Lesson 2.3 - Rectum, Sigmoid, Pelvic Musc, Perineum Flashcards
rectum location
posterior to vagina, cervix, part of uterus (fundus)
t/f rectum can be visualized on transabdo and transvag US
true
sigmoid location
begins fundus of uterus
posterior pelvic muscle
iliopsoas
inferior pelvic (floor) muscles (3)
levator ani + coccygeus
lateral pelvic muscles (2)
obturator internus
piriformis
what pelvic muscle gets confused with ovaries on US
piriformis
of obturator internus and piriformis which is more posterior
piriformis
muscle appearance
moderate echogenicity with echogenic striations
muscles get confused with what on US
ovaries
masses
perineum borders
ant: pubic symphysis
post: coccyx
lateral: ischial tuberosity
term for how many pregnancies
gravida
parity
live births or pregnancies over 20-24 weeks
abortions
miscarriages <20 weeks
indications for pelvic US (9)
abnormal bleeding pain menstrual cramps painful sex infertility pelvic pressure mass felt IUCD check position infection
painful sex
dyspareunia
menstrual cramps
dysmenorrhea
limitations of transabdo (5)
limited ability to hold bladder
obese pts
retroverted uterus (beyond focal zone of transducer)
not good for adnexal masses
full bladder for
transabdo
transvag advantage
high resolution
when would you not do a transvag (5)
refused
mental issues not fully able to consent
virgin
under age of consent
transvag disadvantage
limited field of view
TVP cleaning protocol soak for how long
12 minutes
