Common Conditions Part 2 Flashcards
a common, benign, uterine tumor that affects 40% of women over 40
Uterine Fibroids
MC tumor of the pelvis, MC reason for a hysterectomy
Uterine Fibroid
during bimanual exam, firm irregular nodules in contour of the uterus
Uterine Fibroid
Uterine Fibroid: Risk factors
Nulliparity, African American (2-3x), Older
Uterine Fibroid: Plain film findings
cauliflower-like radio-opaque mass
Uterine Fibroid treatment, least and most invasive
Wait and see - Hysterectomy
UAE
Uterine Artery Embolization
Endometrial carcinoma is MC in which group of women
postmenopausal
T/F Endometrial carcinoma is linked to the balance of estrogen and HcG
F - Estrogen and Progesterone
Red flag of Endometrial carcinoma
Postmenopausal vaginal bleeding
fluid-filled sac in an ovary
Ovarian Cysts
T/F Ovarian cysts are unilateral only
F - Unilateral or Bilateral
Ovarian cyst causes
Hypothalamic-pituitary dysfunction
Native anatomic defects in the reproductive system
T/F Ovarian Cysts can be present from neonatal period to postmenopause
True
Ovarian cysts commonly occur w/in which age groups
Infancy and adolescence (hormonally active periods of development)
Type of Ovarian Cyst - common, single, small, often resolve on their own
Follicular
Type of Ovarian Cyst - common, large, mucous can spread through abdominal cavity
Mucinous
Type of Ovarian Cyst - acutely painful, amennorhea
Corpus luteum
Type of Ovarian Cyst - teeth, hair, heavy cyst
Dermatoid/Teratoma
Ovarian Cyst symptoms
usually asymptomatic, possible lower abdominal pain
MC form of ovarian cancer
Epithelial tumor
types of tumors that develop from connective-tissue cells
stromal tumors
germ cell tumors develop most often in which age group of females
young women, teenage girls
suspect ovarian cancer in women >___yrs w/ symptoms
40yrs
MC site for ectopic (tubal) pregnancy
fallopian tubes
symptoms of ectopic pregnancy
abnormal vaginal bleeding
LBP
mild cramping on ipsilateral side of pelvis
lower abdominal pain
Is a chandelier sign common for an ectopic pregnancy?
Yes
Results in tachycardia, hypotension, and is considered a surgical emergency
ruptured(hemorrhage) ectopic pregnancy
T/F Clinical Note (Ectopic Preg.) - even mild abdominal pain may be significant
TRUE
Red flag for ectopic pregnancy
sudden, dramatic change from mild/vague abdominal pain, to a sudden onset of sever abdominal tenderness, particularly one side
Infection of the uterus, fallopian tubes, and can be acute or chronic
Pelvic Inflammatory Disease (PID)
serious complications of which 2 STIs result in PID?
Gonorrhea and Chlamydia
symptoms of PID
unusual vaginal discharge, foul odor
painful intercourse, urination
irregular menses
right upper abdomen pain
a patient usually cannot tolerate a bimanual exam with ACUTE or CHRONIC PID?
Acute
movement of cervix is painful
Chadelier sign
Inflammation/infection of fallopian tubes
Salpingitis - also often associated with PID
Salpingitis - signs/symptoms
lower quadrant pain
purulent vaginal discharge
abnormal vaginal bleeding
nausea, vomiting, fever
Distention of vagina caused by accumulation of fluid due to congenital vaginal obstruction
Hydrocolops
What does hydrocolops due to the hymen
imperforates it
which direction is the bladder displaced in hydrocolops
forward
inflammation of the vulvar and vaginal tissues
Vulvovaginitis
Signs and Symptoms: Vulvovaginitis
discharge, redness, burning on urination, abnormal odor
Risk factors: Vulvovaginitis
wiping from back to front
tight-fitting synthetic undergarments
bubble baths
Major Signs and Symptoms: Vulvovaginits
vaginal pruritis (especially at night)... pinworms Bloody, foul-smelling discharge... foreign body
inflammation of the vagina due to thickening and shrinkage of the tissues
Atrophic Vaginitis
Atrophic Vaginitis is caused by
lack of estrogen
characteristics of mucosa in Atrophic Vaginitis
dry and pale
small volume incontinence with coughing, sneezing, laughing, running
Urinary Incontinence
UI associated with
pelvic floor relaxation
cystocele, rectocele
lax urethral sphincter
atrophic vaginitis
