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Radiology3- Repro Tract Imaging
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What are indications for uterus survey radiographs? (3)
confirm enlarged uterus
number and approximate age of fetuses
fetal viability
Why might you use abdominal compression when taking survey radiographs of the uterus?
separate colon and bladder from uterine body
What are indications for uterine ultrasound? (4)
confirm pregnancy
fetal viability/ fetal stress
predict parturition date
assess cause of mildly enlarged uterus
What is the normal U/S appearance of the uterus? (3)
tubular without luminal fluid
lacks defined wall layering
+/- echogenic line neat lumen during estrus (endometrial edema)
Describe the radiographic appearance of a normal uterus. (4)
not normally seen
1cm in diameter
body of uterus is between colon and bladder
cannot distinguish b/w small intestine
What is the radiographic appearance of the pregnant uterus of a dog (30 days after ov) and of a cat (25-35 days gest)?
uterine enlargement
When does radiographic fetal mineralization begin in pregnant dogs and cats?
dogs
: 40 days of gest
cats
: 36-45 days of gest
What are U/S findings of a pregnant uterus at 25-30 days gestation?
gestational sac
When can you detect a fetal heartbeat with U/S?
30 days gest
When can you detect fetal mineralization with U/S?
40 days gest
What is a normal fetal heart rate?
1.5-2 times that of the mother (slow fetal HR is an indicator of fetal stress)
What are differentials for generalized uterine enlargement on rads without any mineralization? (7)
early pregnancy
pseudopregnancy
pyometra
hydrometra
mucometra
uterine torsion
cystic endometrial hyperplasia
What are differentials for localized uterine enlargement on rads? (5)
neoplasia
cystic endometrial hyperplasia
loculated pyometra, hydrometra, mucometra
granuloma
abscess
What are differentials for gas in the uterus on rads? (4)
fetal death
ischemia secondary to torsion
emphysematous pyometra
iatrogenic
What are radiographic signs of fetal death? (4)
malalignment of fetal bones
collapse of skull bones
uterine gas
decreased fetal mineralization
How do normal ovaries appear on rads?
you don't see normal ovaries on rads
How can you differentiate an ovarian mass from a kidney on radiographs?
excretory urogram
What are indications for U/S exam of the ovaries? (3)
assess parenchyma and follicular structures
ovarian mass versus other peritoneal mass
ovarian remnant
What is the location of the ovaries (to help you find them with U/S)?
ventral and lateral to the caudal pole of each kidney
peritoneal (NOT RETROPERITONEAL)
What are differentials for an ovarian mass? (2)
neoplasia
cyst
[if mineralized, consider teratoma or teratocarcinoma]
Describe use for radiographs of the testes.
most useful for intra-abdominal testes
really nothing to see as far as normally descended testicles
Describe the U/S appearance of normal testes. (2)
homogenous echogenicity and echotexture (similar to spleen)
epididymus is hypoechoic structure dorsomedial to testicle
What are differentials for an intra-abdominal testicular mass? (2)
neoplasia (sertoli cell tumor)
testicular torsion
[color doppler- torsion will show no blood flow, mass with have blood flow]
What are differentials for symmetrical enlargement of intra-scrotal testes? (4)
orchitis
torsion
hydrocele
vascular abnormalities
What are differentials for asymmetrical enlargement of intra-scrotal testes? (5)
neoplasia
varicocele
sperm granuloma
hematoma
abscess
Author
Mawad
ID
330174
Card Set
Radiology3- Repro Tract Imaging
Description
vetmed radiology3
Updated
2017-04-24T17:15:55Z
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