97 Abd. and Pelvic pain in nonpregnant female

Question 1

What are the main problems with In vitro fertilization

Answer 1

Ectopic/heterotopic pregnancy, ovarian torsion, cysts, ovarian hyperstimulation syndrome

Question 2

Because she’s in making a definitive diagnosis of blank as the sole cause of the patient’s Of patience abdominal pain

Answer 2

UTI

Question 3

In general what is the imaging modality of choice for genital tract pathology

Answer 3

Ultrasound

Question 4

In general what is the preferred imaging modality when G.I. or GU pathology is highest on the differential

Answer 4

CT

Question 5

Patient instructions and transabdominal versus transvaginal

Answer 5

Transabdominal is better with a full bladder for acoustic window, transvaginal is better with empty bladder

Question 6

Why wouldn’t you give opiates for Andominal pain

Answer 6

Actually you should there’s no evidence of judicious use of opiates of scares abdominal exam findings

Question 7

What is a hemorrhagic ovarian cyst

Answer 7

The curse of the blood vessel in the cyst wall ruptures

Question 8

What is mittelschmerz

Answer 8

German for middle pain, it is mid cycle pain at the time of ovulation, normal Follicular enlargement prior to ovulation or follicular bleeding at ovulation

Question 9

What ovarian cyst characteristics are worrisome for neoplasm, dermoid cyst, or endometriomas?

Answer 9

Cyst that are large (greater than 8 cm), solid, and multiloculated

Question 10

At what stage of cancer or women with ovarian neoplasms normally found

Answer 10

I have a woman or not diagnosed until stage three or four disease is present because symptoms are usually nonspecific or subclinical

Question 11

Describe the pathophysiology of ovarian hyper simulation syndrome

Answer 11

Characterized by massive transportation of albumin and fluid from the vascular compartments to the peritoneal, Plural, and sometimes pericardial cavity’s

Question 12

What is the most dreaded complication of ovarian hyperstimulation syndrome?

Answer 12

Venus and arterial thrombosis leading to stroke ST segment elevation myocardial infarction, sepsis, ARDS, and pulmonary embolism

Question 13

On what side Do ovarian torsion’s normally happen

Answer 13

70% of torsions occur on the right side due to the increased length of the utero-ovarian ligament on the right and the sigmoid on the left limiting space for movement

Question 14

Y are up to 60% of torsion missed on arterial Doppler alone?

Answer 14

For starters or tail disruption of flow is a late clinical finding. Also the nature of torsion is a dynamic process, meaning as a twist and untwist.

Question 15

Best way to diagnose torsion?

Answer 15

Although ultrasound with Doppler is Standard of care, clinical suspicion based on history and physical exam remains most important because nothing else is sensitive or specific enough.

Question 16

What is different about ovarian torsion and adolescent or pediatric populations

Answer 16

It is more likely to occur in an otherwise normal ovary without a cyst or mass, symptoms are less classic and they have higher rates of fever, restlessness and palpable pelvic mass at presentation.