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    HYSTEROSALPINGOGRAPHY

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    drnareshkumar3281
    Hysterosalpingography is an x-ray of the uterus and fallopian tubes that involves the injection of contrast (dye) through the cervix.

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    HYSTEROSALPINGOGRAPHY

    Uploaded by

    drnareshkumar3281
    250 views3 pages
    Hysterosalpingography is an x-ray of the uterus and fallopian tubes that involves the injection of contrast (dye) through the cervix.

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    © Attribution Non-Commercial (BY-NC)

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    Hysterosalpingography is an x-ray of the uterus and fallopian tubes that involves the injection of contrast (dye) through the cervix.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    250 views3 pages

    HYSTEROSALPINGOGRAPHY

    Uploaded by

    drnareshkumar3281
    Hysterosalpingography is an x-ray of the uterus and fallopian tubes that involves the injection of contrast (dye) through the cervix.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    HYSTEROSALPINGOGRAPHY

    REASON FOR VISIT:

    • Infertility
    • Recurrent Abortion
    • To Monitor The Effects of Tubal Surgery

    RISK ASSESSMENT

    • Active Pelvic sepsis


    • Severe Renal Disease
    • Cardiac Disease
    • Sensitivity to Contrast Media
    • Recent Dilatation or Curettage
    • Pregnancy
    • The week prior and the week following to the menstruation

    PREPARATION OF THE PATIENT:

    • Blood tests
    • Urine tests
    • Chest X-ray
    • ECG
    • Renal function tests
    • USG
    • Pregnancy test

    ANESTHESIA:

    Local anesthesia

    POSITION OF THE PATIENT:


    Lithotomy position

    THE PROCEDURE

    • The patient was positioned in lithotomy position


    • A speculum was introduced into the vagina
    • The cannula was introduced into the cervix
    • The speculum was removed
    • The patient carefully moved up the table so that she lies in a
    supine position
    • The contrast medium was injected while the radiologist
    screens the procedure.
    • Films were taken at the most opportune time
    • One or two films were taken to show the cervical canal the
    body of the uterus, the Fallopian tubes, and the spread of
    contrast medium on to the peritoneum.

    FINDINGS:

    The Normal Histerosalpingogram

    • Uterine cavity was triangular, with sides of ______cm.


    • The cervical canal has a length of about ____ cm
    • The cornua of the uterus ____
    • The pouch of Douglas was _______

    The Abnormal Histerosalpingogram

    UTERUS
    • Congenital anomalies of the uterus
    • Anteflexed uterus
    • Retroflexed uterus
    • Uterine fibroids submucous/ interstitial/ sub serous
    • Mucosal polyps
    • Early pregnancy

    FALLOPIAN TUBES

    • Salpingitis/hydrosalpinx
    • Tuberculous Salpingitis
    • Salpingitis Isthmica Nodosa
    • Tubal Blockage
    • Tubal spasm
    • Fimbrial adhesions
    • Tubal pregnancy
    • Tubal tumors
    • Sterilization
    CERVIX_____

    DURATION

    _________ min

    COMPLICATIONS

    • Pain
    • Venous intravasation
    • Exacerbation of Pelvic Infection
    • Uterine perforation

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