Indication/contradictions

Question 1

3 stages of minimally invasive procedures?

Answer 1

1. pre-procedure
2. intra-procedure
3. post- procedure

Question 2

what has rapidly become the modality of choice for the guidence of some interventional therapeutic and diagnostic procedures?

Answer 2

Ultrasound

Question 3

less invasive ultrasound guided interventional procedures have resulted in what?

Answer 3

• reduced numbers of surgical procedures
• providing more responsive delivery of treatment
• reduced patient mortality and morbidity

Question 4

what is an indication?

Answer 4

• a symptom that suggests certain medical intervention is necessary

Question 5

what is a contraindication?

Answer 5

specific situation in which a drug, procedure or surgery should not be used because it may be harmful to the patient

Question 6

examples of ultrasound-guided biopsy? (9)

Answer 6

• liver
• renal
• extravisceral abdominal mass
• chest mass
• breast
• fine-needle aspiration biopsy of thyroid nodule
• superficial lymph node
• transvaginal
• transrectal

Question 7

indications for ultrasound-guided biopsy? (3)

Answer 7

• questioning the condition of an organ/gland
• new symptoms that cannot be diagnosed with other tests
• new focal lesions/lesion

Question 8

contraindications of ultrasound-guided biopsy? (5)

Answer 8

• Target is near a major blood vessel/bowel
• Patient is very nervous/ ill and unable to hold still
• Unable to visualize target of interest
• High risk of bleeding
• Allergy to drugs used during procedure when needed

Question 9

11 ultrasound-guided access and drainage?

Answer 9

• percutaneous nephrostomy
• percutaneous transhepatic biliary drainage
• percutaneous cholecystostomy
• percutaneous suprapubic cystostomy
• percutaneous drainage of fluid collection
• abdominal paracentesis
• thoracentesis
• venous access
• needle localization of breast mass

Question 10

indications for ultrasound-guided access and drainage? (3)

Answer 10

• Less invasive procedure to reduce complications/ increase patient comfort
• Increased pressure from fluid accumulation causing discomfort
• Find out the composition of fluid /genetic diagnosis of fetus

Question 11

contraindications of ultrasound- guided access and drainage?

Answer 11

• Poor visibility of target of interest
• High risk of bleeding
• Allergy to drugs used during procedure when needed

Question 12

ultrasound-guided percutaneous therapy examples (5)

Answer 12

• thermal ablation of liver lesions
• thermal ablation of renal lesions
• direct percutaneous sclerosis of vascular malformations
• management of postcatherization of pseudoaneurysm
• transperineal radioactive seen implantation

Question 13

indications of ultra-guided percutaneous therepy (2)?

Answer 13

• Less invasive procedure to reduce complications/ increase patient comfort
• A more direct delivery method of treatment vs systemic delivery of treatment

Question 14

contraindications of ultrasound-guided percutaneous therapy? (3)

Answer 14

• poor visability of target of intrest
• high risk of bleeding
• allergy to grugs used during the procedure

Question 15

sonohysterography indication?

Answer 15

• fibroid
• pol
• endometrial mass

Question 16

contrast-enhanced ultrasound indications?

Answer 16

• Vascularity of lesion during arterial/portal venous phase to diagnose nature of lesion
• Identify the boarder of lesion
• Focal delivery of medication

Question 17

contraindications of sonohysterography and contrast-enhanced ultrasound (4)?

Answer 17

• Cervix is shut tight and does not have access to endometrial canal
• Pregnancy
• Poor visibility of target of interest
• Patient is very nervous/ ill and unable to hold still

Question 18

what is acetylsalicylic acid?

Answer 18

• medication to reduce pain, fever, or inflammation

aka: 2-acetoxybenzoic acid; acetylsalicylate; acetylsalicylic acid; o-acetylsalicylic acid