benign conditions of ovary and pelvis

Question 1

what cyst can be associated with ovarina torsion?

Answer 1

dermoid cysts

Question 2

investigating torsion

Answer 2

pelvic USS w doppler measurement of blood flow

Question 3

acute pain can suggest?

Answer 3

torsion of cyst
rupture / haemorrhage

Question 4

investigation in ovarian cyst?

Answer 4

bedside - obs bp etc haemodynamic stable

blood: fbc, crp, wcc pregnancy test
sero markers
ca 125 - ovarian cancer
ca19-9
inhibin
b-hcg
AFP

Question 5

how do follicular cyst appear on USS

Answer 5

simple unilocular cysts

Question 6

endometrioma ?

Answer 6

chocolate cysts
altered blood within ovary

ground glass appearnace on USS

Question 7

tubo-ovarian abscess

Answer 7

PID associated
treat w abx
surgical drainage
excision

Question 8

what are the three embryonic germ cell layers?

Answer 8

mesenchymal
epithelial
stroma

Question 9

mx of dermoid cyst?

Answer 9

cystectomy

Question 10

mx of benign masses?

Answer 10

laproscopic approach

Question 11

what can raise ca 125?

Answer 11

fibroids
endometriosis
adenomyosis
pelvic infection

Question 12

m rules for ovarian masses

Answer 12

irregular
solid
ascites
4 papillary structures
irregular multulocular solid tumour - 10cm
very strong blood flow

Question 13

b rules for masses?

Answer 13

unilocular cyts
presence of solid component

Question 14

what suggest a gynae cause of chronic pelvic pain?

Answer 14

dysparaenia
menstrual history
contraception

in relation to menstrual cycle and dyspareunia

Question 15

why does infertility occur with endometriosis?
ovarian function

Answer 15

anovulation
luteolysis due to prostaglandin f2

can cause hormonal environment changes which affect fertility