Mathew Leonardi MD PhD
Mathew Leonardi MD PhD
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Accurate Ultrasound in Expert Hands: Separating Fact from Fiction
In a world where our brains sometimes send misleading warning signals, persistent pain can often lead to incorrect assumptions about our bodies. For instance, experiencing pain during bowel movements on your period might make you think your bowel is stuck to your uterus due to severe endometriosis. But is this always the case?
In this 4 minute video, we explore how expert sonologists use precise ultrasound techniques to determine what’s truly there-and what’s not. This isn’t about denying your pain but about correcting the narrative. Pain is always real! By revealing the real story through ultrasound, we can help retrain the brain, fostering a true understanding of your condition. Remember, accurate diagnosis leads to better management and relief.
#UltrasoundExpert #PainNeuroscience #EndometriosisAwareness #PersistentPain #PainSafety #AccurateDiagnosis #Endometriosis
Переглядів: 129

Відео

Adding Cystoscopy and Ureteral Stents to Gynecology Surgery Toolbox
Переглядів 9421 день тому
The McMaster Minimally Invasive Gynecologic Surgery team presents an educational video on how to use cystoscopy and ureteral stents to enhance gynecologic surgery! This video is presented by Dr Mélissa Marien, one of our graduating MIGS/ultrasound fellows. We emphasize the utility in cases of severe endometriosis and placenta accreta spectrum. Watch to the end for one of our most favourite tips...
GRWM / Get Reporting With Me GRWM - Uterosacral Ligament Deep #Endometriosis + Superficial Endo
Переглядів 1,2 тис.4 місяці тому
This #EndometriosisAwarenessMonth we are going to focus on different forms of endometriosis on ultrasound. We can master the sonographic anatomy of atypical pelvic structures on a gynecology scan including the uterosacral ligament, vagina, bowel, bladder, ureters! This video depicts left uterosacral ligament deep endometriosis, superficial endometriosis overlying the rectouterine pouch peritone...
GRWM / Get Reporting with Me - P is for Polyp
Переглядів 6355 місяців тому
In this episode, the focus is on polyps! Endometrial polyps. The theme is P goes a bit further as we touch upon polycystic ovarian morphophology! This episode of GRWM also delves into what to do when you disagree with a sonographer's catpures and measures. You'll see how I handle the obstacle of potentially an incorrect caliper placement.
Dr Mathew Leonardi interviews Dr Jen Gunter about Social Media at World Congress on Endometriosis
Переглядів 2145 місяців тому
Unlock the conversation on the intersection of Social Media and Medicine and Endometriosis! 🌐💊 Dr. Mathew Leonardi chats with the brilliant Dr. Jen Gunter, 2 time NYT bestselling author and author to the brand new book, Blood: The Science, Medicine, and Mythology of Menstruation. They explore the Pros and Cons of Social Media in Medicine at the World Congress on Endometriosis 2023. 👩‍⚕️👨‍⚕️ Joi...
GRWM / Get Reporting with Me - IUD Position
Переглядів 9025 місяців тому
Welcome to another informative episode of "Get Reporting with Me," your go-to source for in-depth education on gynecology ultrasound! In this installment, we're diving into the crucial topic of "IUD Position," providing you with valuable tips and tricks to master the art of determining the position of an intrauterine device (IUD). Whether you're a healthcare professional, sonographer, or someon...
Ectopic pregnancy - Can they go away without medication or surgery?
Переглядів 9686 місяців тому
Watch this lecture I delivered as Faculty at @ISUOGTeam International Symposium which took place in 2022. Whilst the presentation is a little old, the information is still quite relevant today! I'm talking specifically about the ability to treat ectopic without any treatment at all! Expectant management. When is that appropriate? What does the evidence show?
GRWM / Get Reporting with Me - Getting a 2nd Opinion Ultrasound Scan - Getting the Diagnosis Right
Переглядів 7176 місяців тому
GRWM / Get Reporting with Me - Getting a 2nd Opinion Ultrasound Scan - Getting the Diagnosis Right
