hysterosalpingography
list the three common types of lesions that can be demonstrated during a hysterosalpingogram
1. endometrial polyps 2. uterine fibroids 3. intrauterine adhesions
per bontrager, where is the CR centered for radiographic projections taken during an HSG using a 10 x 12 image receptor/ collimation?
2" superior to pubic symphysis and MSP
additional names include:
Hysterosalp, HSG
the bottom of the fallopian tube is named
fimbriae
the most common indication
infertility and assessment
is hysterosalpingography a diagnostic and therapeutic procedure?
it can be both
which of the following terms is used to describe the "degree of openness" of the uterine tube?
patency
to help facilitate the flow of contrast into the uterine cavity, which position is the patient placed into following the injection of contrast media?
slight trendelenburg
what device may be needed to aid the insertion and fixation of the cannula or catheter during the hyserosalpingogram?
tenaculum
hysterosalpingography
the evaluation of the fallopian tubes, uterus, and female reproductive system via the introduction of contrast into the system.
the fimbriae should open into what?
the peritoneal cavity
the contrast preferred by most radiologists for this exam is:
water-soluble, iodinated
is there a consent form needed?
yes
what contrast used?
-ISOVUE 300 -visipaque
patient prep includes
-bowel cleansing prep -confirmation of patient not being pregnant -exam scheduled between 4th and 10th day following the onset of menstruation -empty bladder -patient takes antibiotics the night before or morning of exam
history questions include
-date of last menstrual cycle? -antibiotics? -symptoms? -prior surgeries?
patient dress includes
-dress patient in gown and foot covers -patient supine on table
what are the four portions of the uterus?
-fundus -body -isthmus -cervix
exam rationale/indications
-infertility assessment -recurrent miscarriages (suspected blockage of uterine tubes) -following tubal surgery/ procedures -abnormal bleeding -absence of menses -determine lost and/or misplaced contraceptive diseases