Imaging in O+G Flashcards
what kind of imaging is a hysterosalpingogram?
x-ray screening fluoroscopy
when should you image someone in O+G?
post-menopausal bleeding pelvic pain pelvic masses abnormal menstrual bleeding infertility IR pregnancy
patients with infertility will get what kind of imaging other than gynae?
MRI pituitary
what is higher frequency: transabdominal or transvaginal USS?
transvaginal
why do you do a brief abdo exam in transabdominal USS?
ensure no hydronephrosis
detect early ascites
check for no upper abdo pathology
why does the patient need a full bladder for transabdo USS?
acts as an acoustic window
displaces gas filled bowel loops which affect image quality
transvaginal USS requires a full/empty bladder
empty
how should you perform USS of a woman with gynaecological problems?
- transabdo USS
2. transvaginal USS
acute abdo pain Ix
- USS
2. CT
when is CT used in gynae?
staging of gynae malignancy (ovarian/endometrial)
post surgical complications
what imaging is used to stage cervical cancer?
MRI
imaging Ix of endometriosis?
MRI
what imaging is good for dermoid cysts (ovarian teratomas) and why?
MRI
quite fatty which doesnt show up on USS
what does an HSG do?
assesses tubal patency in patients with infertility
ovarian cancer disseminates by ____ spread
peritoneal
