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GE Logiq P5 User Manual

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    							OB Measurements and Calculations
    LOGIQ 5 Basic User Manual 9-55
    Direction 2300002-100 Rev. 2
    Measurement information
    This section lists the results of all measurements. 
    •  CUA or AUA – If this field is checked, the system uses the 
    measurement to calculate the ultrasound age. 
    •  Value – The measured value. If more than one 
    measurement was made for an item, the system uses the 
    specified method (average, maximum, minimum, or last) to 
    determine this value.
    •  m1–m3 – Up to three measurement values for each item. If 
    you make more than three measurements, the worksheet 
    uses the last three.
    •  Method – When there is more than one measurement for an 
    item, this specifies the method used to calculate the 
    measurement value listed in the Value column. Choices are 
    average, maximum, minimum, or last. To change the 
    method: 
    a. Move the Trackball to the Method field. 
    b. Press Set.
    c. Move the Trackball to select from the list.
    d. Press Set.
    •  AGE – The fetal age for this measurement.
    •  Range – The typical range of fetal age for this 
    measurement. 
    						
    							OB/GYN
    9-56 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Calculation information
    This section of the worksheet provides calculation choices and 
    lists calculation results.
    •  EFW – lists the parameters used to calculate EFW. This is 
    followed by the calculation result. 
    To change which parameters are used:
    a.  Select this field or press Select EFW.
    b.  Select the desired parameters.
    •  EFW GP – lists the source used to calculate EFW–GP 
    (growth percentile). This is followed by the growth 
    percentile.
    To change the source:
    a.  Select this field or press Select GP.
    b.  Select the desired source.
    The remaining calculation information shows ratios for several 
    measurements, and the Cephalic Index (CI). 
    The worksheet shows if any of the ratios are out of range 
    (OOR). Out of range indicates one of the following:
    •  The measurement is out of the normal range based on the 
    gestational age that is calculated from the LMP. The system 
    determines OOR from the ultrasound age compared to the 
    gestational age. The gestational age is calculated from the 
    last menstrual period or the estimated delivery date.
    •  The measurement is outside of the range for the data used 
    in the calculation. That means that the measurement is 
    either less than or more than the range of measurements 
    used to determine fetal age based on the measurement.
    For more information about how to use the worksheet, See 
    ‘Viewing and Editing Worksheets’ for more information. 
    						
    							Anatomical Survey
    LOGIQ 5 Basic User Manual 9-57
    Direction 2300002-100 Rev. 2
    Anatomical Survey
    Overview
    The Anatomical Survey page provides a checklist that indicates 
    which anatomy was imaged and its appearance.
     Figure 9-7. Anatomical Survey 
    						
    							OB/GYN
    9-58 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Editing
    •  To activate the Anatomical Survey, select Anatomy on the 
    OB Worksheet Touch Panel.
     Figure 9-8. OB Worksheet Touch Panel
    •  Fill the required field.
    Table 9-3: Anatomical Survey
    FieldDescription
    Fetus Pos Indicate the fetal position within the uterus.
    PLAC Identify the location of the placenta.
    ANATOMY Enter the following information for each part of the 
    anatomy imaged:
    1. Imaged? : Check the box that you did image this part 
    of the anatomy.
    2. Appearance : If you checked the Imaged? box, 
    indicate whether the appearance was normal or 
    abnormal.
    You can add the required anatomy up to 9 additional 
    anatomy.
    Move the Trackball to the blank field.
    Enter the anatomy name. 
    						
    							Anatomical Survey
    LOGIQ 5 Basic User Manual 9-59
    Direction 2300002-100 Rev. 2Select Exit to return to the Scan screen.
    Select Worksheet to return to the Worksheet or Graph to enter 
    the OB Graph screen on the Touch Panel.
     Figure 9-9. Anatomical Survey Touch Panel
    NOTE:  The contents input on the Anatomical Survey page are returned 
    to the factory default settings after starting a new patient. 
    BIOPHYSICAL The score is _ of 10 possible total points, depending 
    upon the number of parameters entered. Enter the 
    following information to assess the fetus’s biophysical 
    well-being.
    Movement Type 0, 1 or 2
    Tone Type 0, 1 or 2
    Breathing  Type 0, 1 or 2
    Fluid  Type 0, 1 or 2
    Reactive NST 
    (Reactive non-
    stress test)Type 0, 1 or 2
    COMMENTS Free text
    Table 9-3: Anatomical Survey
    FieldDescription 
    						
    							OB/GYN
    9-60 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    OB Graphs
    Overview
    OB Graphs allow you to assess fetal growth compared to a 
    normal growth curve. When a patient has completed two or 
    more ultrasound exams, you can also use the graphs to look at 
    fetal trending. For multi-gestational patients you can plot all 
    fetuses and compare the growth on the graphs. 
    The LOGIQ 5 provides the following two basic types of graphs:
    • Fetal Growth Curve graphs – show one measurement per 
    graph. These graphs show the normal growth curve, 
    positive and negative standard deviations or applicable 
    percentiles, and ultrasound age of the fetus using the 
    current measurement. For multi-gestational pregnancies, 
    you can view all fetuses. If previous exam data is available, 
    the graph can show fetal trending.
    • Fetal Growth Bar graph – shows the ultrasound age and 
    the gestational age based on patient data. Plots all 
    measurements on one graph.  
    						
    							OB Graphs
    LOGIQ 5 Basic User Manual 9-61
    Direction 2300002-100 Rev. 2
    To View OB Graphs
    To view OB graphs:
    1. Press Measure.
    2. Select Graph Display. 
     Figure 9-10. B-Mode OB Measurement Touch Panel 
    						
    							OB/GYN
    9-62 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    To View OB Graphs (continued)
    After you select Graph Display, the system displays the OB 
    Graph keys on the Touch Panel. 
     Figure 9-11. OB Graph keys on Touch Panel 
    						
    							OB Graphs
    LOGIQ 5 Basic User Manual 9-63
    Direction 2300002-100 Rev. 2
    To View OB Graphs (continued)
    The monitor display shows the Fetal Growth Curve Graph.
     Figure 9-12. Fetal Growth Curve Graph 
    						
    							OB/GYN
    9-64 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Fetal Growth Curve Graph
    The horizontal axis shows the fetal age in weeks. The system 
    determines this age from the data on the Patient Data Entry 
    screen. The vertical axis shows one of the following:
    •  For measurements, mm or cm
    •  For ratios, percent
    •  For fetal weight, grams
    The Fetal Growth Curve Graph shows the following information 
    for the selected measurement:
    •  The normal growth curve
    •  The standard deviations or relevant percentiles
    •  The gestational age of the fetus, using patient data (vertical 
    dotted line)
    •  Using the current ultrasound measurement data, where the 
    fetus is on the growth curve 
    The legend at the bottom of the graph shows the symbols and 
    colors that indicate data for fetal trending (Past and Present) 
    and multiple gestation (Fetus). 
    						
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