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an intra cavity transducer with an OB exam type is used to perform a transvaginal examination of an intrauterine pregnancy in the first trimester the patient is placed in stirrups or a modified frog leg position for the examination the transducer is placed in a protective sheath containing gel to reduce air interference and then insert it into the vaginal canal it is helpful for the patient to have an empty bladder to reduce uterine distortion and minimize discomfort for the examination the uterus is a gray echogenic structure superior and posterior to the bladder the endometrial stripe will appear as a bright echo genic line from the uterine fundus to the cervix posterior to the uterus is the recto uterine pouch which should be evaluated for free fluid the transducer should be swept from side to side to see the entire uterus the transducer is then rotated to obtain a short axis view of the uterus the orientation marker is directed toward the patients right the uterus can be seen as a
