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Chapter 19 Pages 716-719 & 722-724 Arthrography Hysterosalpingography
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Arthrography Contrast study of any synovial joint –_________ –Knee –Ankle –__________ –Elbow –__________ –TMJ
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Arthrogram Demonstrates ____________and outlines __________________, and other associated anatomy. Contraindications –___________________contrast
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Arthrogram Equipment Fluoro Arthrogram tray –Sterile drapes –______________ –Different sized needles / Syringes –Contrast _______________
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Arthrogram Procedure Area _____________________ Contrast drawn into syringe –Non Ionic Water Soluble _________________into joint space –Under __________ guidance Contrast injected into joint space ____________ Radiologist preferred overheads
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Common Procedures Knee Shoulder _______________increasing in popularity –Done with fluoro 1 st –Inject __________________and X-ray
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Techs Role Have equipment set up –______________ –Fluoro –______________ Assist radiologist _____________________
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Post Procedural Instructions Move ____________ May feel: –__________ If infection sets in contact doctor
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Hysterosalpingography HSG Hystero – _________ Salping – __________ Done to visualize the Uterus and Fallopian Tubes Assesses ________________fistulas, other structural defects.
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Contraindications Allergy to _______________ ______________ Acute PID Active _______________
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Equipment HSG Tray –____________ –Extension tubing –_______________ –Contrast Fluoro If available _________________
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Prep ____________ _________ prior to procedure _______________
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Procedure Pt placed in _______________ Speculum inserted and ____________cleaned __________________inserted past cervix.
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Procedure Contrast injected to ____________ –Non Ionic Water Soluble Pt may be placed _______________ Contrast injected to __________________
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Procedure Spot films Possibly ______________ Centering for scout and overheads –___________symphysis pubis –Midline
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HSG decreasing Ultra Sound has replaced most HSG –_____________ –Less complicated –______________ –No radiation MRI –_____________detail –Visualizes surrounding anatomy –_____________
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HSG Usually __________will assist _____________________
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