Lecture 15: imaging the male and female pelvis

Question 1

Behind the uterus is what?

Answer 1

The pouch of Douglas

Question 2

what is necessary to US the uterus?

Answer 2

the bladder must be full to push the intestines up and out of the way

Question 3

what percentage of women have a retroverted uterus? clinical importance?

Answer 3

10%

can lead to issues with IUD placement and perforations of the uterine wall

Question 4

Water in the pouch of Douglas indicates?

Answer 4

physiological: after ovulation, back flow from menstruation
disease: inflammation or ectopic pregnancy (due to new blood supply being established)

Question 5

Polycystic ovarian syndrome appearance on US?

Answer 5

looks like a ‘string of pearls’

eggs are matured but never released

Question 6

Test to see if F tube is open or blocked?

Answer 6

Insert dye into the uterine cavity and spillage out the end by the ovary indicates that it is open. This opening is out to the abdominal cavity.

Question 7

Plain film use for male pelvis?

Answer 7

pretty shit aye

Question 8

Excluding testicular torsion?

Answer 8

important as there is a small window where b the testes can be saved. Done by using US and checking blood flow. If there is blood flow it is likely to be epididymitis or appendix torsion.

Question 9

What is epididymitis?

appearance on US?

Answer 9

inflammation of the epididymis caused by UTI or STI in adults and streptococcus or E. Coli in children.
May be swelled and will have increased blood flow

Question 10

Prostate imaging methods?

Answer 10

trans-abdo
trans-rectal
MRI (multi-parametric)