Hysteroscopy

Question 1

Normal Intrauterine pressure for hysteroscopy?

Answer 1

80 mm hg

Question 2

Excessive absorption of normal saline can cause:

Answer 2

(is not associated with hyponatremia)

It can cause volume overload, right-sided heart failure, pulmonary edema, and death

Question 3

For normal saline, the maximum allowed fluid deficit is:

Answer 3

2,500mL for healthy patients

750mL for those with cardiovascular disease

Question 4

Treatment of symptomatic hyponatremia requires:

Answer 4

1) infusion of 3% (hypertonic) sodium chloride (0.5-2mL/kg/hr)
2) management by a multidisciplinary team (including a specialist in intensive care).

Question 5

Fluid overload from normal saline can be managed by:

Answer 5

1) fluid restriction

2) IV furosemide (20-40mg) is indicated if there is clinical or radiological evidence of pulmonary edema.

Question 6

Diameter of a) myosure b) myosure XL scopes?

Answer 6

a) 6mm

b) 7mm

Question 7

Air embolism treatment?

Answer 7

Place on left side at 30 degree angle. Pt may have “mill wheel murmur”. Call cardiologist to extract air bubble from left ventricle.

Question 8

Contraindications to hysteroscopy?

Answer 8

1- IUP
2- Cervical/Endometrial CA
3- Active genital infection