Vagina

1. Introduction 100%

Role of Ultrasound in Vaginal Pathology Assessment
Indications: Pain, Bleeding, Discharge, Trauma
Comparison: Transvaginal vs Transperineal Ultrasound
Safety, Patient Preparation, and Consent

2. Anatomy of the Vagina 100%

Vaginal Canal and Fornices
Layers: Mucosa, Muscularis, Adventitia
Relation to Urethra, Bladder, Rectum, Cervix
Pediatric, Premenopausal, and Postmenopausal Differences

3. Scanning Techniques 100%

Transvaginal (Endocavitary) Probe Use
Translabial/Transperineal Approach
Probe Positioning and Orientation
Gel Use, Infection Control, and Imaging Planes

4. Normal Vaginal Appearance 100%

Homogeneous Hypoechoic Wall Layers
Collapsed Vaginal Canal (Thin Echogenic Line)
Recognition of Fornices and Cervical Bulge
Variable Appearance with Hormonal Status

5. Vaginal Pathologies 100%

1. Infectious Conditions

Vaginitis (Non-specific, Candidal, Trichomonal)
Bartholin Cyst (Lower Vagina, Posterolateral Wall)
Abscesses and Fluid Collections

2. Traumatic and Post-Surgical

Vaginal Lacerations or Hematomas
Foreign Bodies
Post-Hysterectomy Changes
Fistulas (Vesicovaginal, Rectovaginal)

3. Congenital and Structural

Transverse Vaginal Septum
Imperforate Hymen (Hydrocolpos, Hematocolpos)
Vaginal Agenesis (Müllerian Anomalies)

6. Vaginal Masses and Tumors 70%

Gartner Duct Cyst
Vaginal Polyps
Vaginal Cancer (Rare – SCC, AdenoCA)
Metastasis or Extension from Cervix or Vulva
Evaluation of Vaginal Wall Thickening

7. Role in Pelvic Floor Assessment 40%

Prolapse Evaluation (Cystocele, Rectocele)
Perineal Body Thickness
Vaginal Wall Mobility
Dynamic Strain/Valsalva Maneuver

8. Interventional and Follow-Up Role 0%

Ultrasound-Guided Drainage of Abscess
Monitoring Cyst Resolution or Recurrence
Evaluation of Postoperative Healing
Guidance for Foreign Body Removal

9. Case Studies and Quiz Section 0%

Differentiating Abscess vs Hematoma
Cyst vs Polyp vs Tumor in Vaginal Canal
Trauma vs Congenital Anomaly Cases
Interpretation Practice with Labeled Scenarios