MCCCD Official Course Competencies:

DMI240  2008 Fall – 2010 Summer II

Ultrasound Imaging: OB/GYN Procedures

1.

Describe the anatomy and physiology of the female pelvis as related to the gynecological application of sonographic imaging. (I)

2.

Describe patient preparation/positioning and scan protocol for sonographic imaging of the female pelvis. (II)

3.

Identify and describe the normal and anatomical variants of the organs of the female pelvis using specific sonographic images. (III)

4.

Identify and describe different pathological conditions involving the female pelvis using selected sonographic images. (IV)

5.

Describe the normal and variant anatomy and physiology of the maternal pelvis, embryo, and fetus related to the obstetrical application of sonographic images. (V)

6.

Measure and calculate specific fetal biometry using sonographic images. (VI)

7.

Describe the normal anatomy and anatomical variants of the material pelvis, placenta, embryo and fetus using specific sonographic images. (VII)

8.

Describe the major diagnostic tests related to obstetrics. (VIII)

9.

Describe major abnormal fetal growth. (IX)

10.

Describe maternal risk factors that affect embryonic/fetal growth and development. (X)

11.

Identify and describe different pathological conditions involving the maternal pelvis, embryo, and fetus using sonographic images. (XI)

MCCCD Official Course Outline:

DMI240  2008 Fall – 2010 Summer II

Ultrasound Imaging: OB/GYN Procedures

I. Female pelvis

A. Cervix and vagina

1. Anatomy

2. Physiology

B. Uterus

1. Anatomy

2. Physiology

C. Fallopian tubes

1. Anatomy

2. Physiology

D. Ovaries

1. Anatomy

2. Physiology

II. Scan techniques of the female pelvis

A. Patient preparation

B. Patient positioning

C. Equipment

D. Scan protocol

E. Transabdominal

F. Endovaginal

III. Normal female pelvis images

A. Cervix and vagina

1. Normal appearances

2. Anatomical variants

B. Uterus

1. Normal appearances

2. Anatomical variants

C. Fallopian tubes

1. Normal appearances

2. Anatomical variants

D. Ovaries

1. Normal appearances

2. Anatomical variants

IV. Pathological female pelvis images

A. Cervix

1. Polyps

2. Adenocarcinoma

3. Vaginal discharge

4. Bleeding

5. Hematocolpos

B. Uterus

1. Congenital anomalies

2. Leiomyomata uteri (fibroids)/benign tumors

3. Endometriosis

4. Malignant uterine tumors

5. Intrauterine contraceptive devices

6. Inflammatory disease

C. Fallopian tubes

1. Salpingitis

2. Hydroslapinx

3. Pyosalpinx

D. Ovary

1. Infertility

2. Corpus luteum cysts

3. Stein-leventhal syndrome

4. Cystadenoma/cystadenocarcinoma

5. Teratoma

6. Fibromas

7. Carcinoma of ovary

8. Sarcoma of ovary

9. Dysgerminoma

10. Arrhenoblastoma

V. Maternal pelvis, placenta, embryo, and fetus

A. Anatomy

B. Variants

VI. Fetal biometry and normal anatomy

A. First trimester

1. two to six weeks

2. Seven to eight weeks

3. Eight to ten weeks

4. Ten to thirteen weeks

B. Second and third trimester

1. Measurements

2. Normal anatomy

3. Fetal well-being/biophysical profile

4. Placental grading

5. Amniotic fluid volume

VII. Normal and variant images

A. Maternal pelvis

1. Normal appearances

2. Anatomical variants

B. Placenta

1. Normal appearances

2. Anatomical variants

C. Embryo

1. Normal appearances

2. Anatomical variants

D. Fetus

1. Normal appearances

2. Anatomical variants

VIII. Other obstetrical/gynecological diagnostic tests

A. Vaginal and cervical smears

B. Biopsies

C. Endocrine investigations

1. Pituitary hormone determination

2. Estrogen and progesterone hormone determination

3. Thyroid and adrenal function tests

D. Colloscopy

E. Culdocentesis

F. Laparoscopy

G. Tubal tests

1. Hysterosalpingogram

2. Co2 insufflation

H. Pregnancy tests

1. Beta subunit serum test

2. Urine - human chorionic gonadotrophin (HCG)

3. Frog or rabbit tests

I. Genetic testing

1. Chorionic villus sampling

2. Genetic amniocentesis

3. Chromosomal analysis

4. Enzyme or protein analysis

5. Sex determination

J. Estrogen determination

1. Estridiol

2. Estradiol

3. Urinary determination

4. Amniotic fluid determination

K. Creatinine determination

L. Amniotic fluid testing

1. Lectithin/sphinogomyelin ratio

2. Bilirubin

3. Meconium

4. Vernix

5. Blood

M. Fetal monitoring

1. Non-stress test

2. Contraction stress test

3. Internal

N. Fetal scalp blood pH

O. Pelvimetry

P. Manual exam

IX. Abnormal fetal growth and development

A. Large for gestational age

1. Incorrect dates

2. Macrosomia

3. Multiple gestation

4. Polyhdraminos

B. Small for gestational age vs. intrauterine growth retardation

1. Small but normal

2. Incorrect dates

3. Demise

4. Maternal risk factors

C. Congenital anomalies

1. Head

2. Spine

3. Skeletal

4. Thoracic

5. Cardiac

6. Digestive tract

7. Genitourinary tract

8. Other abdominal abnormalities

X. Maternal risk factors

A. Diabetes

B. Hypertension

1. Pre-existing renal disease

2. Toxemia of pregnancy

3. Increased incidence of polydraminos

C. Rh sensitization

1. Rh negative mother to Rh positive fetus

2. Enlarged placenta

3. Amniotic fluid tests

4. Affect on fetus

D. Abnormal uterine anatomy

1. Myomas

2. Bicornate uterus

3. Placental complications

4. Fluid complications

5. Amniotic bands

XI. Pathological images

A. Fibroids and pregnancy

B. Intrauterine contraceptive device (IUCD) and pregnancy

C. Ovarian masses with pregnancy

D. Blighted ovaum/incomplete abortion

E. Complete spontaneous abortion

F. Hydatidiform mole

G. Choriocarcinoma

H. Chorioadenoma

I. Ectopic pregnancy

J. Placenta previa

K. Abruptio placenta

L. Polyhydramnios

M. Oligohydramnios

N. Anomalies

O. Hydrops fetalis