2.4.3 Clinical Aspects of Cervical and Uterine Pathology Flashcards
What are the increased risk factors of Leiomyomas?
Estrogen and Progesterone Sensitive Tumor
What is the surgical approach to AUB?
Hysterectomy is the most effective treatment though
What is the treatment of HGSIL?
What are the risk factors of adenomyosis?
High parity and increasing age
What is an incompetent cervix?
What is the most common outcome of HPV infection?
Subclinical infection or spontaneous resolution of clinically-apparent infection
How can fibroids affect pregnancy?
Pre term labor
Fetal malposition
Placenta previa
Postpartum hemorrhage
Neonatal morbidity
Higher C section delivery rate
Describe the incidence of HPV
What is the gold standard of andenomyosis?
MRI
How can you make a diagnosis of AUB?
What are the characteristics of CIN?
How are fibroids classified?
What is primary HPV screening?
What are the characteristics of pelvic organ prolapse?
What is the incidence of AUB?
10-30% of reproductive age women
What is the surgical management of Leiomyomas?
What factors decrease risk of Leiomyomas?
Postmenopausal
Cigarette Smoking
Pregnancy
What is the management of LGSIL vs HGSIL?
What are the characteristics of AUB-O pathophysiology?
What are the characteristics of the HPV vaccines?
What is the management of leiomyomas?
What are the characteristics of a Hematometra?
Possible complication of fibroids
What is needed to make a diagnosis of Leiomyomas?
Pelvic exam - uterine enlargement and/or irregular contour
Imaging - Pelvic Ultrasound is gold standard
What is the surgical treatment of Pelvic organ prolapse?
What is the structural causes of AUB?
PALM
Polyp
Adenomyosis
Leiomyoma
Malignancy
What are the symptoms associated with Leiomyomas (Fibroids)?
What is this an image of?
Hematometria
What are some other symptoms of Leiomyomas?
How do hormonal contraceptive pills help treat AUB?
Work by causing endometrial atrophy
What are the ASCCP guidelines for cervical cancer screening?
How often will CIN1 vs CIN3 progress to cancer?
What are the characteristics of Uterine Leiomyomas (fibroids)
What is the non surgical treatment of pelvic organ prolapse?
What are the characteristics of abnormal uterine bleeding?
What is the treatment of AUB?
What is important about the squamous metaplasia in the cervix?
What are the characteristics of colposcopy?
How can uterine artery embolization be used to treat fibroids?
What is the use of Pessary?
What are the characteristics of Adenomyosis?
Presence of endometrial glands and stroma in the myometrium
Cause for dysmenorrhea, pelvic pain and menorrhagia
What are the non-structural causes of AUB?
COEIN
Coagulopathy
Ovulatory Dysfunction
Endometrial
Iatrogenic
Not yet classified
What are the symptoms of pelvic organ prolapse?
Vaginal bulge or pressure
urinary incontinence
constipation
vaginal bleeding
can be painful
What are the cervical screening techs?
