OVARIAN PATHOLOGY Flashcards

1
Q

Critical DDx

A

Ovarial Torsion

Ruptured Cyst

Ectopic Pregnancy

Pevlic Inflammatory Disease

Tubo-Ovarian Abscess

Appendicitis

Intraabdominal Abscess

Pyelonephritis / Infected Nephrolithiasis

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2
Q

History & Physical

A

Lower abdominal Pain
Nausea
Vomting

Pelvic Exam has limited sensitivity - may include adenexal tenderness and adenexal asymmetry

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3
Q

Imaging

A

BHcG

POCUS: evaluate for free fluid

Pelvic Ultrasound with Doppler (74-80% sensitive and 95% specific)

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4
Q

Ovarian Cysts with worrisome features

A

large, solid, septated, or diagnosed in a postmenopausal female

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5
Q

Management: Ovarian Torsion

A

Urgent surgical detorsion

Admission

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6
Q

Management: Unstable Ruptured Ovarian Cyst

A

Urgent Gyn consult

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7
Q

Management: Stable Ruptured Ovarian Cyst

A

Supportive management

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