Hysterosalpingogram Test
What does "the onset of menses" mean?
1st day of period
How much contrast media is drawn up for a hysterosalpingogram?
20 cc
The exam should be performed on the _____ to _____ day from the onset of menses.
7, 10
How is the device held into place at the cervix to prevent reflux?
Balloon tip catheter
What is another name for the neck of the uterus?
Cervix
Once an ovum enters the Fallopian tube, by what mechanism does it travel toward the uterine cavity?
Cilia or peristalsis
What contrast media is used for a hysterosalpingogram?
Conray 60
Stress incontinence usually occurs and is noticed during what types of activities?
Coughing, sneezing, straining
What is the name of the lining of the uterus?
Endometrium
Define:Kegel exercises
Exercises that help strengthen the muscles surrounding the urethra to help with the looseness that allows for incontinence
Name the series of irregularly pronged processes at the end of each Fallopian tube.
Fimbriae
Define: rectocele
Herniation of the rectum anteriorly
How are the Fallopian tubes connect to each ovary?
Indirectly, the fimbriae kind of brush against the ovary, but are not attached.
Other than iodine allergy, what is 1 instance whereby the exam would not be done? (Contraindication)
It they are still spotting
Name 3 methods to correct stress incontinence
Kegel exercises Drug therapy Surgical correction
What type of overheads are for for Dr. Lutz?
None
When considering patient history, name 2 factors which may predispose a woman to suffer from stress incontinence
Old age, multiparity
What lab test must all hystero patients undergo prior to having a hysterosalpingogram?
Serum Pregnancy Test
Name 1 normal side effect that might occur during/following a hysterosalpingogram.
Spotting
As discussed in class, what is the name of the common condition that a chain cystouretherogram was used to evaluate? (Be specific)
Stress incontinence
What is the primary function of a hysterosalpingogram?
Test patency of the fallopian tubes
Where in the reproductive system does fertilization usually take place?
The outer part of the tube
What does the radiologist watch for under fluoro that would indicate tube patency?
The spilling out of contrast, and also the blockages in the tubes that prevents the spilling out
Why?
They could risk infection due to old blood being flushed back into the body
What is the primary function of the uterus?
To house the fertilized egg as it matures for roughly 9 months
What told does the chain play in the procedure? (Why is chained used?)
To show the angle of the urethra, it allows the urethra to remain visible through the whole ecam
Define: cystocele
herniation of the bladder posteriorly
Why?(3 reasons)
-menstruation should be stopped (if not could cause infection) - endometrium is least congested - few days before ovulation (less chance of pregnancy)