Adnexal Pathology And Infertility Notes Flashcards

1
Q

What is an endometrioma?

A

A collection of extravasated endometrial tissue. (Ectopic endometrial tissue)

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2
Q

What is endometriosis?

A

A condition occurring when functional endometrial tissue invades the peritoneal cavity.

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3
Q

What is human chorionic gonadotropin (hCG)?

A

A substitute for luteinizing hormone used in fertility assistance to trigger ovulation.

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4
Q

What is hydrosalpinx?

A

Dilatation of the fallopian tube with fluid.

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5
Q

What is Meckel diverticulum?

A

An anomalous sac protruding from the ileum; caused by an incomplete closure of the yolk stalk.

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6
Q

What is pelvic inflammatory disease (PID)?

A

A general classification for inflammatory conditions of the cervix, uterus, ovaries, fallopian tubes, and peritoneal surfaces.

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7
Q

What is salpingitis?

A

Inflammation within the fallopian tube.

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8
Q

What is synechia?

A

Scarring caused by previous dilation and curettage or spontaneous abortion; demonstrated as hyperechoic band of echoes within the endometrial cavity.

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9
Q

What are the clinical findings of endometriosis? 6 (s/s)

A
  1. Asymptomatic
  2. Dysmenorrhea
  3. Pelvic pain
  4. Irregular menses
  5. Dyspareunia
  6. Infertility.
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10
Q

What are the sonographic findings of endometriosis? 3

A
  1. Difficult to visualize with sonography
  2. Obscure organ boundaries
  3. Fixation of the ovaries posterior to the uterus.
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11
Q

What is an endometrioma? Where is it typically located?

A

A focal collection of functional ectopic endometrial tissue, typically located in the broad ligament.

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12
Q

What are the characteristics of an endometrioma? (S/S and sonographic appearances) 9

A
  1. Asymptomatic
  2. Pelvic pain
  3. Metromenorrhagia
  4. Dysmenorrhea
  5. Dyspareunia
  6. Palpable pelvic mass
  7. Infertility
  8. Hypoechoic
  9. Homogeneous adnexal mass with thick well-defined wall margins.
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13
Q

What is a chocolate cyst?

A

Another term for an endometrioma.

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14
Q

What are Krukenberg tumors?

A

Metastatic lesions from primary lesions such as gastric carcinoma.

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15
Q

What are the clinical findings of pelvic inflammatory disease? 4 (s/s)

A
  1. Abdominal pain
  2. Fever
  3. Vaginal discharge
  4. Urinary frequency.
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16
Q

What are the differential considerations for PID? 3

A
  1. Endometriosis
  2. Ectopic pregnancy
  3. Peritoneal inclusion cyst.
17
Q

What is infertility?

A

Infertility is suggested when conception does not occur within 1 year; caused by male or female reproductive abnormalities.

18
Q

What is the most common cause of female infertility?

A

Ovulatory disorders.

19
Q

What are some methods of assisted reproductive technologies (ART)? 4

A
  1. Ovarian induction therapy
  2. In vitro fertilization (IVF)
  3. Gamete intrafollicular transfer (GIFT)
  4. zygote intrafallopian transfer (ZIFT).
20
Q

What is ovarian induction therapy?

A

Medications are injected or taken orally to stimulate follicular development.

21
Q

What is in vitro fertilization (IVF)?

A

Mature ova are aspirated with ultrasound guidance and fertilization is accomplished in a laboratory setting.

22
Q

What is the purpose of ultrasound evaluation of the uterus?

A

To assess the structural anatomy of the uterus and endometrium.

23
Q

What is the significance of endometrial thickness?

A

Full luteal function is expected with an endometrial thickness of 11 mm or greater during the midluteal phase; thickness <8 mm is associated with decreased fertility.

24
Q

What are complications of assisted reproductive technologies? 3

A
  1. Ectopic pregnancy
  2. Multiple gestations
  3. Ovarian hyperstimulation syndrome.
25
Q

What is ovarian hyperstimulation syndrome? What are some clinical findings?3

A

Caused by high levels of hCG;
clinical findings include:
1. Lower abdominal pain
2. Abdominal distention
3. Nausea/vomiting.