain/Lower abdominal pain/endometriosis Position of IUCD How to refer Please refer via Ordercomms Gynaecological Conditions NOT ACCEPTED at Kingston Hospital Imaging Department: Refer to Jasmine Unit EPC Retained products of conception Miscarriage queries Refer to research programme UCLH (0207 Ovarian cancer screening 380 6912) Refer to ACU Infertility queries Unless biochemical and clinical diagnosis at variance PCOS Requires gynaecological referral (u/s cannot differentiate PV bleeding on Tamoxifen Tamoxifen change alone and neoplasia)
GP GUIDELINES FOR REQUESTING GYNAECOLOGICAL ULTRASOUND Pelvis – clinical symptoms between the umbilicus and the symphysis pubis. Wherever possible the GP should examine the patient before referring for scan. Referral Criteria for Gynaecological Conditions ACCEPTED at Kingston Hospital Imaging Department: Bleeding a) Abnormal/dysfunctional b) Inter-menstrual c) Post-menopausal d) Post coital bleeding Bloating/abdominal discomfort Dyspareunia Fibroids Iliac fossa tenderness Ovarian pathology Palpable pelvic/abdominal mass PCOS ultrasound is not helpful unless clinical and biochemical results at variance (biochemical reading must be documented on request form) Pelvic inflammatory disease Pelvic pain/Lower abdominal pain/endometriosis Position of IUCD How to refer Please refer via Ordercomms Gynaecological Conditions NOT ACCEPTED at Kingston Hospital Imaging Department: Retained products of conception Miscarriage queries Refer to Jasmine Unit EPC Ovarian cancer screening Refer to research programme UCLH (0207 380 6912) Infertility queries Refer to ACU PCOS Unless biochemical and clinical diagnosis at variance PV bleeding on Tamoxifen Requires gynaecological referral (u/s cannot differentiate Tamoxifen change alone and neoplasia)
Gynae-Ultrasound-Referral-Guidelines-April-2014.docx