B8-011 Female Genitourinary Imaging Flashcards
most appropriate first study for premenopausal vaginal bleeding
US pelvis
which structure forms the posterior boundary of the posterior cul-de-sac of the pelvis?
rectum
what are the labelled structures?
red: fundus
yellow: body
green: cervix
blue: vagina
is this a transvaginal or transabdominal US?
transvaginal
is this a transvaginal or transabdominal US?
transabdominal
does a transvaginal or transabdominal US provide a higher level of detail?
trasnvaginal
evaluates the patency of the fallopian tubes
hysterosalpingography
primary use for hysterosalpingography
infertility
most appropriate imaging study for a patient with suspicion of tubal occlusion, PID, or pelvic surgery
HSG
what is the diagnosis?
hydrosalpinges
due to bilateral fallopian tube obstruction
normal HSG
most appropriate imaging study for a clinically suspected mass in a postmenopausal female
US pelvis
what are the labelled structures?
red: ovaries
yellow: broad ligament
what are the labelled structures?
blue: myometrium
red: endometrium
what is this US depicting?
uterin polyp
(thickening of endometrium, no clear endometrial line as in normal US)
what are these images depicting?
uterine fibroids
what are these images depicting?
masses in the ovaries
reliable, second-line problem solving imaging modality after ultrasound
MRI
best general purpose study to order in female patient with suspected gynecologic pathology
US
[…] plays a limited role in female pelvic imaging
CT
[…] uterus has the strongest association with renal agenesis
unicornuate
normal formation of the uterus requires complete fusion of the […] and complete regression of the […]
Mullerian ducts
septum
[…] abnormalities can lead to increased risk of pregnancy loss or uterine rupture
Mullerian duct
tumor marker for ovarian cancer
CA-125
leading cause of death from gynecologic cancer
ovarian cancer
why do most patients with ovarian cancer present at a metastatic stage?
symptoms are vague
diagnosis of ovarian cancer is done via [2]
US
MRI
staging of ovarian cancer is done via
CT
the HSG in a patient with Mullerian duct anomalies will be
normal
incomplete resorption of septum
common anomaly
septate uterus
incomplete fusion of Mullerian ducts
bicornate uterus
complete failure of fusion of Mullerian ducts causing double uterus, cervix, and vagina
didelphys
what primary tumor is most likely to metastasize to the ovary?
gastric
gastric cancer produces as characteristic drop metastasis to the ovary known as […] tumor
krukenberg
most commonly reported renal anomaly associated with MDAs?
renal agenesis
most common MDA
arcuate uterus
which MDA is associated with the worst obstetrical outcomes?
septate uterus
[…]% of patients with ovarian cancer already have metastatic disease at the time of presentation
75
CA 125 tumor marker is associated with
ovarian cancer
malignant ovarian tumors most commonly arise from
epithelium
defects in septal resorption result in which MDAs? [2]
septate and arcuate uterus
