Class 2: TA & TV Scanning Flashcards
what can we see for OB/GYN U/S?
uterus
ovaries
fallopian tubes (if dilated)
vagina
gravid uterus
exam set up
- introduce yourself
- confirm patient ID
- ask reason for exam
- explain procedure & duration
- record pt hx on report
patient prep & history
- LMP
- gravidity & parity
- hormone regimen
- symptoms
- family hx of cancer
- past pelvic surgeries
- lab tests, previous pap or biopsy results
- pelvic exam findings
patient prep for TA pelvic exam
32 oz water 1 hour prior to exam
postmenopausal women: 24 oz water
6 reasons for bladder filling
- pushes bladder superiorly
- pushes bowel gas out of view
- acoustic window for UT & adnexa
- anatomic landmark
- provides assessment for mass mobility
- provides for mass echogenicity comparison
patient prep for transvaginal pelvic exam
- empty bladder
- disrobe from waist down
- elevate hips if not on GYN table
- lithotomy position
advantages of TV pelvic exam?
- better resolution
- measure & analyze smaller structures
- no bladder filling
disadvantages of TV exam?
- invasive
- smaller & more limited field of view
TV orientation in SAG?
top of screen: inferior
bottom of screen: superior
left of screen: anterior
right of screen: posterior
TV orientation in TRV?
top of screen: inferior
bottom of screen: superior
left of screen: right of patient
right of screen: left of patient
for an anteverted uterus in a TV U/S SAG, where on the screen can the fundus and cx be found?
fundus will be on the left side of the screen (anterior)
cx will be on the right side of the screen (posterior)
patient prep for OB exam before week 15
32 oz water 1 hour prior to exam
patient prep for OB exam after week 15
16 oz water 1 hour prior to exam
what is a transperineal/translabial scan?
scanning between the labia and perineum
what position should patient be in for transperineal exam?
lithotomy position
