dg procedures for acute abdomen Flashcards
understand imaging diagnostics for acute ab in gynae
1
Q
what is the imaging procedure of choice in acute ab in gynae
A
Transvaginal US (TVS)
2
Q
imaging for ectopic pregnancy
A
immediate TVS
- NORMAL= true sac w/ doublenechogeninc (double decidual ring sign)
- ECTOPIC = pseudo sac w/ single echogenic ring
beta hCG
*
3
Q
what is a heterotropic pregnancy
A
intratuterine pregnancy combined with an ectopic pregnancy
rare occurs with ART
4
Q
imaging for PID
A
early PID changes can’t be seen on US
only later changes e.g.
- pyosalpinx
- tubo-ovarian abscess
- pelvic abscess
5
Q
tuboovarian abscess on U.S
A
6
Q
pelvic abscess on U.S
A
7
Q
which other Gynae acuta ab conditions are US sensitive
A
- Hemorrhagic Ovarian Cyst
- Ovaruan torsion
- Uterine Fibroids
8
Q
Hemorrhagic Ovarian Cyst on TVS
A
9
Q
Adnexal torsion on TVS
A
10
Q
Ovarian torsion on TVS
A
11
Q
Ruptured Ovarian Cyat on TVS
A
12
Q
Pedunculated Fibroid on TVS
A
13
Q
Degenerating Fibroid on TVS
A
14
Q
Endometrioma TVS
A
15
Q
how often is diagnostic laparoscopy used in acute abdomen
A
very rarely, ct and mri is usually sufficient
