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Repro Week 2 > Benign Gyn Lesions > Flashcards

Benign Gyn Lesions Flashcards

1
Q

what is AUB?

A

anovulatory bleeding

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2
Q

what is mnemonic for AUB?

A

PALM COEIN

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3
Q

what does the P stand for in PALM COEIN?

A

polyp

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4
Q

what does the A stand for in PALM COEIN?

A

adenomyosis

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5
Q

what does the L stand for in PALM COEIN?

A

leiomyoma

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6
Q

what does the M stand for in PALM COEIN?

A

malignancy

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7
Q

what does the C stand for in PALM COEIN?

A

coagulopathy

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8
Q

what does the O stand for in PALM COEIN?

A

ovulatory dysfxn

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9
Q

what does the E stand for in PALM COEIN?

A

endometrial

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10
Q

what does the I stand for in PALM COEIN?

A

iatrogenic

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11
Q

what does the N stand for in PALM COEIN?

A

non classified

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12
Q

what are endometrial polyps?

A

hyperplastic growths of endometrial glands and stroma around a vascular core

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13
Q

are endometrial polyps more common pre or post menopasue?

A

pre

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14
Q

name three risk factors for endometrial polyps?

A

obesity
tamoxifen
hormone therapy

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15
Q

how do polyps usually present?

A

intermenstrual bleeding

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16
Q

what is a leiomyoma?s

A

benign tumor of the smooth muscle in the myometrium

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17
Q

what is another name or leiomyomas?

A

fibroids

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18
Q

what two hormones are important for leiomyoma growth?

A

estrogen and progesterone

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19
Q

when are leiomyomas common? who gets them?

A

AA women in 40s

20
Q

how can leiomyomas present with bleeding?

A

heavy menstrual bleeding
intermenstrual
or dysmennorrhea

21
Q

what are the bulk symptoms of leiomyomas?

A

pelvic pressure
urinary frequeny
infertility

22
Q

what is post menopausal bleeding a concern for?

A

malignancy

23
Q

what is ultrasound sign for malignancy in post menopause?

A

thickened white stripe between uterine sides

24
Q

when doe coagulopathies present?

A

young females

25
Q

what are six possible causes of ovulatory dysfxn?

A 
hypothyroid
PCOS
hyperprolactinemi
obesity
mental stress
extreme exercise
26
Q

what is definition of endomteriosis?

A

ectopic endometrial glands and strom

27
Q

what are some common locations for endometriosis?

A

ovary
peritoneal cavity
bowel
bladder

28
Q

what are chocolate cysts?

A

large implants in ovaries from endometriosis

29
Q

what is cause of endometriosis?

A

likely retrograde flow

30
Q

who gets endometriosis?

A

women of reproductive age

31
Q

what decreases risk of endometriosis?

A

OCPs, births and oligomenorrhea

32
Q

when is endometriosis painful?

A

dysmenorrhea

33
Q

what are three late manifestations of endometriosis?

A

dyspareunia
chronic pelvic pain
infertility

34
Q

what is adenomyosis?

A

endometrial glands and stroma found in the uterine musculature

35
Q

how does uterus appear in adenomyosis?

A

boggy and enlarged

36
Q

what increases likelihood of adenomyosis?

A

more births and uterine surgery

37
Q

what is presentation of adenomyosis?

A

dysmenorrhea and HMB

38
Q

who gets more ovarian cysts, pre or post meno?

A

pre

39
Q

how do you diagnose cysts in ovary?

A

ultrasound

40
Q

what age groups mean cyst of ovary may be malignant?

A

pre puberty or post meno

41
Q

what make up of ovarian cyst is concerning for malignancy?

A

complex solid mass

42
Q

name the three benign ovarian cysts

A

serous mucinous cyst adenoma
endometrioma
mature cystic teratoma

43
Q

what are serous mucinous cyst adenoma derives from?

A

epithelium

44
Q

what is most common benign ovarian cyst?

A

serous mucinous cyst adenoma

45
Q

what is mature cystic teratome derived from?

A

germ cell

46
Q

what can you find in a teratoma cyst?

A

teeth hair sebum etc

Repro Week 2 (9 decks)

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