Week 6: gender imaging

Question 1

what is a nulliparous women/ how does uterus differ

Answer 1

Nulliparous is women who has not given birth, or been pregnant more then 20 weeks

uterus will be inverted pear shaped, and more narrow
ovary on lateral wall

(primiparous has given birth)

Question 2

What is a hysterosalpinogrpahy

Answer 2

examines uterus and fallopian tubes

Question 3

Why is HSG used (indications?)

Answer 3

to diagnose why infertile
investigate miscarriage

can also be used therapeutically to un block/ improve potency of fallopian tubes (dilating narrowed tubes)

Question 4

Type of contrast used in HSG

Answer 4

• water soluble
  (can be quickly absorbed, shows mucosal patterns)
• 2mls uterus
• 4mls fallopian tubes

Question 5

why do we want to see contrast leaked into peritoneal cavity

Answer 5

if no spillage of contrast from fallopian tube into peritoneal cavity= blockage in tube

Question 6

how is male urethra imaged

Answer 6

using retrograde urography (and finally CVUG)

(contrast injected up wizzer) using foley catheter

• retrograde urography will best demonstrate anterior (penile part of urethra) urethra. posterior will be seen if patient voids

Question 7

Voiding cystourethrogram

Answer 7

contrast injected directly into bladder via urether.

patient will piss and we image.

Shows posterior (prostatic and membranous part of urethra) urethra.

(all contrast is water soluble)

Question 8

contradictions for hsg

Answer 8

pregnancy
previous reaction
PID’s

Question 9

why is contrast warm

Answer 9

speed

decrease strictures possibility from spasm