Abdominal Swelling Flashcards
5 gynae causes of abdominal swelling?
Ovarian lesion with ascites, pregnancy, PMS, large fibroids, inflammatory cause tubo-ovarian
Some non-gynae causes of abdominal swelling?
bowel (obstruction, diverticulosis, impaction, neoplasia), urinary retention, splenomegaly, hepatomegaly
What symptoms can you ask about to determine if there is a pelvic mass?
Dyspareunia, urinary urgency/frequency/incontinence
A question relevant in your history that can help determine whether fibroids are causing abdominal swelling?
PMS symptoms, related to menstrual cycle
What can cause low mood in a older woman?
Hypothyroidism, perimenopausal, malignancy, depression, PMS
Initial investigation of pelvic mass?
USS
Why might a tumour cause sudden abdominal pain?
Rupture of cyst, haemorrhage into cyst, torsion, acute infection
4 tumour markers in suspected ovarian tumours? What other scan would you want to do ?
CA125, alpha feta protein, LDH, beta HCG. CXR
Risk of malignancy index calculation?
USS finding x menopausal status x CA125
In the RMI, what 5 features on USS will get 3 points?
Multinodular, ascites, malignancy evidence, solid areas, bilateral
What RMI result would you refer to gynae oncology?
250
List 4 types of epithelial ovarian cancers?
Serous cystadenomacarcinoma, endometriod, mucinous cystadenocaricoma, clear cell
2 main types of chemo used in ovarian cancer?
Carboplatin, paclitaxel
5 year survival of stage 1,2,3,4 ovarian cancer?
stage 1 - 90%, stage 2 - 40%, stage 3 - 20%, stage 4 - 5%
BRCA 1 gives you lifetime risk of what for ovarian cancer?
63%
