C2: Sonography Of Female Pelvis

Question 1

List four reasons for a full bladder?

Answer 1

Flattened out the uterus
Pushes bowel out of the way
Creates a window to see the pelvis anatomy
Indicates the mobility of the pelvis

Question 2

What is gravity?

Answer 2

The number of times a women had been pregnant (including if she is currently pregnant)

Question 3

What is parity?

Answer 3

The number of term pregnancies or live births a women has had

Question 4

What it nulliparous?

Answer 4

A women who has never been pregnant

Question 5

What does Parous mean?

Answer 5

Women who is currently pregnant

Question 6

What is prima gravida

Answer 6

Means first pregnancy

Question 7

What plane should you start your pelvic scan in?

Answer 7

Sagittal

Question 8

What is the easiest way to visualize ovaries (and other pelvis organs)?

Answer 8

Contralateral scanning in order to avoid the linea alba

Question 9

What are the advantages of an EV scan?

Answer 9

Higher frequency
Better resolution
Empty bladder
Larger images

Question 10

What are the limitations of an EV?

Answer 10

Pathology can be missed (outside of field of view)

Bladder must be empty

Question 11

When do you use an EV scan?

Answer 11

Ectopic pregnancy
Early pregnancy/early failed pregnancy
Ovarian detail
Endometrium (thicker when not compressed by bladder)

Question 12

When do you use Transvesicular scanning?

Answer 12

Assessing free fluid with ectopic pregnancy
Large masses
If ovaries are high in the pelvis
Relational anatomy

Question 13

What are contraindications to EV

Answer 13

Effected or dilated Cx
Young patient
Infection (herpes)
Atrophic anatomy

Question 14

Is the cervix included in the measurement of the uterus?

Answer 14

Yes

Question 15

In which plane should you do the AP measurement?

Answer 15

Sagittal

Question 16

In which endometrial phase do you not see the endometrial canal?

Answer 16

Secretory phase

Question 17

What are the 5 reasons do to a pelvic ultrasound?

Answer 17

Pelvic pain
Dysfunctional bleeding
IUCD placement
Mass felt on physical exam
Pregnancy

Question 18

Where does the patients empty bladder appear on an EV scan?

Answer 18

left hand corner of the image

Question 19

What are some examples of pathology/variants you would document for a pelvis exam?

Answer 19

Fibroids
IUCD
Free fluid
Cysts
Masses