GRWM / Get Reporting with Me! Endometriosis! Featuring special guest Dr Yvette Groszmann
Переглядів 2,6 тис.6 місяців тому
GRWM / Get Reporting with Me! Endometriosis! Featuring special guest Dr Yvette Groszmann
GRWM / Get Reporting with Me! Episode 3 Let's report ultrasound together. Fibroids!
Переглядів 2,3 тис.6 місяців тому
GRWM / Get Reporting with Me! Episode 3 Let's report ultrasound together. Fibroids!
GRWM / Get Reporting with Me! Episode 2 Let's report ultrasound together. Ovarian Cyst & Adenomyosis
Переглядів 4,3 тис.6 місяців тому
GRWM / Get Reporting with Me! Episode 2 Let's report ultrasound together. Ovarian Cyst & Adenomyosis
GRWM ... but not what you think ... Get Reporting with Me! Let's report ultrasound together
Переглядів 2 тис.6 місяців тому
GRWM ... but not what you think ... Get Reporting with Me! Let's report ultrasound together
Unveiling the Unseen - Mastering Ultrasound for Superficial Endometriosis Detection
Переглядів 9847 місяців тому
Unveiling the Unseen - Mastering Ultrasound for Superficial Endometriosis Detection
MacMIGS 2023 CanSAGE Trailer
Переглядів 679 місяців тому
MacMIGS 2023 CanSAGE Trailer
Gynecologic Sonologist Series: Episode 1 - Sliding Sign Anteverted Uterus and Ovaries/Adenxa
Переглядів 6569 місяців тому
Gynecologic Sonologist Series: Episode 1 - Sliding Sign Anteverted Uterus and Ovaries/Adenxa
How quickly does ENDOMETRIOSIS change?
Переглядів 25210 місяців тому
How quickly does ENDOMETRIOSIS change?
Ultrasound & Preparing for Surgery for Bowel Endometriosis
Переглядів 599Рік тому
Ultrasound & Preparing for Surgery for Bowel Endometriosis
Ultrasound for Endometriosis Diagnosis (and Staging)
Переглядів 1,7 тис.Рік тому
Ultrasound for Endometriosis Diagnosis (and Staging)
Urinary Tract Endometriosis: Identification of Bladder Endometriosis on Ultrasound
Переглядів 819Рік тому
Urinary Tract Endometriosis: Identification of Bladder Endometriosis on Ultrasound
Interstitial Ectopic Pregnancy - Getting the Diagnosis Right with Ultrasound (2D & 3D)
Переглядів 674Рік тому
Interstitial Ectopic Pregnancy - Getting the Diagnosis Right with Ultrasound (2D & 3D)
The Gynecologic Sonologist - Introducing the Newest OBGYN Subspecialty
Переглядів 285Рік тому
The Gynecologic Sonologist - Introducing the Newest OBGYN Subspecialty
Cesarean Section Scar Ectopic Pregnancy Diagnosis and Surgical Treatment
Переглядів 2,4 тис.Рік тому
Cesarean Section Scar Ectopic Pregnancy Diagnosis and Surgical Treatment
Endometriosis Radio Interview Dr Leonardi 630 CHED
Переглядів 300Рік тому
Endometriosis Radio Interview Dr Leonardi 630 CHED
Ultrasound for Uterosacral Ligaments - Normal and Abnormal with Endometriosis
Переглядів 2,1 тис.2 роки тому
Ultrasound for Uterosacral Ligaments - Normal and Abnormal with Endometriosis
Filmy pelvic adhesions | Endometriosis | Ultrasound
Переглядів 3,9 тис.2 роки тому
Filmy pelvic adhesions | Endometriosis | Ultrasound
Uterosacral ligaments on transvaginal ultrasound: a video introduction and focus on endometriosis
Переглядів 46 тис.2 роки тому
Uterosacral ligaments on transvaginal ultrasound: a video introduction and focus on endometriosis
The "Jiggle Test" for Superficial Endometriosis on Transvaginal Ultrasound
Переглядів 1,1 тис.2 роки тому
The "Jiggle Test" for Superficial Endometriosis on Transvaginal Ultrasound
Useful techniques in performing ultrasound for endometriosis
Переглядів 1,1 тис.2 роки тому
Useful techniques in performing ultrasound for endometriosis
The Future of the North American Gynecology Ultrasound
Переглядів 1612 роки тому
The Future of the North American Gynecology Ultrasound
Why ultrasound is an essential tool when planning gynecologic surgery - ISUOG 30th Anniversary
Переглядів 2692 роки тому
Why ultrasound is an essential tool when planning gynecologic surgery - ISUOG 30th Anniversary

КОМЕНТАРІ

  • @efuapo
    @efuapo 6 днів тому

    Learned a lot! Thank you!

  • @Magusvar
    @Magusvar 23 дні тому

    polipo

  • @narjesnaghshvarian4167
    @narjesnaghshvarian4167 Місяць тому

    thank u❤

  • @padmashrigiridharan2468
    @padmashrigiridharan2468 Місяць тому

    thanks

  • @dr.luis.espinosa
    @dr.luis.espinosa 2 місяці тому

    32:55 Dr. Leonardi, your smile when she mentions the triangle sign...

