Gyn Procedures

Question 1

What are the advantages of transabdominal or transvaginal ultrasounds? What accounts for this difference?

Answer 1

• transabdominal ultrasound has a higher frequency and therefore enhanced resolution
• transadbominal ultrasound has a lower frequency and therefore an increased depth of penetration

Question 2

What procedures should be used to evaluated AUB?

Answer 2

• begin with a transvaginal ultrasound

- if this is inadequate, process to a hysteroscopy

Question 3

What is a sonohysterography?

Answer 3

a method of ultrasound in which saline is infused into the uterus and acts as a contrast agent for ultrasound

Question 4

Describe a hysterosalpingography.

Answer 4

• a method used to evaluate the patency of the fallopian tubes and the shape of the uterine cavity
• it begins with injection of a radiopaque contrast material into the uterus and fluoroscopy is then used to determine whether contrast material spills into the peritoneal cavity

Question 5

What are indications for dilation and curettage?

Answer 5

• abnormal uterine bleeding
• incomplete or missed abortion
• inability to perform EMB in the office setting
• postmenopausal bleeding
• suspected endometrial polpy

Question 6

How is second trimester abortion performed?

Answer 6

with dilation of the cervix followed by the use of destructive grasping forceps to remove the pregnancy

Question 7

What is atelectasis?

Answer 7

a pulmonary complication of gynecologic surgeries when patients do not take large inspiratory breaths due to abdominal discomfort

Question 8

Why is incentive spirometry used in gynecology post-operative care?

Answer 8

it encourages deep inspiration despite abdominal comfort and is a preventative measure against atelectasis