Page 1 of 2: O & G : Hysterosalpingogram

rsvv79 · Credits: 5424 My Scrapbook

Hysterosalpingogram is useful in the diagnosis of all the following conditions EXCEPT

1. Cervical incompetence
2. Tuberculous endometritis
3. Asherman's syndrome
4. Scar integrity in previous LSCS

This Q was asked in the TNPSC exam held on 16.10.2005.When I referred I found that some sort of radio opaque dye investigation is used in the diagnosis of all these 4 conditions.However in SHAW I read that in 2 the appearance is beaded and in another place it is written that HSG is C.I in 2 because of the risk of disseminating infection.Also for 1 and 4 the procedure done is hysterocervicography and hysterography.Are these the same as HSG??So which one??

bhavu · Credits: 9491 My Scrapbook

i will go for 4.

draditithegreat · Credits: 1248020 My Scrapbook

hi!

the answer is tuberculous endometritis because of the same reason u said ie disseminating infection.

the beaded appearance is seen in TB fallopian tubes.

in rest three it can be used for diagnosis!

jgsharon · Credits: 9735 My Scrapbook

Hi,
i think ans is 1. Aditi, though HSG is containdicated in 2, it is still USEFUL as what is mentioned in the question.

shraddha · Credits: 19600 My Scrapbook

i would go for 4

shraddha · Credits: 19600 My Scrapbook

A prospective study was carried out on 230 consecutive hysterosalpingograms (HSGs), in which a variety of techniques was used. The primary site of investigation was tubal, uterine and cervical in 76.5, 7.8 and 15.7% of cases respectively. The highest incidence of abnormal findings was obtained in the investigation of secondary infertility, especially following tubal surgery. Twenty-five women had a laparoscopy and dye insufflation within nine months of their HSG, and fully concordant results were found in 17 cases. The disposable cervical cup method of hysterosalpingography offered a precise means of quantifying the internal cervical os diameter. The mean internal os diameter in those women referred with a past history of mid-trimester abortion was significantly greater than that of the group with secondary infertility (P less than .05). A diameter of 0.7 cm is suggested as a practical cut-off point for the radiological diagnosis of cervical incompetence.

Only RxPG members can see links here! Register or Sign In!

draditithegreat · Credits: 1248020 My Scrapbook

Hi JG!

i am still sticking to my answer!

things contraindicated cant be done!

may i know how wud it be useful for it?

as i said before beaded appearance is for TB salpinx!

i remember-
i had referred something std , when i wrote this answer, as ample amount of time was available then.....

taru · Credits: 357 My Scrapbook

answer should be tubercular endometritis...

ora · Credits: 1227 My Scrapbook

ans shd be TB

it is contraindicated in TB
[novak]

parin · Credits: 14680 My Scrapbook My Reading List 1 Books

Hi friends!

I'd go for 4..

It's given in Shaw that it's c/i if you KNOW!

The q is not it is USED, but it's USEFUL..

Yes, it's clearly useful in diagnosis, but if u know already that pt is having tb endometritis, then don't do HSG..

Not much heard for its use for integrity of scar in LSCS?

		Sign In New User? Sign Up Sign in to access your control panel and messenger!
				TechZone \| SpiderNevi \| HowTo? \| Scrapbook!