  • @argusbargus4301
    @argusbargus4301 2 місяці тому

  • @walubembejonathan
    @walubembejonathan 2 місяці тому

    Best video on endometriosis so far. Thanks

  • @docjosefa
    @docjosefa 3 місяці тому

    Hello Matthew, thank you so much for your conference. It was very interesting to learn more about endometriosis detection. I had one quesion. So i suspect i might suffer from this condition and so my doctor gave me an appointment for a pelvic ultrasound. The results came back negative. But, I did not drink water before my appointment. How much can the lack of water consumption have affected my results? Should i reschedule an appointment. Also, what is the best time during the menstrual cycle , to have the most accurate results possible?

  • @alisondeslandes4123
    @alisondeslandes4123 3 місяці тому

    Great case

  • @brunomctrindade
    @brunomctrindade 3 місяці тому

    Fantastic! Thank you!

  • @dr.luis.espinosa
    @dr.luis.espinosa 3 місяці тому

    thanks for sharing!

  • @abdulmuhsinalmulhim541
    @abdulmuhsinalmulhim541 4 місяці тому

    An endometrial polyp

  • @yousifalyousif5958
    @yousifalyousif5958 4 місяці тому

    Is this a prolapsed lower endometrial polyp/fibroid into the cervical canal? The stalk appears to be coming from the uterine cavity and the pathology “slides up” ?

  • @abhijeetjawkar343
    @abhijeetjawkar343 4 місяці тому

    Negative sliding sign

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 4 місяці тому

      The true sliding sign - for obliteration of the pouch of Douglas is not shown here and is not the focus Look at the intracavitary pathology and think of the sliding sign concept relative to what you are seeing there

  • @pracheekulkarni9241
    @pracheekulkarni9241 4 місяці тому

    Actually lower 1/4th of the screen is covered by your text. Also the last 2 lines of text is covered with another text which is your video title. I can only appreciate that you are demonstrating sliding for posterior compartment but cant really see properly due to text . Also i can see fluid with low level echoes in the cavity at the level of isthmus. Are you demonstrating Taurus? I suggest to put text in video description and not on the clip.

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 4 місяці тому

      What needs to be seen here for the purpose of the educational objective is shown I am not trying to show anything behind the text

  • @cristinad.8045
    @cristinad.8045 4 місяці тому

    There is definitely a polyp

  • @narjesnaghshvarian4167
    @narjesnaghshvarian4167 4 місяці тому

    how do you exclude Dermoid cyst?

  • @narjesnaghshvarian4167
    @narjesnaghshvarian4167 4 місяці тому

    sliding test negetve& endometrial polyp

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 4 місяці тому

      Think a little more about the dynamic sliding, is there sliding present (positive) or absent (negative)?

    • @narjesnaghshvarian4167
      @narjesnaghshvarian4167 4 місяці тому

      @@MathewLeonardiMDPhD 🙏🏻🙏🏻🙏🏻🤗😅sliding present

  • @zekeriyasacma6385
    @zekeriyasacma6385 4 місяці тому

    Cervical polyp?

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 4 місяці тому

      It’s possible! What makes you think this? Answers coming in a few days

  • @j-anluyao4499
    @j-anluyao4499 4 місяці тому

    Hi Dr Mathew what does it mean by Subplacental Sonolucency :present in my ultrasound results I'm 15 weeks pregnant

  • @sachinmahal1625
    @sachinmahal1625 4 місяці тому

    Nice demonstration

  • @abhijeetjawkar343
    @abhijeetjawkar343 4 місяці тому

    Adenomyosis

  • @abhijeetjawkar343
    @abhijeetjawkar343 4 місяці тому

    Islands of hyperechoic tissue, myometrial cysts with Venetian blinds

  • @pracheekulkarni9241
    @pracheekulkarni9241 4 місяці тому

    Asymmetrical thickening Myometrial cysts Fan shaped shadowing

  • @Naijascan
    @Naijascan 4 місяці тому

    Hyperechoic Islands, myometrial cysts.

  • @apurvgarewal442
    @apurvgarewal442 4 місяці тому

    Myometrial cysts,subendometrial striation,globular uterus

  • @bandaralqmli
    @bandaralqmli 4 місяці тому

    myometrum ectopic prgnancy, with peritonial bleeding

  • @Crownedbylife
    @Crownedbylife 4 місяці тому

    Thank you Dr

  • @pkprashanth
    @pkprashanth 4 місяці тому

    Wonderful Mr Leonardi crisp and clear description .Kindly improve your mike or acoustics ,so that your description become even more effective.Thanks.

  • @narjesnaghshvarian4167
    @narjesnaghshvarian4167 4 місяці тому

    ❤❤❤thank you proff

  • @Jaza0618
    @Jaza0618 5 місяців тому

    Endo is horrible! I've had it for 2 years at least with no help! The nausea is chronic and debilitating , I can't function! 😭 The pain is horrid, the nightly fevers, chills and everything else is absolutely awful! Ugh!!!

