Clinical history and malformations

pages 7-10

Arcuate

Mildest of all. Normal contour, slight indentation of fundal endo

Bicornuate

AKA Bicornis Unicollis 1 endo cavity that divides into 2 at fundus. “Y” shaped. Uterine fundus has concave contour. Uterine width NL

Subseptate

Normal uterine contour with 2 separate endo cavities

Septate

Most common congenital uterine anomaly 2 completely separate endo cavities, Uterine contour is concave at fundus.

Didelphys

Complete lack of fusion. 2 vaginas, cervices, and uteri

Unicornuate

Lack of formation of one duct. Single horn

primary amenorrhea

Failure to have menses by the age of 16. Never reached menarche

Secondary amenorrhea

Menses stopped

Mittelschmertz

“middle pain” pain in middle of cycle, near ovulation.

“T” shaped uterus

most commonly associated with DES

Vaginal atresia and imperforate hymen

Both can lead to accumulation of fluid due to obstruction

Vaginal atresia & imperforate hymen both have

pain and primary amenorrhea in a adolescent girl

Imperforate hymen is most common cause

true

Vaginal Atresia

absent or closed vagina, so it cannot be distended

Only uterus and cervix will be distended with fluid or blood

hydrometra or hematometra

Imperforate hymen

closed hymen

hydrocolpos

fluid in the vagina

hydrometracolpos

fluid in the uterus and vagina

hematometracolpos

menstrual blood in the uterus and vagina

LMP

first day of last period

Transabdominal 2-6 MHz curvilinear

Lacks detail due to distance from organs and lower frequency. Limited when pt is obese or retro uterus

Transvaginal 6-9 MHz endocavity

Limited due to shallower FOV and scanning depth. Contraindicated in pediatrics or pt’s that cannot tolerate

Uterus measured length and AP in what form?

in sagittal fundus to external os of cervix (length)

Uterus width of body measured in what form?

in transverse

Endometrium measured in ?

ML SAG at greatest AP dimension excluding fluid, if present

If fluid present in endometrium?

if there is fluid measure both layers of endo and add them together.

Ovaries measured in ?

L x W x H x 0.523

Most important when documenting pathology is documentation in ?

2 planes in B-mode