HEAPHY 1 & 2 DIAGNOSTIC Kathy MATHESON
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Transcript of HEAPHY 1 & 2 DIAGNOSTIC Kathy MATHESON
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HEAPHY 1 & 2DIAGNOSTIC
Kathy MATHESON
Sat 31st Aug 2013Session 2 / Talk 5
11:54 – 12:10
ABSTRACTI have been trained to perform hysterosalpingogram procedures which include sonohysterograms. My role is to cannulate the patients for the sonohysterograms, and to perform the entire procedure of HSG with Radiologist supervision. I will briefly outline my training process, including competency and show slides of interesting pathology and demonstrate how these tests are being used i.e. fertility infertility and to demonstrate endometrial pathology
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ROLE DEVELOPMENT A PERSONAL EXPERIENCE
COMPARITIVE CASE STUDY HSG VS SIS
Kathy Matheson 2103
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OVERVIEW
• Introduction • My journey through role development • HSG vs SIS • Comparative case study • Conclusion
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ROLE EXTENSION
• Increased demand for HSG study • Decrease in radiogists experienced In HSG
studies • Increased demand for female practitioners • Rostering issues
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Where do we start?• How do we go about training • Will the governing bodies allow this role
extension?• Support of referrers • Practical experience
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Nerves before first canulation
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COMPETENCY RAISES QUESTIONS
• Professional Indemnity• Supervision Accountability• Continuing education and training
monitoring of performance
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WHAT'S IS MY NEW EXPERTISE?
• Hysterosalpingogram• Saline infused sonohysterography
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Hysterosalpingography Definition Is the radiographic demonstration of female reproductive tract with contrast mediumThis study best demonstrates the uterine cavity and the patency of the fallopian tubes
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SALINE INFUSED SONOHYSTEROGRAPY
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Normal anteverted uterus pre saline injection
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Cross section of a cannulised cervix
Cannula in Uterus
Cervical os
Saline filled syringe
Ultrasound probe
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Polyp outlined by saline above
Doppler showing feeding vessels
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Advantages and
Disadvantages
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CASE STUDY COMPARISON
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Sagitalview uterus saline in endomertrium
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Abnormal case Study
Normal Hsg
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CONCLUSION
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REFERENCES• Parsons A.K,Saline Infusion Sonohysterography Medica Mundi 45-2 July 2001
• Bigongiani Lawerence,American Collage of Radiology, Guideline For The Performance Of Hysterosalpingography , Revised 2011
• William L Simpson,JR,NB.laurag.beitia,MD.Jolinda Mester,MD, Hysterosalpingography a Reemerging study, Education exert Radiographics 2006
• Patricia M.Carrascosa,MD PHD.Carlos Capunay,MD. Javier Vallejos,Md.Elba Beatriz Martin Lopez,MD.Mariano Baronio,MD.Forge Manuel Carrascosa,MD. Virtual Hysterosalpingography A New Multidetector CT Technique For Evaluating The Female Reproductive System.Education exibits radiographics 2010
• Ofer Benjaminov 1,2 and Mostafa Atri 1, Sonography of the Anormal Fallopian Tube,AIR September 2004,vol.183 no.3737-742
• Online CME- Institute for advanced medical education,Saline Infusion Sonohysterography,http:/iame.com/online/saline/content.php8/8/12
• ASCCP-The society for the lower genital tract disease since 1964,Hysterology of the normal Cervix 26/6/12
• Lizzie Notely-Sonographer,Reflect Radiology, Saline Images
• Hannah Matheson-Technical Help