  • @abdulmuhsinalmulhim541
    @abdulmuhsinalmulhim541 5 місяців тому

    An adenomyosis (a focal cyst)

  • @h.ahmedova5356
    @h.ahmedova5356 5 місяців тому

    ❤❤❤

    • @mohammedbukar722
      @mohammedbukar722 5 місяців тому

      Thanks. What is the explanation for septae in some of the follicles. Dud you count them as one or two follicles?

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 5 місяців тому

      Two follicles that are just right beside each other!

  • @narjesnaghshvarian4167
    @narjesnaghshvarian4167 5 місяців тому

    ❤🙏🏻🙏🏻🙏🏻

  • @narjesnaghshvarian4167
    @narjesnaghshvarian4167 5 місяців тому

    🙏🏻🙏🏻🙏🏻🌹

  • @narjesnaghshvarian4167
    @narjesnaghshvarian4167 5 місяців тому

    Excellent❤❤❤❤🙏🙏🙏🙏🙏🙏

  • @ibw4498
    @ibw4498 5 місяців тому

    Great insights! Could you elaborate on the most common challenges that practitioners might encounter when assessing IUD position? Thanks for sharing your expertise!

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 5 місяців тому

      Hi great question! I will have to do a video on pitfalls! 1. If no videos are taken by the sonographers, lots of information is missing 2. If no 3D is acquired, lots of information is missing 3. Other pathology can make it difficult to visualize the IUD - large fibroids, adenomyosis

    • @proudtobeamum
      @proudtobeamum 5 місяців тому

      Distance of upper end of IUD from uterine fundus? Is that not an important measurement to take?

  • @abhijeetjawkar343
    @abhijeetjawkar343 5 місяців тому

    Great information sir. Looking forward to meet you in Bengaluru in May 24

  • @abhijeetjawkar343
    @abhijeetjawkar343 5 місяців тому

    wonderful series on endometriosis. thank you so much.

  • @AmjalMiah-du7ji
    @AmjalMiah-du7ji 6 місяців тому

    I appreciate your video

  • @ibw4498
    @ibw4498 6 місяців тому

    Well said about the importance of informed consent and patient autonomy!

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 6 місяців тому

      Thanks! Can only be really fully informed consent when diagnosis and clinical information is maximized!

  • @addaemununkumemmanuel6394
    @addaemununkumemmanuel6394 6 місяців тому

    Focal adenomyosis

  • @pracheekulkarni9241
    @pracheekulkarni9241 6 місяців тому

    Training of person writing the reports is also chalenging. We don't have sonographers but we do our own scans and nurses write reports. They need to have an understanding about terminologies and also chemistry with the doc 😂....for example if my other hand goes to abdomen to mobilise a structure nurse immediately puts her hand on freeze button.

  • @pracheekulkarni9241
    @pracheekulkarni9241 6 місяців тому

    Informative video. Looking forward to video on how to trace ureter. Thanks

  • @mollee4950
    @mollee4950 6 місяців тому

    This may be a stupid question but, do you have to remove the second uterus? Or can you just leave it there, as long as it doesn’t cause the patient issues? I assume since you’ve gone in laparoscopically to get a look at it you probably took it out because it was causing problems for the patient.

  • @ibw4498
    @ibw4498 6 місяців тому

    Another fabulous video. Thanks for sharing your insights

  • @cristinad.8045
    @cristinad.8045 6 місяців тому

    How often do you find uteruses that seem to have one of everything? As a bit of a joke, I have a blackout bingo card of a uterus (gotta little bit of everything!) and in that case how easy is it to miss something?

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 6 місяців тому

      We definitely find patients with fibroids, adenomyosis, polyps, etc! Sometimes people have PCOS, uterine pathology, and endometriosis!

  • @addaemununkumemmanuel6394
    @addaemununkumemmanuel6394 6 місяців тому

    Thanks so much....pls can u help me know when one has to be concern for endometriosis when scanning

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 6 місяців тому

      You should be concerned enough to look for it if the patient has symptoms Some red flags on ultrasound that should make you look more for endometriosis: 1) anteverted, retroflexed uterus, 2) ovarian endometriomas, 3) adenomyosis, 4) hydrosalpinges or hematosalpinges

  • @clintonmclean9621
    @clintonmclean9621 6 місяців тому

    Promo-SM 😃

  • @jeo71
    @jeo71 6 місяців тому

    I am not clear how you make the extension between this being an ovarian cyst or a paratubal cyst

    • @MathewLeonardiMDPhD
      @MathewLeonardiMDPhD 6 місяців тому

      Few ways: 1) Paratubal cysts are usually very thin-walled, 2) Paratubal cysts are almost always anechoic, 3) Paratubal cysts move distinctly from the ovary with pressure from the probe or hand