\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{Alyssabruestle1} \pdfinfo{ /Title (sonographic-appearance-of-female-pelvis.pdf) /Creator (Cheatography) /Author (Alyssabruestle1) /Subject (Sonographic appearance of female pelvis Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{E8BAC1} \definecolor{LightBackground}{HTML}{FCF6F7} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Sonographic appearance of female pelvis Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{Alyssabruestle1} via \textcolor{DarkBackground}{\uline{cheatography.com/170636/cs/35812/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}Alyssabruestle1 \\ \uline{cheatography.com/alyssabruestle1} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Not Yet Published.\\ Updated 1st December, 2022.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{multicols*}{3} \begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Sonographic Appearance}} \tn % Row 0 \SetRowColor{LightBackground} Muscles & Hypoechoic \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} Ligaments & Not seen unless there is free fluid; echogenic \tn % Row Count 4 (+ 3) % Row 2 \SetRowColor{LightBackground} Posterior cul de sac & Not uncommon to see small amount of fluid \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} Anterior cul de sac & usually empty \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} Fallopian tubes & Not seen unless if there is fluid or pathology \tn % Row Count 11 (+ 3) % Row 5 \SetRowColor{white} Vagina & Medium level echos, homogeneous with smooth contours \tn % Row Count 14 (+ 3) % Row 6 \SetRowColor{LightBackground} Endometrium & Changes based on menses \tn % Row Count 16 (+ 2) % Row 7 \SetRowColor{white} Superficial layer of endometrium & Typically hypoechoic depends on cycle. \tn % Row Count 18 (+ 2) % Row 8 \SetRowColor{LightBackground} Basal layer of endometrium & hyperechoic \tn % Row Count 20 (+ 2) % Row 9 \SetRowColor{white} Uterus & Dependent on myometrium. Isosonic to vaginal wall. \tn % Row Count 23 (+ 3) % Row 10 \SetRowColor{LightBackground} Internal os & Hard to see unless pregnant \tn % Row Count 25 (+ 2) % Row 11 \SetRowColor{white} External os & Echogenic line \tn % Row Count 26 (+ 1) % Row 12 \SetRowColor{LightBackground} Cervix & Homogeneous, mid level echoes, isosonic to uterus \tn % Row Count 29 (+ 3) % Row 13 \SetRowColor{white} Endometrial canal & Thin echogenic line \tn % Row Count 30 (+ 1) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Sonographic Appearance (cont)}} \tn % Row 14 \SetRowColor{LightBackground} Ovary & Homogeneous unless if there is a cyst \tn % Row Count 2 (+ 2) % Row 15 \SetRowColor{white} Mature Graafian or follicles & Anechoic \tn % Row Count 4 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.38896 cm} x{2.58804 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Endometrium (superficial) Throughout Cycle}} \tn % Row 0 \SetRowColor{LightBackground} Menstrual phase (1-5 days) & Thin echogenic line \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} Proliferative phase (day 5-9) & Hyperechoic, 4-8mm, "3 line sign" \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} Proliferative phase (day 10-14) & isoechoic with myometrium, 6-10mm \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} Secretory phase (day 15-28) & thick echogenic line, 7-14mm \tn % Row Count 8 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{1.14471 cm} x{3.83229 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Pelvic Muscles}} \tn % Row 0 \SetRowColor{LightBackground} True pelvis & 1. Piriformis 2. Obturator internus 3. pelvic diaphragm \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} False pelvis & 1. Psoas major 2. iliacus 3. iliopsoas \tn % Row Count 4 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{The pelvic diaphragm contains Levator ani and Coccygeus.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.09034 cm} x{2.88666 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Pelvic Ligaments}} \tn % Row 0 \SetRowColor{LightBackground} Broad ligaments & Extend from uterine cornua to the lateral pelvic walls. \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} Round ligaments & Holds uterus in place \tn % Row Count 4 (+ 1) % Row 2 \SetRowColor{LightBackground} Cardinal and Utero Sacral & Provides support to the CERVIX \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \seqsplit{Infundibulopelvic} and ovarian & Support the ovaries \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} Pubovesical and lateral & Holds the urinary bladder \tn % Row Count 10 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.63781 cm} x{2.33919 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Pelvic Spaces}} \tn % Row 0 \SetRowColor{LightBackground} Anterior cul de sac & Area between uterus and pelvic bone \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} Posterior cul de sac (pouch of Douglas) & Area between rectum and uterus \tn % Row Count 4 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{1.94103 cm} x{3.03597 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Location}} \tn % Row 0 \SetRowColor{LightBackground} Vagina & Between urethra and rectum; posterior to urethra and bladder. \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} Cervix: & Between body of uterus and vagina \tn % Row Count 5 (+ 2) % Row 2 \SetRowColor{LightBackground} - External os & Muscle that connects the cervix to vagina \tn % Row Count 7 (+ 2) % Row 3 \SetRowColor{white} - Internal os & Muscle that connect the body of uterus to cervix \tn % Row Count 9 (+ 2) % Row 4 \SetRowColor{LightBackground} Uterus & Between bladder and rectum \tn % Row Count 11 (+ 2) % Row 5 \SetRowColor{white} Fallopian tubes (salpingo) & Emerges from cornua of uterus (laterally) \tn % Row Count 13 (+ 2) % Row 6 \SetRowColor{LightBackground} Ovaries & Anterior to internal iliac arteries \tn % Row Count 15 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{1.09494 cm} x{3.88206 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Uterine Position Variations}} \tn % Row 0 \SetRowColor{LightBackground} \seqsplit{Anteverted} & Fundus is anteriorly at a 90 degree angle, most common. \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \seqsplit{Anteflexed} & Fundus is pointing inferiorly and resting on cervix \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \seqsplit{Retroverted} & Fundus is posteriorly at an angle \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \seqsplit{Retroflexed} & Fundus is superiorly and resting on cervix \tn % Row Count 8 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{1.9908 cm} x{2.9862 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Segments}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{UTERUS:} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} - Fundus & Widest and most superior portion (at level of cornua) \tn % Row Count 4 (+ 3) % Row 2 \SetRowColor{LightBackground} - Corpus (body) & Largest part \tn % Row Count 5 (+ 1) % Row 3 \SetRowColor{white} - isthmus (internal os) & Connects body and cervix \tn % Row Count 7 (+ 2) % Row 4 \SetRowColor{LightBackground} - Cervix & Lowest uterine segment \tn % Row Count 8 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{FALLOPIAN TUBES (salpingo):} \tn % Row Count 9 (+ 1) % Row 6 \SetRowColor{LightBackground} - Interstitial (intramural) & Portion closest to uterus; narrowest \tn % Row Count 11 (+ 2) % Row 7 \SetRowColor{white} - Isthmus & Short straight narrow portion; adjacent to uterus \tn % Row Count 14 (+ 3) % Row 8 \SetRowColor{LightBackground} - Ampulla & Longest and most coiled portion; most common place for ectopic pregnancy \tn % Row Count 17 (+ 3) % Row 9 \SetRowColor{white} - Infundibulum & Funnel shape at end of the tube \tn % Row Count 19 (+ 2) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{OVARIES:} \tn % Row Count 20 (+ 1) % Row 11 \SetRowColor{white} - Peripheral cortex & Site of oogensis (production of eggs, outer portion; contains follicles \tn % Row Count 23 (+ 3) % Row 12 \SetRowColor{LightBackground} - Central medulla & Made up of ovarian vasculature, homogeneous. \tn % Row Count 25 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} % That's all folks \end{multicols*} \end{document}