obs and gynae

Question 1

What is this? is it normal or abnormal?

Answer 1

Normal

Question 2

What is this?

Answer 2

Cervical ectropion

Question 3

What is cervical ectropion?

Answer 3

• Cervical ectropion (or cervical eversion) is a condition in which the central (endocervical) columnar epithelium protrudes out through the external os of the cervix and onto the vaginal portion of the cervix.

• It undergoes squamous metaplasia, and transforms to stratified squamous epithelium.

Question 4

What is this?

Answer 4

Cervical polyp

Question 5

What is this?

Answer 5

Cervical carcinoma

Question 6

What is this?

Answer 6

Also cervical cancer!

Question 7

What is this? and name 2 types?

Answer 7

Coil threads

• Copper coil
• Mirena coil

Question 8

What are these swabs?

Answer 8

Chlamydia swab

Question 9

What is this swab?

Answer 9

Charcoal swab → Used as a high vaginal swab for gonhorrea / anything bacterial

Question 10

What is this?

Answer 10

a Cervix brush →

Question 11

What is this?

Answer 11

Endometrial sampler /pipelle

Question 12

What is this?

Answer 12

Simms speculum

• used to visualise the anterior part of the vag.

Question 13

What is this, What is its presentation?

Answer 13

• Cervical ectropion
• Symptoms → mucus discharge, post coital bleeding

Question 14

What condition is this? and What virus causes it?

for bonus points, what condition does this predispose to? What should she be advised to do regularly in future?

Answer 14

• Genital warts caused by HPV
• Strains 16 & 18 are the strains that tend to cause cervical cancer
• She will need regular smear tests

Question 15

What can you see in this picture?

What might have predisposed to this?

Answer 15

• Catherter and simms speculum
• Vaginal prolapse