Adenxal Mass Flashcards
Premenarchal and Postmenopausal masses you should be thinking baout…
cancer
adenexal mass in reproductive age women your thinking….
cysts!
can you give OCPs to reduce the size of ovarian cysts?
nope! they dont work dont do this
what do you give a young girl wiht irregular, heavy bleeding? why?
NSAIDs, young women who just started menarche will often have abnormal cycles likely do to anovulation and NSAIDs are kinda like pushing the reset button on it to regulate the cycle.
—-cm is considered small simple cysts.
10cm = small
what do you do when you find a cysts between 3-10cm?
reimage within 12 weeks(U/S) to show any growth. if not just ignore it. if less than 3cm dont need to reimage.
tx for complex cysts?
laparoscopy to remove just the cysts.
tx teratoma? type of pt u see this in? what are they at risk for? why?
<20 yoa, weight gain or abdominal growth, large cysts, tx w/cystectomy to spare ovary.
*at risk for ovarian torsion due to extra weight from teratoma!
sx of ectopic prego?
dx of salpingitis, occurs in ampulla, amenorrhea, lower ab pain due to growing prego, vaginal spotting & elevated BHCG
what is a chocolate cysts? sx?
endometriosis! causing dysmenorrhea, dyspareunia and infertility.
tx of endometriosis
NSAIDS + OCP then for real fix = surgical ablation/resection
what is the best dx for chocolate cysts?
laproscopic visulization w/lazer ablation.
how do you usually dx endometriosis?
give OCP trial and if they get better = endometriosis; give NSAIDs for pain.
women presents with severe and sudden onset of abdominal pain that was not provoked by anything. dx? workup? tx?
U/S will likely show a cysts = weight causes twisting around suspensory ligament.
*surgery to untwist and tack down ovary! if necrotic remove.
Pt w/history of multiple Gc/Chla infections now presents with fever, leukocytosis and adenexal mass. workup ? tx?
U/S will show ABSCESS = needs to be drained and started on abx(cefoxitin, doxy, metro, clinda, genta)
