Hysterosalpingography Imaging Protocol

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What is the purpose of performing antegrade pyelography typically?

To assess for obstruction following placement of a nephrostomy catheter (correct)

To evaluate blood clot formation in the urinary system

To introduce contrast medium into the ureters

As an isolated procedure to evaluate the urinary system

When is the best time to perform postnephrostomy studies?

After 1 week to ensure complete drainage

Immediately after the nephrostomy procedure

After 1-2 days to allow the patient to recover (correct)

After 6 hours to monitor for early complications

Which of the following is NOT a potential complication of percutaneous nephrolithotomy?

Perforation of the collecting system

Hemorrhage

Septicemia

Allergic reaction to the contrast medium (correct)

What is the purpose of the aftercare following a percutaneous nephrolithotomy procedure?

To monitor for complications and allow the patient to recover Signup and view all the answers

Which of the following is a contraindication for performing percutaneous nephrolithotomy?

Uncontrolled bleeding diathesis Signup and view all the answers

Which of the following is NOT a potential complication of hysterosalpingography?

Cardiac arrhythmia Signup and view all the answers

What is the significance of intravasation of contrast medium into the venous system during hysterosalpingography?

It is of little significance when water-soluble contrast medium is used. Signup and view all the answers

Which of the following factors may precipitate intravasation of contrast medium during hysterosalpingography?

All of the above Signup and view all the answers

Which of the following is a recommended patient preparation step prior to percutaneous antegrade pyelography and nephrostomy?

Fasting for 4 hours Signup and view all the answers

Which of the following is NOT listed as an indication for percutaneous antegrade pyelography and nephrostomy?

Renal colic Signup and view all the answers

What is the recommended volume of contrast medium for hysterosalpingography?

5 mL Signup and view all the answers

When should the injection be terminated during hysterosalpingography?

When the patient complains of pain or fullness in the loin Signup and view all the answers

What postprocedure observations are recommended after hysterosalpingography?

Observing for fever and rigors Signup and view all the answers

What is a potential complication of using too much contrast medium during hysterosalpingography?

Renal failure Signup and view all the answers

Which is a contraindication for percutaneous renal cyst puncture and biopsy as mentioned in the text?

Bleeding diathesis Signup and view all the answers

What is the purpose of prewarming the contrast medium to body temperature before injection?

To avoid tubal spasm and reduce pain Signup and view all the answers

Which of the following is NOT a recommended aftercare instruction for a patient after hysterosalpingography?

The patient should be advised to avoid sexual intercourse for 1 week Signup and view all the answers

Which of the following is a potential complication of the hysterosalpingography technique?

Uterine or tubal distension proximal to a block or spasm Signup and view all the answers

What is the primary reason for keeping the radiation dose as low as possible during hysterosalpingography?

To reduce the risk of cancer in the patient Signup and view all the answers

Which of the following is a potential complication related to the contrast medium used in hysterosalpingography?

Allergic phenomena, especially if the contrast medium is forced into the circulation Signup and view all the answers

Which of the following is NOT a potential complication related to the contrast medium used during hysterosalpingography?

Formation of emboli due to the contrast medium Signup and view all the answers

Which of the following statements regarding post-procedure care after hysterosalpingography is INCORRECT?

The patient should be advised to avoid strenuous physical activity for at least 4 weeks. Signup and view all the answers

Which of the following is NOT a potential complication related to the technique of hysterosalpingography?

Permanent infertility due to damage to the fallopian tubes Signup and view all the answers

Which of the following statements regarding intravasation of contrast medium during hysterosalpingography is CORRECT?

It is of little significance when water-soluble contrast medium is used. Signup and view all the answers

Which of the following factors may increase the risk of infection after hysterosalpingography?

Previous history of pelvic inflammatory disease Signup and view all the answers

Which of the following is NOT a contraindication for retrograde pyeloureterography and hysterosalpingography?

Severe cardiac disease Signup and view all the answers

What is the recommended volume of contrast medium to be used for small lesions during hysterosalpingography?

10 mL Signup and view all the answers

Which of the following is NOT a potential complication of the retrograde pyeloureterography and hysterosalpingography technique?

Allergic reaction to the contrast medium Signup and view all the answers

What is the recommended patient preparation for retrograde pyeloureterography and hysterosalpingography?

As for surgery Signup and view all the answers

Which of the following is the recommended technique for performing retrograde pyeloureterography in the x-ray department?

Aspirate urine and inject contrast medium under fluoroscopic control Signup and view all the answers

What is the recommended duration for leaving a large bore soft nonlocking straight nephrostomy tube in place following the procedure?

24 hours Signup and view all the answers

Which professional usually determines patient care after a nephrostomy procedure?

Anaesthetist or Urologist Signup and view all the answers

What is one of the immediate complications mentioned in the text regarding nephrostomy procedures?

Inadvertent access to renal vein and IVC Signup and view all the answers

When might a patient need transfusion following a nephrostomy procedure according to the text?

Less than 3% of cases Signup and view all the answers

What is a potential delayed complication of a nephrostomy procedure?

Pseudoaneurysm of an intrarenal artery Signup and view all the answers

In which situation would renal arteriography typically be indicated prior to angioplasty or stent placement?

For renal artery stenosis Signup and view all the answers

What is commonly used to replace diagnostic arteriography for assessing living related renal transplant donors?

MR or CT angiography (MRA or CTA) Signup and view all the answers

'Embolization of vascular renal tumor prior to surgery' is an indication for what procedure according to the text?

'Renal arteriography' Signup and view all the answers

'Contrast medium Flush aortic Selective renal artery injection' is part of the equipment used for which procedure mentioned in the text?