Lecture 2 - Indication & Contraindication Flashcards
Less invasive US guided procedures have resulted in (2)
Less surgical procedures
Reduced morbidity and mortality
Indication
A symptom that suggests certain medical intervention is necessary
Contraindication definition
Situation where a drug / procedure / surgery would be more harmful to the pt than beneficial
Contraindications to biopsy examples (5)
Allergy to drugs High bleed risk Unable to visualize Pt is nervous / unable to hold still Target near major blood vessel
Indications for drainage (3)
Reduce complications
Decrease fluid accumulation
Find out composition of fluid
Contraindications of drainage (percutaneus) (3)
Poor visibility of target of interest
High risk bleed
Allergy to drugs
Biopsy indications (3)
Questioning condition of target
New symptoms that cannot be diagnosed otherwise
New focal lesions
Ablation/ brachytherapy indications (2)
Less invasive procedure to reduce complications / increase comfort
More direct delivery method of tx vs systemic delivery of tx
Ablation / brachytherapy contraindications (3)
Poor visibility
High risk bleeding
Allergy to drug
Indications for Sonohystrrography (3)
Submucosal fibroid
Pol
Endometrial mass
CT enhanced US indication (3)
Vascularity of lesion during arterial/ portal venous phase to diagnose nature of lesion
Identify the border of lesion
Focal delivery of medication
Contraindications to Sonohystrrography / CEUS (4)
Cervix shut tight/ no access to endo canal
Pregnancy
Poor visibility of target lesion
Pt nervous/ cannot sit still
Stages of minimally invasive procedure
Pre-procedure
Intra-procedure
Post-procedure
Tylenol - what, other name, risk, contraindications
Pain relief
Acetaminophen
Overdose = liver damage/ death
Do. It take if had alcoholic liver disease
Aspirin - other name, effects, risks
Acetylsalicylic acid
Analgesic (pain relief), anti-inflammatory, blood thinner
Thus stop taking aspirin a few days prior to procedure
