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)