gynaecology Flashcards
red flags for ovarian cancer
abdominal mass
swelling
urinary urgency
ascites
weight loss
loss of appetite
aetiology:
early menarche, late menopause
what hormone is increased in ovarian cancer
CA 125
investigations for ovarian cancer
pelvic ultrasound
CA 125
PET
CT - post menopausal
MRI - pre menopausal
what is a HPV related malignancy
cervical cancer
what is usually asymptomatic but found on smear
cervical cancer
abnormal vaginal bleeding - post coital, post menopausal, brown discharge, pelvic pain, weight loss
cervical cancer
investigations for cervical cancer
vaginal/speculum exam
colposcopy
HPV test
MRI
CT
post menopausal women with itching and dryness of her vagina, dyspaurenia (pain during sex) and bleeding
atrophic vaginitis
investigations for atrophic vaginitis
vaginal exam - pale, thin skin, erythema, dryness
management of atrophic vaginitis
vaginal lubrication
topical oestrogen - estriol cream, pessaries, tablets
endometriosis symptoms
dysmenorrhoea
cyclical pelvic pain
dysparenuria
pelvic mass
retroverted uterus
investigations for endometriosis
pelvic ultrasound
laparoscopy
management of endometriosis
NSAIDs
contraception - COCP. mirena coil
surgery
menopausal symptoms
amenorrhoea
irregular menstrual cycle
hot flushes
night sweats
vaginal itching, dryness
mood changes - irritability
sleep disturbance
women with oligomenorrhoea, hirtuism, obesity, mood swings, male pattern baldness, acanthosis nigricans
PCOS
