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pelvis > ovarian pathology > Flashcards

ovarian pathology Flashcards

1
Q

what is endometriosis

A

presence of functioning tissue outside the uterus

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2
Q

endometriosis occurs mostly where (4)

A

ovary, fallopian tube, broadlig and PCDS

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3
Q

endometriosis affects who

A

mostly women in reproductive years

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4
Q

5 symptoms of endometriosis

A

dysmenorrhea, dyspareunia, infertility, urinary symtpoms, dyschezia

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5
Q

edometrioma aka

A

chocolate cyst

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6
Q

most common mainfestation of endometiotic tissue

A

endometrioma

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7
Q

what is endometrioma caused by

A

bleeding of ectopic endo tissue in ovary

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8
Q

endometrioma symptoms

A

usually asymptomatic but can have discomfort with mense

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9
Q

endometrioma sono appearance

A

cystic mass containing diffuse low level internal echoes and may have fluid level

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10
Q

main Diff D for chocolate cyst

A

hemorrhagic cyst

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11
Q

are endometrioma followed up?

A

yup

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12
Q

endometrioma can change into

A

low grade invasive cancer

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13
Q

endometriosis usually accompanied by

A

adhesions

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14
Q

2 signs of endometriosis

A

obliterated PCDS and sliding sign

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15
Q

most severe type of endometriosis

A

deep infiltrating endometriosis

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16
Q

deep infiltrating endometriosis seen where

A

anterior or posterior sac

17
Q

3 subtle signs of endometriosis

A

frozen pelvis, no free fluid in PCDS, retroflexed uterus

18
Q

endometioma sono sign

A

kissing ovaries

19
Q

treatment of endometrioma (2)

A

BCP and removal

20
Q

Polycystic Ovarian Disease (PCOS) aka

A

stein-leventhal syndrome

21
Q

what is Polycystic Ovarian Disease (PCOS)

A

hormonal disorder of ovarian dysfunctino

22
Q

S/S of Polycystic Ovarian Disease (PCOS)

A

irregular periods

23
Q

sono appearance Polycystic Ovarian Disease (PCOS)

A

bilateral enlarged ovaries with muliptle small follicles (string of pearls appearance)

24
Q

in order to diagnose Polycystic Ovarian Disease (PCOS) we must test

A

hormone levels

25
Q

ovarian/ adnexal torsion treatment

A

surgical intervention

26
Q

ovarian torsion causes

A

imparment of venous drainage leading to congestion and edema of ovarian parenchyma (enlargement)

27
Q

ovarian torsion non specific symptoms (5)

A

pain, vomiting, nausea, fever and palpable mass

28
Q

ovarian torsion symptoms same as

A

apendicitis

29
Q

ovarian torsion affect was age group

A

young females

30
Q

50-80% of ovarian torsion have

A

pre existing cyst or mass

31
Q

ovarian torsion appearance

A

unilateral enlarged ovary

32
Q

what side does torsion occur more

A

more on right, on left sigmoid stops movement

33
Q

what sign do we see for ovarian torsion

A

whirlpool sign

34
Q

Diff D of ovarian torsion

A

appendicitis
PID
ruptured cyst
ectopic

35
Q

5th leading cause of death of women

A

ovarian cancer

36
Q

main risk factor for ovarian cancer + others

A

fam history + no kids and increase in age

pelvis (19 decks)

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