Maricopa Community Colleges  MRT240   19886-19952 
Official Course Description: MCCCD Approval: 05/08/84
MRT240 19886-19952 LEC 1 Credit(s) 1 Period(s)
Quality Assurance
Evaluation of radiographic systems to assure consistency in the production of quality images. Components, tests, and procedures for evaluation. State and federal regulations. Prerequisites: MRT145, MRT151 or permission of instructor.
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MCCCD Official Course Competencies:
 
MRT240   19886-19952 Quality Assurance
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, placenta, embryo and fetus related to the obstetrical application of sonographic imaging. (V)
6. Measure and calculate specific fetal biometry using sonographic images (VI)
7. Describe the normal anatomy and anatomical variants of the maternal pelvis, ebmryo, 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)
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MCCCD Official Course Outline:
 
MRT240   19886-19952 Quality Assurance
    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
            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. hydrosalpinx
                3. pyosalpinx
              D. Ovary
                1. infertility
                  a. fillicular cyst evaluation
                  b. fertility drug therapy/hyperstimulation
                  c. oocyte retrival/U.S. guidance
                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. 2 to 6 weeks
                    2. 7 to 8 weeks
                    3. 8 to 10 weeks
                    4. 10 to 13 weeks
                  B. Second and third trimester
                    1. measurements
                      a. biparietal diameter
                      b. head circumference
                      c. abdominal circumference
                      d. femur length
                      e. other long bones
                      f. binocular distance
                      g. cerebellar diameter
                      h. serial growth evaluation
                    2. normal anatomy
                    3. fetal well-being/biophysical profile
                    4. flacental 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 appearance
                      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 HCG
                        3. frog or rabbitt tests
                      I. Genetic testing
                        1. chorionic villus sampling
                        2. genetic aminocentesis
                        3. Chromosomal analysis
                        4. enzyme or protein analysis
                        5. sex determination
                      J. Estrogen determination
                        1. estridol
                        2. estradiol
                        3. urinary determination
                        4. amniotic fluid determination
                      K. Creatinine determination
                      L. Amniotic fluid testing
                        1. lectithin/spinogomyelin ratio
                        2. bilirubin
                        3. meconium
                        4. vernix
                        5. blood
                      M. Fetal monitoring
                        1. NST
                        2. CST
                        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
                            a. ethnic and socioeconomic factors
                            b. malnutrition
                            c. smoking
                            d. drugs/alcohol
                            e. hypertension
                            f. toxemia
                            g. diabetes
                            h. maternal cardiac disease
                            i. maternal syphilis
                            j. Rh sensitization
                            k. post-maturity
                            l. placental insufficiency
                        C. Congenital anomalies
                          1. head
                            a. hydrocephaly
                            b. anecephaly
                            c. hydranecephaly
                            d. dandy-walder cyst
                            e. other intracranial masses
                            f. facial abnormalities
                          2. spine
                            a. spina bifida
                            b. encephalocele
                            c. meningocele/meningomyclocele
                            d. sacrococcygeal teratoma
                          3. skeletal
                            a. achondroplasia
                            b. dusplasia
                            c. polydactyly
                            d. syndactyly
                          4. thoracic
                            a. hypoplastic lung
                            b. pleural effusion
                            c. diaphragmatic hernia
                            d. other chest masses
                          5. cardiac
                            a. abnormal situs
                            b. ventricular hypoplasia
                            c. ventricular septal defect
                            d. tetralogy of fallot
                            e. transposition of great arteries
                            f. pericardial effusion
                            g. cardiac tumors
                          6. digestive tract
                            a. upper g.i. atresia
                            b. omphalocele
                            c. gastroschisis
                            d. tumors
                          7. genitourinary tract
                            a. hydronephrosis
                            b. polycystic disease
                            c. renal masses
                            d. megacystitis
                            e. hydrocele
                          8. other abdominal abnormalities
                            a. ascites
                            b. masses
                            c. prune belly
                      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
                              a. destruction of fetal RBC'S
                              b. hepatomegaly/splenomegaly
                              c. edema and ascites
                              d. intrauterine transfusion
                          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. 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
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