Benign Gyn Lesions

Question 1

what is AUB?

Answer 1

anovulatory bleeding

Question 2

what is mnemonic for AUB?

Answer 2

PALM COEIN

Question 3

what does the P stand for in PALM COEIN?

Answer 3

polyp

Question 4

what does the A stand for in PALM COEIN?

Answer 4

adenomyosis

Question 5

what does the L stand for in PALM COEIN?

Answer 5

leiomyoma

Question 6

what does the M stand for in PALM COEIN?

Answer 6

malignancy

Question 7

what does the C stand for in PALM COEIN?

Answer 7

coagulopathy

Question 8

what does the O stand for in PALM COEIN?

Answer 8

ovulatory dysfxn

Question 9

what does the E stand for in PALM COEIN?

Answer 9

endometrial

Question 10

what does the I stand for in PALM COEIN?

Answer 10

iatrogenic

Question 11

what does the N stand for in PALM COEIN?

Answer 11

non classified

Question 12

what are endometrial polyps?

Answer 12

hyperplastic growths of endometrial glands and stroma around a vascular core

Question 13

are endometrial polyps more common pre or post menopasue?

Answer 13

pre

Question 14

name three risk factors for endometrial polyps?

Answer 14

obesity
tamoxifen
hormone therapy

Question 15

how do polyps usually present?

Answer 15

intermenstrual bleeding

Question 16

what is a leiomyoma?s

Answer 16

benign tumor of the smooth muscle in the myometrium

Question 17

what is another name or leiomyomas?

Answer 17

fibroids

Question 18

what two hormones are important for leiomyoma growth?

Answer 18

estrogen and progesterone

Question 19

when are leiomyomas common? who gets them?

Answer 19

AA women in 40s

Question 20

how can leiomyomas present with bleeding?

Answer 20

heavy menstrual bleeding
intermenstrual
or dysmennorrhea

Question 21

what are the bulk symptoms of leiomyomas?

Answer 21

pelvic pressure
urinary frequeny
infertility

Question 22

what is post menopausal bleeding a concern for?

Answer 22

malignancy

Question 23

what is ultrasound sign for malignancy in post menopause?

Answer 23

thickened white stripe between uterine sides

Question 24

when doe coagulopathies present?

Answer 24

young females

Question 25

what are six possible causes of ovulatory dysfxn?

Answer 25

``` hypothyroid PCOS hyperprolactinemi obesity mental stress extreme exercise ```

Question 26

what is definition of endomteriosis?

Answer 26

ectopic endometrial glands and strom

Question 27

what are some common locations for endometriosis?

Answer 27

ovary peritoneal cavity bowel bladder

Question 28

what are chocolate cysts?

Answer 28

large implants in ovaries from endometriosis

Question 29

what is cause of endometriosis?

Answer 29

likely retrograde flow

Question 30

who gets endometriosis?

Answer 30

women of reproductive age

Question 31

what decreases risk of endometriosis?

Answer 31

OCPs, births and oligomenorrhea

Question 32

when is endometriosis painful?

Answer 32

dysmenorrhea

Question 33

what are three late manifestations of endometriosis?

Answer 33

dyspareunia chronic pelvic pain infertility

Question 34

what is adenomyosis?

Answer 34

endometrial glands and stroma found in the uterine musculature

Question 35

how does uterus appear in adenomyosis?

Answer 35

boggy and enlarged

Question 36

what increases likelihood of adenomyosis?

Answer 36

more births and uterine surgery

Question 37

what is presentation of adenomyosis?

Answer 37

dysmenorrhea and HMB

Question 38

who gets more ovarian cysts, pre or post meno?

Answer 38

pre

Question 39

how do you diagnose cysts in ovary?

Answer 39

ultrasound

Question 40

what age groups mean cyst of ovary may be malignant?

Answer 40

pre puberty or post meno

Question 41

what make up of ovarian cyst is concerning for malignancy?

Answer 41

complex solid mass

Question 42

name the three benign ovarian cysts

Answer 42

serous mucinous cyst adenoma endometrioma mature cystic teratoma

Question 43

what are serous mucinous cyst adenoma derives from?

Answer 43

epithelium

Question 44

what is most common benign ovarian cyst?

Answer 44

serous mucinous cyst adenoma

Question 45

what is mature cystic teratome derived from?

Answer 45

germ cell

Question 46

what can you find in a teratoma cyst?

Answer 46

teeth hair sebum etc