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Registry Review OB/GYN > Endometrial Abnormalities > Flashcards

Endometrial Abnormalities Flashcards

1
Q

___: abnormal location of endometrial tissue in the myometrium

A

adenomyosis

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2
Q

what are some signs of adenomyosis

A
  • dysmenorrhea
  • dyspareunia
  • menometrorrhagia
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3
Q

adenomyosis can be a precursor to ____

A

endometrial carcinoma

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4
Q

S/A adenomyosis

A
  • thickened heterogeneous myometrium
  • Venetian blind sign
  • diffusely increased vascularity
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5
Q

polyps are most common around what age range

A

40-50

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6
Q

___: focal benign overgrowth of endometrium

A

polyp

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7
Q

S/S polyps

A
  • abnormal pre or post menopausal bleeding
  • infertility history
  • menometorrhagia
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8
Q

when is the best time of the cycle to look at polyps

A

early proliferative phase

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9
Q

what is the superior imaging method to look at polyps

A

SIS

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10
Q

___: surgical removal of polyps

A

polypectomy

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11
Q

S/A endometrial polyp

A
  • round mass with smooth borders
  • isoechoic to endometrial tissue
  • connected via stalk
  • color within mass and connecting stalk
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12
Q

___: endometrial tissue in abnormal location

A

endometriosis

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13
Q

list the most common locations for endometriosis from most to least common

A
  • ovaries
  • rectum
  • broad ligament
  • bowel
  • ureter
  • bladder
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14
Q

where is the most common location of extra pelvic implantation of endometriosis

A

anterior abdominal wall

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15
Q

what is the normal age range for endometriosis

A

30-40

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16
Q

endometriosis is most common in who

A

white nulliparous women

17
Q

what is the leading cause of infertility

A

endometriosis

18
Q

which lab value would be increased with endometriosis

A

CA 125

19
Q

S/S endometriosis

A
  • menorrhagia
  • pain
  • painful sex
  • difficult defecation
20
Q

how can endometriosis be treated

A

surgery and/ or HRT

21
Q

S/A endometriosis

A
  • cystic mass with low level echoes
  • through transmission
  • may have fluid levels
  • can be multi located
  • usually demonstrates peripheral vascularity
  • chocolate cyst
22
Q

___: inflammation/ infection of the endometrium

A

endometritis

23
Q

what is the first stage of PID

A

endometritis

24
Q

endometritis has been associated with what

A
  • recent c section
  • abortion
  • IUD perforation
  • retained products
  • biopsy
25
Q

S/S endometritis

A
  • pain
  • fever
  • discharge
  • menorrhagia
  • leukocytosis
26
Q

S/A endometritis

A
  • may see enlarged uterus
  • prominent irregular endometrium
  • may seen air in endometrial cavity
  • fluid in posterior cul de sac
27
Q

___: accumulation of pus in the uterine cavity

A

pyometra

28
Q

what is the median age of presentation of pyometra

A

65

29
Q

S/S pyometra

A
  • purulent vaginal dischage

- pelvic pain

30
Q

pyometra can cause what problems

A

-uterine rupture and peritonitis

31
Q

primary symptom of endometrial hyperplasia is what

A

dysfunctional bleeding

32
Q

S/A endometrial hyperplasia

A
  • overproliferation of glandular tissue
  • > 18mm thickness inn premenopausal patients in secretory phase
  • > 5mm thickness abnormal for postmenopausal patient with no HRT and abnormal bleeding
  • > 8mm thickness abnormal for postmenopausal patients with no HRT and no bleeding
33
Q

___: adhesions of the endometrial lining due to uterine trauma

A

Asherman syndrome

34
Q

asherman syndrome can be due to what

A

c sections or D and C

35
Q

S/S asherman syndrome

A
  • amenorrhea
  • hypomenorrhea
  • recurrent miscarriage
  • infertility
36
Q

___: performed to treat heavy bleeding in patients with a non uterine cause for the bleeding

A

endometrial ablation

37
Q

what are some complications of endometrial ablation

A
  • infection
  • uterine perforation
  • hematometra
  • thermal injury to adjacent structures

Registry Review OB/GYN (31 decks)

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