Disorders of the cervix, uterus & ovaries Flashcards

1
Q

Cervical polyps- Eti

A
  • Occurs after menarche

- Due to inflammation

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2
Q

Cervical polyps- Sx

A
  • Discharge & abnormal vaginal bleeding
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3
Q

Cervical polyps- Dx

A
  • Visible polyps on cervical os on speculum
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4
Q

Cervical polyps- Tx

A
  • Asymptomatic- dont tx

- Avulsion

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5
Q

Nabothian cyst- Eti

A

Mucus filled lump on cervix due to changes in epithelium

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6
Q

Nabothian cyst- Sx

A
  • Asymptomatic

- Small, white raised bump on cervix

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7
Q

Nabothian cyst- Dx

A
  • Visualization on speculum exam
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8
Q

Nabothian cyst- Tx

A

None

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9
Q

Leiomyoma of Uterus- Eti

A
  • Most common benign neoplasm of femal GU
  • Increased risk of miscarriage & pregnancy complications
  • Irregular enlargement of uterus
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10
Q

Leiomyoma of Uterus- Sx

A
  • Heavy/ irregular vaginal bleeding, dysmenorrhea
  • Asymptomatic in non pregnant women
  • Pelvic pain & pressure
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11
Q

Leiomyoma of Uterus- Dx

A
  • Ultrasound

- Saline hysterogrophy

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12
Q

Leiomyoma of Uterus- Tx

A
  • Medroxyprogesterone
  • IUD
  • Myoectoma
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13
Q

Endometriosis- Eti

A
  • Aberrant growth outside uterus
  • 6-10% prevalence
  • 4-5X greater in infertile women
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14
Q

Endometriosis- Sx

A
  • Dysmenorrhea
  • Chronic pelvic pain
  • Dysparenuria
  • Indurated nodules in cul-de-sac
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15
Q

Endometriosis- Dx

A
  • Transvaginal US

- Histology

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16
Q

Endometriosis- Tx

A
  • Contraceptives to tx bleeding sx
  • NSAIDs
  • Laproscopic ablation
17
Q

Adenomyosis- Eti

A
  • Sx occur after 40

- Presence of endometrial glands in myometrium

18
Q

Adenomyosis- Sx

A
  • Menorrhagia
  • Dysmenorrhea
  • Dysparenuria
19
Q

Adenomyosis- Dx

A

MRI

20
Q

Adenomyosis- Tx

A
  • NSAIDs
  • IUD
  • Hysterectomy
21
Q

Cervicitis- Eti

A
  • Chlamydia

- Coinfection with gonococci

22
Q

Cervicitis- Sx

A
  • Purulent discharge

- Often asymptomatic

23
Q

Cervicitis- DX

A
  • NAAT testing
24
Q

Cervicitis- TX

A
  • Azithromycin & doxycycline