Definition
Images and Diagrams
True or False
Fill in the Blank
Random
100
What is a polyp?
Include type of tissue and where it is found
What is a growth of endometrial tissue that are covered by epithelium in the uterine cavity
100
What is being shown in this image ( made of endometrial tissue )
What is polyp
100
Polyps can recurr
What is, true
100
Polyps have a ______ feeding vessel
What is primary
100
Name one symptom of a polyp
What is asymptomatic, heavy bleeding, infertility
200
What does SIS stand for
Saline-Infused Sonography (SIS)
200
Polyps are what level of grey ( what echogenicity) compared to the endometrium?
What is hypo to isoechoic
200
You can use a contrast medium or saline solution to fill the catheter inserted into the patient
What is true
200
Polyps and _____ are two pathologies that look very similar in ultrasound.
What is fibroids
200
Why does the catheter for a sonohysterogram need to be filled with saline?
What is to prevent air artifact
300
A sonohysterogram is an instillation of sterile saline into endometrium. Until which region of the uterus is this solution entered?
What is fundus.
300
Pick a team member to go up to the white board and draw a diagram of a polyp protruding into the cervix
Adrienne and the team will judge the drawing hehe.
300
It is ok to perform a sonohysterogram on patients with acute pelvic inflammatory disease
What is, false
300
________ and _________ women are more likely to receive a sonohysterogram.
What is premenopausal and post menopausal.
300
Name a few reasons why a patient may receive a sonohysterogram
What is to evaluate endometrial thickening, polyps, growths, and/or pathologies
400
Premenopausal women are more likely to receive a sonohysterogram. Define premenopausal.
What is the transitional period before menopause
400
Using sonographic terms, describe this image. Provide 2 differentials.
Hyperechoic, round structure found near the anterior portion of the fundus (because this uterus is retroflexed, the structure is on the anterior portion)
Polyp???
Fibroid???
400
The following are risk factors for polyps:
1. Hypertension
2. Diabetes
3. Taking tamoxifen
What is false
Diabetes is not a risk factor but obesity is
400
____ and ____ are treatments for polyps.
What is hormone balance meds, surgical removal.
400
Define tamoxifen
What is prescription drug for breast cancer
500
Why do we need to use a saline solution. What are the benefits?
What is makes it easy to see the outline of endometrium, and see pathology
500
Pick a team member to draw the following on the white board.
An ultrasound image (trans-abdominal) of a polyp in the endometrium which is causing focal thickening.
Team and Adrienne will judge
500
Polyps may occur due to high estrogen levels, they have a primary feeding vessel, and are usually found after the follicular phase
What is false
500
________ can cause the appearance of cystic structures within a polyp
What is dilated glands
500
Name the steps in which a sonohysterogram is performed
Hint. 7 steps, last step being to scan
What is
1. Clean the cervix with antiseptic solution
2. Fill catheter with saline or contrast
3. Insert into uterus at the level of the fundus
4. Remove the speculum
5. Insert vaginal probe
6. Hysterosalpinography catheter balloon to prevent leakage
7. Scan