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Y4R5 - Gynecology I 👩‍🍼 > L2: RVF & Uterine Inversion > Flashcards

L2: RVF & Uterine Inversion Flashcards

1
Q

Def of Retroversion

A
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2
Q

Def of Retroflexion

A
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3
Q

Etiology of RVF

A
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4
Q

Etiology of RVF

  • Congenital
A

(20% of females)

  • No symptoms & needs No treatment.
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5
Q

Etiology of RVF

  • Acquired
A
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6
Q

Degrees of RVF

A
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7
Q

Dx of RVF

A
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8
Q

Symptoms of RVF

A
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9
Q

Signs of RVF

A
  • vaginal examination, you can determine the degree or detect the pathology
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10
Q

Prevention of RVF

A

By proper management of puerperium.

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11
Q

TTT of RVF

A
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12
Q

Def of Uterine Inversion

A
  • Uterine inversion occurs when the uterine fundus collapses into the endometrial cavit turning the uterus partially or completely inside out.
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13
Q

Incidence of Uterine Inversion

A

Incidence ranges from 1 in 3500 to 20,000 deliveries.

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14
Q

Classification of Uterine Inversion

A
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15
Q

Classification of Uterine Inversion

  • Acc to Extent of Inversion
A
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16
Q

Classification of Uterine Inversion

  • Acc to Time of Occurence
17
Q

RF for Uterine Inversion

18
Q

CP of Uterine Inversion

19
Q

DDx of Uterine Inversion

A

Prolapsed fibroid & procidentia:

  • Clinical examination and ultrasound can differentiate the conditions.
20
Q

Management of Uterine Inversion

21
Q

Management of Uterine Inversion

  • Time of Intervention
22
Q

Management of Uterine Inversion

  • Aspects
23
Q

Management of Uterine Inversion

  • Discontinue uterotonic drugs
A

since uterine relaxation is needed to replace uterine fundus.

24
Q

Management of Uterine Inversion

  • Call for immediate assistance
A

including anesthesiology staff, operative room ready for laparotomy.

25
Q

Management of Uterine Inversion

  • adequate intravenous access
A

and aggressive fluid/blood product resuscitation.

26
Q

Management of Uterine Inversion

  • Do not remove the placenta
27
Q

Management of Uterine Inversion

  • Manually replace the inverted uterus
A

Immediately attempt to manually replace the inverted uterus to its normal position.

28
Q

Management of Uterine Inversion

  • Last Resort
29
Q

Management of Uterine Inversion

  • Surgery
30
Q

TTT of Chronic Uterine Inversion

31
Q

TTT of Chronic Uterine Inversion

  • Non-Surgical
A

Napier repositor for frail women contraindicated for surgery

32
Q

TTT of Chronic Uterine Inversion

  • Surgical
33
Q

TTT of Uterine Inversion

  • Goals of Mangement

Y4R5 - Gynecology I 👩‍🍼 (28 decks)

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