ovarian pathology

Question 1

what is endometriosis

Answer 1

presence of functioning tissue outside the uterus

Question 2

endometriosis occurs mostly where (4)

Answer 2

ovary, fallopian tube, broadlig and PCDS

Question 3

endometriosis affects who

Answer 3

mostly women in reproductive years

Question 4

5 symptoms of endometriosis

Answer 4

dysmenorrhea, dyspareunia, infertility, urinary symtpoms, dyschezia

Question 5

edometrioma aka

Answer 5

chocolate cyst

Question 6

most common mainfestation of endometiotic tissue

Answer 6

endometrioma

Question 7

what is endometrioma caused by

Answer 7

bleeding of ectopic endo tissue in ovary

Question 8

endometrioma symptoms

Answer 8

usually asymptomatic but can have discomfort with mense

Question 9

endometrioma sono appearance

Answer 9

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

Question 10

main Diff D for chocolate cyst

Answer 10

hemorrhagic cyst

Question 11

are endometrioma followed up?

Answer 11

yup

Question 12

endometrioma can change into

Answer 12

low grade invasive cancer

Question 13

endometriosis usually accompanied by

Answer 13

adhesions

Question 14

2 signs of endometriosis

Answer 14

obliterated PCDS and sliding sign

Question 15

most severe type of endometriosis

Answer 15

deep infiltrating endometriosis

Question 16

deep infiltrating endometriosis seen where

Answer 16

anterior or posterior sac

Question 17

3 subtle signs of endometriosis

Answer 17

frozen pelvis, no free fluid in PCDS, retroflexed uterus

Question 18

endometioma sono sign

Answer 18

kissing ovaries

Question 19

treatment of endometrioma (2)

Answer 19

BCP and removal

Question 20

Polycystic Ovarian Disease (PCOS) aka

Answer 20

stein-leventhal syndrome

Question 21

what is Polycystic Ovarian Disease (PCOS)

Answer 21

hormonal disorder of ovarian dysfunctino

Question 22

S/S of Polycystic Ovarian Disease (PCOS)

Answer 22

irregular periods

Question 23

sono appearance Polycystic Ovarian Disease (PCOS)

Answer 23

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

Question 24

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

Answer 24

hormone levels

Question 25

ovarian/ adnexal torsion treatment

Answer 25

surgical intervention

Question 26

ovarian torsion causes

Answer 26

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

Question 27

ovarian torsion non specific symptoms (5)

Answer 27

pain, vomiting, nausea, fever and palpable mass

Question 28

ovarian torsion symptoms same as

Answer 28

apendicitis

Question 29

ovarian torsion affect was age group

Answer 29

young females

Question 30

50-80% of ovarian torsion have

Answer 30

pre existing cyst or mass

Question 31

ovarian torsion appearance

Answer 31

unilateral enlarged ovary

Question 32

what side does torsion occur more

Answer 32

more on right, on left sigmoid stops movement

Question 33

what sign do we see for ovarian torsion

Answer 33

whirlpool sign

Question 34

Diff D of ovarian torsion

Answer 34

appendicitis PID ruptured cyst ectopic

Question 35

5th leading cause of death of women

Answer 35

ovarian cancer

Question 36

main risk factor for ovarian cancer + others

Answer 36

fam history + no kids and increase in age