Complications of Hysterosalpingography Procedures
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Questions and Answers

What is the primary indication for retrograde pyeloureterography and hysterosalpingography?

  • To prepare for surgery
  • To diagnose acute urinary tract infections
  • To catheterize the ureter
  • To demonstrate pelvicalyceal system abnormalities (correct)

    • What are the contraindications for retrograde pyeloureterography and hysterosalpingography?

  • Acute urinary tract infection (correct)
  • Chronic kidney disease
  • Urinary stones
  • Prostate enlargement

    • How is contrast medium injected during retrograde pyeloureterography and hysterosalpingography?

  • Intramuscularly
  • Orally
  • Intravenously
  • Via a ureteric catheter under fluoroscopic control (correct)

    • What type of recording is recommended during retrograde pyeloureterography and hysterosalpingography?

    <p>Soft copy recording ideally to PACS</p> Signup and view all the answers

    How much contrast medium is typically used to fill the pelvis during the procedure?

    <p>3-5 mL</p> Signup and view all the answers

    What is the most common complication associated with percutaneous renal cyst puncture and biopsy?

    <p>Pyelosinus extravasation</p> Signup and view all the answers

    When is it preferable to mark the optimum site for puncture during renal biopsy?

    <p>After opacifying the kidneys with contrast</p> Signup and view all the answers

    What is a relative contraindication for hysterosalpingography?

    <p>Pelvic inflammatory disease in the past year</p> Signup and view all the answers

    Which contrast medium is commonly used for hysterosalpingography?

    <p>Low osmolar iodinated contrast material (LOCM)</p> Signup and view all the answers

    How should air bubbles be managed during hysterosalpingography to prevent confusion in interpretation?

    <p>Expel all air bubbles from the syringe and catheter</p> Signup and view all the answers

    What can help relieve spasm of the uterine cornu during contrast medium injection?

    <p>Intravenous Buscopan</p> Signup and view all the answers

    When might a patient experience vasovagal syncope known as 'cervical shock' during a hysterosalpingography procedure?

    <p>During insertion of the cannula</p> Signup and view all the answers

    What may result from intravasation of contrast medium into the venous system during a hysterosalpingography?

    <p>Formation of a lace-like pattern within the uterine wall</p> Signup and view all the answers

    What is an indication for percutaneous antegrade pyelography and nephrostomy procedures?

    <p>Renal tract obstruction</p> Signup and view all the answers

    What position should a patient be in for a percutaneous antegrade pyelography procedure?

    <p>Prone oblique position with a foam pad under the abdomen</p> Signup and view all the answers

    What is the purpose of using contrast injection in percutaneous nephrolithotomy procedures?

    <p>To confirm successful siting of the needle and to demonstrate the pelvicalyceal system</p> Signup and view all the answers

    Which system involves a direct puncture of the collecting system with the drainage catheter already assembled over a trocar?

    <p>Trochar-cannula system</p> Signup and view all the answers

    What imaging technique is used usually following the placement of a nephrostomy catheter?

    <p>Antegrade pyelography</p> Signup and view all the answers

    What is considered a contraindication for percutaneous nephrolithotomy?

    <p>Uncontrolled bleeding diathesis</p> Signup and view all the answers

    What is the purpose of semierect films in postnephrostomy studies?

    <p>To show the relationship between calculi and calyces</p> Signup and view all the answers

    What method can be used for demonstration and distension of the collecting system during bladder catheterization?

    <p>Retrograde ureteric catheterization</p> Signup and view all the answers

    Which equipment is NOT mentioned in the text as being used for renal arteriography?

    <p>Angioplasty balloon</p> Signup and view all the answers

    Where should special care be taken while puncturing the collecting system to avoid perforating the diaphragm and pleura?

    <p>Above the twelfth rib</p> Signup and view all the answers

    What is recommended for removal of calculi larger than 1 cm during bladder catheterization procedures?

    <p>Disintegrating using an ultrasonic or electrohydraulic disintegrator</p> Signup and view all the answers

    When should a plain radiograph of the renal area be done following a bladder catheterization procedure?

    <p>24 hours after the procedure</p> Signup and view all the answers

    What is the primary purpose of hysterosalpingography?

    <p>To confirm obstruction after tubal surgery</p> Signup and view all the answers

    When should patient appointments for hysterosalpingography be scheduled for a patient with a regular 28-day cycle?

    <p>Between the 4th and 10th days</p> Signup and view all the answers

    What is the main purpose of using Buscopan or glucagon during hysterosalpingography?

    <p>To relieve spasm of the uterine cornu</p> Signup and view all the answers

    What is a potential complication related to the contrast medium used in hysterosalpingography?

    <p>Allergic phenomena if contrast medium enters circulation</p> Signup and view all the answers

    What should images from a hysterosalpingography mainly demonstrate regarding the tubes?

    <p>Demonstrate spill and show the extent and level of block if occluded</p> Signup and view all the answers

    What may be a potential consequence of intravasation of contrast medium during hysterosalpingography?

    <p>Fine lace-like pattern within the uterine wall</p> Signup and view all the answers

    What is the main reason for recommending a full bladder during a transabdominal ultrasound scan of the female reproductive system?

    <p>To enable better visualization of pelvic masses</p> Signup and view all the answers

    Which contrast medium was specifically used for assessing tubal patency in the past but is no longer available for clinical use?

    <p>Galactose monosaccharide microparticles</p> Signup and view all the answers

    What type of imaging technique is generally considered of little clinical value in gynecology despite its widespread availability?

    <p>3D ultrasound</p> Signup and view all the answers

    Which ultrasound examination is considered the most reliable and safe investigation for assessing tubal patency currently?

    <p>Hysterosalpingography with fluoroscopy</p> Signup and view all the answers

    What technique is recommended for performing scrotal ultrasound to assess varicocele?

    <p>Patient standing upright</p> Signup and view all the answers

    In CT staging of gynaecological malignancies, which phase is the abdomen and pelvis usually imaged in?

    <p>Portal venous phase</p> Signup and view all the answers

    What is the main use of MRI in endometrial and cervical cancer staging?

    <p>Local staging</p> Signup and view all the answers

    What is the benefit of using multiparametric imaging in gynaecological malignancies?

    <p>Improved diagnostic interpretation accuracy</p> Signup and view all the answers

    How can artifacts from small-bowel peristalsis be minimized during pelvic imaging?

    <p>Administration of Buscopan</p> Signup and view all the answers

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