specials hysteosalpingograph Flashcards
Why?(9)
\_\_\_\_ assessment- most common Habitual \_\_\_ Abnormal \_\_\_ bleeding Absence of \_\_\_ Suspected block of \_\_\_\_ tubes I'd intrauterine and pelvic \_\_\_ \_\_\_ Congenital \_\_ \_\_\_pain
Infertility assessment- most common Habitual abortion Abnormal uterine bleeding Absence of menses Suspected block of Fallopian tubes I'd intrauterine and pelvic masses Fistula Congenital abnormalities Pelvic pain
Hysteosalpingograph
Exam of ____ reproductive system
Exam of female reproductive system
Therapeutic indications(3)
Restore —– patency by opening blocked tubes- by injecting dye
Dilate narrow ___
Straighten kinked ___
Restore Fallopian patency by opening blocked tubes- by injecting dye
Dilate narrow tubes
Straighten kinked tubes
Why not?(3)
Acute ____inflammation
Active ____ bleeding
Woman is ____
Acute pelvic inflammation
Active uterine bleeding
Pregnancy
Pre procedural care
Procedure should be ___days following onset of period
Bowel cleansed with non gas forming _____ the night before exam
Cleansing _____ the morning before exam
______ emptied just before procedure
____ irrigated and ____ area cleansed
Procedure explained and ____ signed
____ administered pre procedure to reduce pain
_____ may be given for apprehensive patients
Procedure should be 10 days following onset of period
Bowel cleansed with non gas forming cathartic the night before exam
Cleansing enemas the morning before exam
Bladder emptied just before procedure
Vagina irrigated and perineal area cleansed
Procedure explained and informed consent signed
Glucagon administered pre procedure to reduce pain
Sedative may be given for apprehensive patients
Contrast media
Water solvable iodide - _____
Iodized oil - ______- most common
Water solvable iodide - sinografin
Iodized oil - lipoidol-
Water soluble iodide- sinografin
Quickly absorbed - approx ____ hour
Radiopacity moderate
Demonstrates ____ pattern well
No possibility of _____ formation
Quickly absorbed - approx one hour
Radiopacity moderate
Demonstrates mucosal pattern well
No possibility of embolic formation
Iodized oil - lipoidol
Good radiopacity
Slowly absorbed - takes several ____
May enter blood or lymphatic vessel- causing oily pulmonary ____
Good radiopacity
Slowly absorbed - takes several months
May enter blood or lymphatic vessel- causing oily pulmonary embolic
Amount of contrast media-
____ml needed to fill the uterine cavity and additional ___ml is required to fill the Fallopian tubes and produce the spill
.Amount of contrast media- 5 ml needed to fill the uterine cavity and additional 5 ml is required to fill the Fallopian tubes and produce the spill
Complications(3)
Hemorrhage
Spread of a pre- existing infection
Peritonitis
Films (3)
Ap
Lpo
Rpo
Equipment(19
R and f room with table tilts 10x12 cassettes Sterile tray: Sterile disposable tray Sterile drapes Gloves Lubricating jelly Vaginal speculum Sterile gauze sponge, cotton balls Swab stick Antiseptic solution Extension tubing Sponge holding forceps 10 ml syringe 16/18 gauge needle Contrast media Stool and floor lamp Cannula or ballon catheter- tube inserted into cervix to inject contrast media it is dilated or blocked to prevent leakage of the contrast media during injection
Tenaculum- instrument with hook like end for gathering and holding tissues and structures in place
Positioning and filming
Scout films- taken before the injection - overhead or fluroscope
Post injection film- conventional overheads radiographs , spot films or digital images
Ap radiograph- cr directed approx ____inches superior to _____
After overheads- additional images may be taken to document spillage of contrast into _____
Scout films- taken before the injection - overhead or fluroscope
Post injection film- conventional overheads radiographs , spot films or digital images
Ap radiograph- cr directed approx 2 inches superior to pubic symphasis
After overheads- additional images may be taken to document spillage of contrast into peritoneum
Post procedural care
Some patients may experience ____during and after the procedure; patients need to lie down until the pain subsides
Some patients may experience pain during and after the procedure; patients need to lie down until the pain subsides
Radiographic findings(5)
Congenital abnormalities - single ____ tube
____ of Fallopian tube
____ of the Fallopian tube because of partial obstruction
____ adhesions
Fibroid ___or polyps
Congenital abnormalities - single Fallopian tube
Diverticula of Fallopian tube
Dilation of the Fallopian tube because of partial obstruction
Peritubal adhesions
Fibroid tumors or polyps
