Chapter 19 Pages & Arthrography Hysterosalpingography

Arthrography Contrast study of any synovial joint –_________ –Knee –Ankle –__________ –Elbow –__________ –TMJ

Arthrogram Demonstrates ____________and outlines __________________, and other associated anatomy. Contraindications –___________________contrast

Arthrogram Equipment Fluoro Arthrogram tray –Sterile drapes –______________ –Different sized needles / Syringes –Contrast _______________

Arthrogram Procedure Area _____________________ Contrast drawn into syringe –Non Ionic Water Soluble _________________into joint space –Under __________ guidance Contrast injected into joint space ____________ Radiologist preferred overheads

Common Procedures Knee Shoulder _______________increasing in popularity –Done with fluoro 1 st –Inject __________________and X-ray

Techs Role Have equipment set up –______________ –Fluoro –______________ Assist radiologist _____________________

Post Procedural Instructions Move ____________ May feel: –__________ If infection sets in contact doctor

Hysterosalpingography HSG Hystero – _________ Salping – __________ Done to visualize the Uterus and Fallopian Tubes Assesses ________________fistulas, other structural defects.

Contraindications Allergy to _______________ ______________ Acute PID Active _______________

Equipment HSG Tray –____________ –Extension tubing –_______________ –Contrast Fluoro If available _________________

Prep ____________ _________ prior to procedure _______________

Procedure Pt placed in _______________ Speculum inserted and ____________cleaned __________________inserted past cervix.

Procedure Contrast injected to ____________ –Non Ionic Water Soluble Pt may be placed _______________ Contrast injected to __________________

Procedure Spot films Possibly ______________ Centering for scout and overheads –___________symphysis pubis –Midline

HSG decreasing Ultra Sound has replaced most HSG –_____________ –Less complicated –______________ –No radiation MRI –_____________detail –Visualizes surrounding anatomy –_____________

HSG Usually __________will assist _____________________