endo/ ovarian cysts Flashcards

1
Q

causes of thick endo (4)

A

pregnancy, endometriosis, hyperplasia, polyps

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2
Q

causes of bleeding (5)

A

polyps, fibroids, cancer, hyperplasia, atrophy

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3
Q

two types of biopsy

A

direct and blind

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4
Q

when is the best time to evaluate the endo

A

when its is thinest so early proliferative

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5
Q

indications for ovarian US (4)

A

pain, palpable mass, bleeding, family history

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6
Q

in ovary exam what are we looking for (5)

A

ectopic, cyst, tumor, appenicitis, IBD

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7
Q

nonneoplastic lesions of ovaries aka

A

functional cysts

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8
Q

3 types of functional cyst

A

follicular

corpus luteal

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9
Q

most common cause of ovarian enlargement in young women

A

functional cysts

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10
Q

normal follicle measures

A

2.5 cm

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11
Q

follicular cyst caused by

A

mature follicle fails to ovulate or involute

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12
Q

follicular cyst known as

A

simple cyst

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13
Q

follicular cyst size

A

> 3 cm

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14
Q

follicular cyst appearance

A

thin wall, anechoic, posterior enhancement

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15
Q

follicular cyst uni or bi laterl

A

uni

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16
Q

follicular cyst symptoms

A

usually asymptomatic

17
Q

corpus luteal cyst cause

A

after ovulation failur of absorption or excessive bleeding into corpus luteum

18
Q

corpus luteal cyst size

A

> 4-5cm

19
Q

corpus luteal cyst bi or unilateral

A

uni

20
Q

corpus luteal cyst prone to

A

rupture

21
Q

corpus luteal cyst symptom

A

pain

22
Q

corpus luteal cyst diff D

A

ectopic pregnancy

23
Q

how to tell between corpus luteum and corpus luteal cyst

A

corpus luteum has ring of fire

24
Q

theca luteal cyst known for

A

largest functional cyst

25
Q

theca luteal cyst associated wit hhigh level of

A

hCG

26
Q

theca luteal cyst occur mostly with

A

gestational trophoblastic disease and ovarian hyper stimulation syndrome

27
Q

theca luteal cyst bi or unilateral ***

A

bilateral

28
Q

theca luteal cyst are multiocular meaning

A

they make up several compartments

29
Q

theca luteal cyst look like

A

hypersimulated ovary

30
Q

theca luteal cyst complications (4) and leads to

A

hemorrhage, enlargement, rupture, torsion

leads to pain

31
Q

which functional cyst most likely to rupture

A

corpus luteal cyst

32
Q

hemorragic cyst appearance

A

hyperechoic and may mimic solid mass, smooth posterior wall

33
Q

heorragic cyst important patten

A

reticular pattern

34
Q

what could free fluid in the pelvis indicate

A

hemorrhagic cyst

35
Q

diff D of hemorragic cyst

A

ruptured ectopic, corpus luteum, endometrioma

36
Q

hemorragic cyst may see _____ level

A

fluid level

37
Q

how long for functional cysts to resolve

A

1 to 2 menstrual cycles

38
Q

follow up for large functional cysts

A

6 weeks

39
Q

if cyst larger that _______ surgery or MRI may be required

A

> 7cm