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Gynaecology > Disorders Of The Ovaries > Flashcards

Disorders Of The Ovaries Flashcards

1
Q

RF for ovarian cancer

A

Age, nulliparity, family history, endometriosis, smoking, ovarian induction

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2
Q

How to manage infertility in PCOS?

A 
Weight loss 
Ovulation induction via clomiphene citrate 
Gonadotropins 
Laparoscopic ovarian drilling
IVF
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3
Q

How to manage hirsutism in PCOS

A

Diane-35 or Yasmin
Spironolactone/ketoconazole/flutamide
Vaniqa
Surgical laser

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4
Q

Tests for ovarian CA

A

FBC, UEC, LFT
Ca-125, CA 19-9, inhibin, b-HCG, AFP
Pelvic U/S and MRI, CXR

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5
Q

Management for ovarian cancer

A

Bilateral salphingo-oopherectomy +/- hysterectomy
- LN resection, omentectomy, ascites or peritoneal sampling
Adjuvant chemo
Follow up with serum Ca-125

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6
Q

Ovarian torsion tests

A

UPT TRO ectopic
FBC, UEC, ESR/CRP
Pelvic U/S or TVS
CT/MRI

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7
Q

Ovarian torsion management

A

Laparoscopy

  • untwist ovaries, confirm viability or aspirate or remove cyst
  • salpingectomy and/or oophorectomy if postmenopausal or very necrotic
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Gynaecology (10 decks)

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