Abnormal Pelvis Pt. 2 Flashcards
ParaGard IUD demonstrates what sonographic appearance?
2 parallel hyperechoic linear echoes w/ PAS
strings can be visualized (fishing line)
Mirena IUD demonstrates what sonographic appearance?
hypoechoic or mildly echogenic stem with thin echogenic T-arms
strings can be visualized (fishing line)
Lippies Loops IUD demonstrates what sonographic appearance?
multiple echogenic dots within endo canal
How does endomyometritis appear sonographically?
endo is thick and irregular
uterus may be enlarged and inhomogenous
hypervascular endo and myo may be evident
The risk of pregnancy with an IUD in place is highest in ________.
the first year after insertion
What’s the most noted complication in a pregnancy w/ an IUD?
ectopic pregnancy
What are complications of an IUD?
perforation (into peritoneum or myometrium) expulsion migration PID ectopic pregnancy IUP infection
When does expulsion of an IUD happen?
usually within the first year, most commonly in first few months of insertion
more likely after childbirth, previous expulsion, nulliparity or severe menorrhagia
Infection with an IUD can result in?
endomyometritis, pyosalpinx, and tuboovarian abscess
Ectopic pregnancy with an IUD most often occurs?
ampulla portion of fallopian tube (treated with methotrexate)
What do you write on your technical impression when the IUD is in the right spot?
IUD is in-situ
What do you write on your technical impression when the IUD is in the wrong spot?
IUD is not in-situ, IUD seen in ____
Unilateral PID may result from:
Bilateral PID may result from:
uni- direct extension of primary lower abdominal/pelvic abscess or complications w/ abortion or childbirth
bi- IUD or STD
Acute salpingitis sonographic appearance:
nodular thickening + diverticula of ftubes
anechoic or echogenic fluid in PCDS
uterine enlargement
hyperemia
Chronic salpingitis sonographic appearance:
tubal scarring,(cystic structures from uterus to adnexa)
hydrosalpinx
string of pearls
