Prenatal Positioning Flashcards

1
Q

Radiologic investigation of the nonpregnant uterus, accessory organs, and vagina are denoted by the terms hysterosalpingography, pelvic pneumography, and vaginography.

A

PRENATAL RADIOGRAPHY

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2
Q

The procedure is performed to determine the size, shape, and position of the uterus and uterine tubes;

A

Hysterosalpingography

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3
Q

to investigate the patency of the uterine tubes in patients who have been unable to conceive.

A

Hysterosalpingography

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4
Q

to delineate lesions such as polyps, submucous tumor masses, or fistulous tracts;

A

Hysterosalpingography

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5
Q

involves the introduction of a radiopaque contrast medium through a uterine cannula.

A

Hysterosalpingography

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6
Q

which requires the introduction of a gaseous contrast medium directly into the peritoneal cavity

A

*Pelvic pneumography

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7
Q

rarely performed because of the development of ultrasonic techniques for evaluating the pelvic cavity.

A

Pelvic pneumography

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8
Q

*is performed to investigate congenital abnormalities, vaginal fistulae, and other pathologic conditions involving the vagina.

A

Vaginography

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9
Q

*media are used in examinations of the female genital passages.

A

Various opaque media

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10
Q

The water-soluble contrast media employed for intravenous urography are widely used for

A

hysterosalpingography and vaginography.

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11
Q

performed by a physician with spot radiographs made while the patient is in the supine position on a fluoroscopic table

A

Hysterosalpingography

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12
Q

Contrast examination of uterine cavity was 1st performed by

A

Rindifleisch (1910)

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13
Q

It must not be performed during the week before or after menstruation, when the endometrium is either engorged or denuded.

A

HysteroSalpingography

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14
Q

It is best carried out mid-cycle, when the possibility of irradiating an unrecognized pregnancy is minimal
• between the 4th and 10th day in a patient with regular 28 days cycle.

A

Hystero-Salpingography

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15
Q

Examination of the non-gravid/pregnant patient of the uterus and uterine tubes, following injection of CM.

A

Hystero-Salpingography

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16
Q

•Employed in the investigation of infertility

A

Hystero-Salpingography

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17
Q

•Hystero Salpingography Preparation?

A

•Should abstain from intercourse between booking the appointment and time of the examination unless she uses methods of contraception.
•NPO and micturate immediately before the examination

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18
Q

Hystero Salpingography position

A

AP
Lithotomy

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19
Q

Hystero salpingography technique

A

Light cold speculum is used, the anterior lip of the cervix is gripped by vulsellum forceps.

20
Q

Hystero Salpingography device use to easy access to see inside of the body

A

Speculum

21
Q

Pelvimetry

A

measure relative sizes of the maternal pelvis

22
Q

Cephalometry

A

measures fetal head

23
Q

The obstetrician needs to know the shape of the sacrum and the exact measurements of the true conjugate and pelvic outlet.

A

Pelvimetry and Cephalometry

24
Q

is the distance between the upper inner border of the symphysis pubis and the sacral promontory.

A

True conjugate

25
Q

distance between the lower inner border of the symphysis pubis and the tip of the sacrum.

A

Pelvic outlet-

26
Q

Device consists of a metal ruler perforated at centimeter intervals and mounted on a small stand in such a way that it is always parallel with the plane of the film.

A

Colcher Sussman Method

27
Q

The ruler can be rotated in complete circle and can be adjusted for height.

A

Colcher Sussman Method

28
Q

Colcher Sussman Method position

A

AP ( supine)

29
Q

Is the localization of the placental site and is usually undertaken in an attempt to demonstrate placenta previa.
• Ultrasound is the choice for this examination
• Must be used in in selected cases only

A

Placentography

30
Q

External bleeding without pain in pelvis

A

Placenta previa

31
Q

The uterine-wall, placenta, and amniotic fluid are of the same radiographic density but the placental site is distinguishable.
• Most reliable near full term

A

Soft Tissue Placentography

32
Q

The physician inserts only the tip of the catheter into the vaginal orifice or by inflated balloon.
• The barium mixture or iodinated contrast is introduced with the syringe.

A

Vaginography

33
Q

Vaginography position

A

Preliminary film AP
• Both Obliques
• Lateral
• CR vertical at the level of the upper of the pubic symphysis.

34
Q

Patient is placed in Lithotomy position on the table.
• Foleys catheter is inserted into the vaginal and its 30 mI balloon is distended with air which fit into lower part of vagina.

A

Vaginography

35
Q

Performed by introducing a CM into the vaginal canal,20-30 ml of thin barium sulphate or water soluble, for the investigation of fistulous communications with the intestine.

A

Vaginography

36
Q

After the examination patient is instructed to expel the
CM and the canal is then cleaned by vaginal irrigation.

A

Vaginography

37
Q

Is used in the investigation of congenital malformations and such pathologic conditions such as: 1) vesicovaginal; 2) enterovaginal fistulas and 3) diverticula

A

Vaginography

38
Q

Vaginography Technique

A

Patient should empty her bladder immediately prior to the investigation.

39
Q

•The measurement of the maternal pelvis are usually investigated in the 3rd trimester.

A

Pelvic Outlet Superoinferior Projection-Chassard Lapine Method

40
Q

To disclose any displacement of the fetus.
• Normally the head of the fetus is in the midsagital and midcoronal planes of the pelvic inlet when the fetus is in cephalic presentation and the mother is standing.

A

Ball Method
AP Position

41
Q

No special apparatus or accessories in exposing the films.
• Consists of two projections AP and Lateral

A

Ball Method

42
Q

In ball method why Patient in the erect position.

A

• To utilize the effect of gravity upon the fetus.

43
Q

Lateral position in Colcher Sussman Method cr

A

CR perpendicular most prominent point of the greater trochanter.

44
Q

Lateral position in Colcher Sussman Method position of the ruler

A

Turn the ruler lengthwise, and adjust its height to coincide with the MSP
• Ruler within the upper part of the gluteal fold and against the midsacrum.

45
Q

•CR horizontally directed to superior margin of the symphysis pubis

A

Ball method