MCCCD Official Course Competencies:

ULS280AC  1990 Fall - 2010 Fall

Ultrasound Registry Preparation Seminar: Obstetrics, Gynecology, and Neonate

1.

Describe patient preparation and positioning for various sonographic procedures of the abdomen, pelvis, fetus, and brain. (I, II)

2.

Describe scan protocol for sonographic procedures for evaluation of upper abdomen anatomy, pelvic anatomy, gravid uterus, neonate brain, and superficial organs. (II)

3.

Interpret ultrasound cases to include pathology, scan quality, and anatomy. (III, IV)

MCCCD Official Course Outline:

ULS280AC  1990 Fall - 2010 Fall

Ultrasound Registry Preparation Seminar: Obstetrics, Gynecology, and Neonate

I. OB/GYN Applications

A. Pelvic anatomy, physiology, and anomalies

1. Normal pelvic anatomy

a. Uterus, vagina

b. Fallopian tubes, ovaries

c. Supporting structures

d. Other pelvic structures

e. Anomalies

2. Physiology

a. Menstrual cycle

b. Hormonal activity

c. Laboratory assessment

d. Fertilization

B. First trimester obstetrical ultrasound

1. Embryology

2. Normal sonographic appearance

3. Anembryonic pregnancy (blighted ovum)

4. Spontaneous abortion

5. Ectopic pregnancy

6. Molar pregnancy

7. Normal pregnancy with other pelvic pathology

C. Normal fetus

1. Position

2. Anatomy

3. Growth pattern

D. Placenta

1. Normal anatomy and position

2. Developmental changes

3. Membranes and cord

4. Previa

5. Abruption

6. Mole

E. Amniotic fluid

1. Normal volume

2. Polyhyraminos

3. Oligohydraminos

4. Testing/procedures (aminocentesis)

F. Assessment of gestational age/maturity/well-being

1. Crown-rump length

2. Biparietal diameter

3. Head circumference

4. Abdominal circumference

5. Long bones

6. Other measurement parameter

7. Biophysical profile

G. Obstetrical, pathology complications

1. Multiple gestations

2. Maternal risk factors

a. HTN

b. Diabetes mellitus

c. Rh incompatiblilty

d. Smoking/CD

e. Malnutrition

f. Others

3. Intrauterine growth retardation

4. Fetal death

5. Fetal anomalies

a. Cranial/neural tube defects

b. Thoracic/cardiac

c. Gastrointestinal

d. Genitourinary

e. Other abdominal

f. Skeletal

g. Facial

6. Coexisting pathology

a. Cysts masses

b. Solid/complex masses

c. Uterine contraction

d. Other

H. Gynecologic pathology

1. Uterine masses

2. Intrauterine contraceptive devices

3. Ovarian masses

4. Endometriosis

5. Inflammatory disease

6. Extra-pelvic pathology

a. Ascites

b. Liver metastasis

c. Hydronephrosis

d. Other

I. Patient care/preparation

1. Bladder

2. Supine hypotensive syndrome

3. History

a. LMP

b. Pain/fever

c. Pregnancy test

II. Neurosonography

A. Physics and Instrumentation

1. Effects of bone on ultrasonic energy

2. Effect of transducer frequency on quality

3. Bone induced and other artifacts

4. Types of instruments used for neurosonography

B. Techniques in neurosonography

1. Selection of instrument and transducer

2. Scan-plane selection and identification

3. Adjustments of instrument controls

4. Recongnition of normal structures and landmarks

5. Normal dimensions and measurement techniques

C. Anatomy and physiology

1. Bones of os cranium

2. Fontelles and external landmarks

3. Gross topographical anatomy

4. Membranous partioning of intracranial space

5. Intra- and extracranial vascular structures

6. Grey/white matter organization

7. Ventricular system

8. Cerbrospinal fluid

9. Principle functional tracts of C.N.S.

D. Reconition of pathology and differential diagnosis

1. Midline displacements

2. Space-occupying lesions and mass effects

3. Inflammatory lesions

4. Ventricular enlargement

5. Intracranial and extracranial hemorrhage

6. Atrophic lesions

7. Congenital lesions

8. Brain swelling

E. Medical care of neonate during scanning

1. Temperature maintenance

2. Asepsis and infection control

3. Scanning the neonate on a respiratory

4. Care of the neonate with IV's

5. Siezure precautions

III. Scan Techniques

A. Patient preparation

B. Patient positioning

C. Equipment

D. Scan protocol

IV. Special Cases

A. Pathology

B. Anatomy

C. Scan quality