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Gynaecology > Cervical disorders > Flashcards

Cervical disorders Flashcards

1
Q

cervical ectopion

A

eversion of endocervix

exposing columnar epithelium to vaginal milieu

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2
Q

when is cervical ectopion physiological

A

adolescents
pregnancy
oestrogen contraceptives

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3
Q

endocervical canal epithelium

A

columnar

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4
Q

ectocervix epithelium

A

stratified squamous non-keratinised epithelium

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5
Q

risk factors for cervical ectropion

A

COCP
pregnancy
adolescense
menstruating age

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6
Q

clinical features of ectopion

A

asymptomatic
PCB, IMB
excessive discharge

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7
Q

speculum ectropion

A

reddish appearance around ring in external os

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8
Q

DD cervical ectopion

A

cervical cancer
CIN
cervicitis
pregnancy

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9
Q

investigations cervical ectopion

A

pregnancy test
triple swabs
cervical smear

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10
Q

management of cervical ectopion

A

normal variant
doesn’t require treatment unless symptomatic
stop COCP
ablation of columnar epithelium: crytherapy, electrocautery
boric acid pessaries

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11
Q

cervical polyps

A

benign growths protruding from the inner surface of the cervix
typically asymptomatic

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12
Q

causes of cervical polyps

A

chronic inflammation
abnormal response to oestrogen
localised congestion of cervical vasculature

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13
Q

risk factors for cervical polypa

A

multigravidae

peak in incidence between 50-60

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14
Q

symptoms of cervical polyps

A

asymptomatic
abnormal vaginal bleeding
increased vaginal discharge
can cause infertility if they block canal

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15
Q

signs of cervical polyps

A

polypoid growths

projecting through external os

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16
Q

DD of cervical poylps

A 
cervical ectoption or cancer
STI
fibroids
endometriosis
pregnancy-related bleeding
endometrial carcinoma in post-menopause
endometrial polyp
17
Q

investigations for cervical polyps

A

histology
triple swabs
cervical smear
USS to assess endometrial cavity

18
Q

management of cervical polyps

A

small risk of malignant transformation
polypectomy forceps
diathermy for larger polyps
send for histology

19
Q

complications of polyp removal

A

infection
haemorrhage
uterine perforation

Gynaecology (10 decks)

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