Hysertosalpinography

Where is the CR centered for radiographic projections taken during an HSG using a 10x12 image receptor?

2 inches superior to the symphysis pubis

Arches over the bilateral ovaries

Ampulla

What terms are an aspect of the uterine tube?

Ampulla, Isthmus, and Infundibulum

The most common indications for HSG is __________. The procedure is performed to diagnose any _________ or _______defects.

Assessment of female infertility, functional or structural

The distal aspect of the uterus extending to the vagina is the____

Cervix

What is The distal cylindrical portion that projects into the vagina

Cervix

The largest division of the uterus is the ____.

Corpus

What is the larger central component of the uterine tissue?

Corpus

In addition of Infertility Assessment, what are two other clinical indications for HSG?

Demonstrate intrauterine pathology, Evaluation of uterine tubes after a tubal ligation or reconstructive surgery

Three common types of lesions that can be demonstrated during a hysterosalpingogram

Endometrial Polyps, Uterine Fibroids, Intrauterine adhesions

The three layers of tissue that form the uterus (from the innermost to the outermost layer):

Endometrium, Myometrium, Serosa

The rounded, superior portion of the uterus is called the

Fundus

The uterus is subdivided into

Fundus, Corpus, Isthmus, Cervic

List the four divisions of the uterus

Fundus, Corpus, Isthmus, Cervix

The most common pathologic indication for the Hysterosalpingogram (HSG) is

Infertility assessment

_____ is the most distal end contains finger-like extensions termed ______.

Infundibulum, Fimbriae

A tenaculum is an

Instrument with an instrument with a hooked clamp for gathering and holding tissues and structures in place

The narrow, constricted segment, often described as the lower uterine segment that joins the cervix at the ____ is called the ______.

Internal Os, Isthmus

The proximal portion of the tube communicates with the uterine cavity

Interstitial Segment

What is the constricted portion of the tube

Isthmus

In addition to the supine postion, what two other positions may be imaged to adequately visualize pertinent anatomy for an HSG?

LPO, RPO

In the past, ______ contrast media that allowed for maximal visualization of uterine structures was used. However, it has a ......

Oil-based, Very slow absorption rate and persists in the body cavities for an extended time.

What terms is used to describe the "Degree of openness" of the uterine tube?

Patency

How is the patient positioned for an HSG?

Patient lies supine on the table in the lithotomy position

Evaluation Criteria

Pelvic ring seen on AP, Cannula or balloon catheter seen within cervix, Opacified uterine cavity and uterine tubes, Contrast media is seen within the peritoneum if one or both uterine tubes are patent, R or L marker seen

_________ is a contraindication for HSG.

Pregnancy

The uterus is situated between the ____ posteriorly and the ___ anteriorly.

Rectosigmoid Colon, Bladder

To help facilitate the flow of contrast media into the uterine cavity, which position is the patient placed into following the injection of the contrast media?

Slight Trendelenburg

What device may be need to aid the insertion and fixation of the cannula or catheter during the hysterosapingogram?

Tenaculum

TF: Fertilization of the ovum occurs in the uterine tube.

True

TF: The distal portion of the uterine tube opens into the peritoneal cavity.

True

The female reproductive organs are located within the...

True Pelvis

This radiographic procedure best demonstrates the _______ and _______ of the uterine tubes

Uterine cavity, Patency (degree of openness)

What is the central organ of the female pelvis. It is a pear-shaped, hollow, muscular organ that is bordered posteriorly by the rectosigmoid colon and anteriorly by the urinary bladder?

Uterus

The hysterosalpingogram is a radiographic study of the ____ and the ___.

Uterus, Uterine (Fallopian) tubes

Anatomic considerations for HSG include the principal organs of the female reproductive system:

Vagina, Uterus, Uterine Tubes, and Ovaries

__________ contrast media is preferred because.....

Water-soluble iodinated, Absorbed easily by the patient, does not leave a residue within the reproductive tract

The contrast medium preferred by most radiologists for a hysterosalpingogram is

Water-soluble, iodinated