Fibroids

Question 1

Primary presentation

Answer 1

Intramural (MC) - menorrhagia; can also be dysmenorrhoea,but never primary.

Mc asymptomatic
MC symptomatic :Submucousal (LC overall) -menorrhagia

Fibroid polyp - menometrorrhagia.

Pedunculated fundal submucousal - inversion.

Pedunculated subserousal -MC to undergo torsion

Mc degen - hyaline

Question 2

Subserousal fibroids

Answer 2

Calcaneous degen (popcorn kernel classification)

Question 3

Red degen

Answer 3

Appears in 2nd trim
Presents with ac abdomen
Pain N V
Lab - Neutophelia
Aseptic cond
Rx only conservative :pain relief only

Question 4

Fibroids symptoms

Answer 4

Mc asymptomatic
Symptomatic MC submucousal -1menorrhagia
2Pressure symptoms:subserousal 
3infertility 4recc preg loss 
5pregnancy -preterm ,iugr ,loss,abruption ,malpre,abn progress ,pph inc risk. 
NEVER dysparunia.

Question 5

True & false Broad ligament fibroids ?

Answer 5

False - from subserousal ; ureter lies lateral
True -denovo btwn broad ligmnt
Ureter medial to fibroid.