Pathologies of the Uterus Flashcards

1
Q

What is endometritis?

A

Inflammatory infiltrate in the endometrium due to ascending infection or IUD/PID use

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2
Q

What is the term for inflammatory infiltrate in the endometrium due to ascending infection or IUD/PID use?

A

Endometritis

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3
Q

What is pyometria?

A

Pus in the endometrial cavity

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4
Q

What is the term for pus in the endometrial cavity?

A

Pyometria

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5
Q

What is associated with pyometria?

A

Gross anatomic defects such as fistulous tracts between bowel and uterine cavity

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6
Q

What is adenomyosis?

A

Presence of endometrial glands and stroma within the myometrium

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7
Q

What is the term for presence of endometrial glands and stroma within the myometrium?

A

Adenomyosis

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8
Q

What are common symptoms of adenomyosis?

A
  • Dysmenorrhea (menstrual pain)
  • Dyspareunia (pain with intercourse)
  • Menorrhagia (heavy menstrual bleeding)
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9
Q

What is dysmenorrhea?

A

Pain during the menstrual cycle

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10
Q

What is dyspareunia?

A

Genital pain before, during, or after intercourse

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11
Q

What is menorrhagia?

A

Very heavy menstrual bleeding

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12
Q

When in a woman’s life will symptoms of adenomyosis present?

A

Parous women of reproductive age and regress after menopause

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13
Q

What is leiomyoma?

A

MC benign tumor of uterus during reproductive age

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14
Q

When do leiomyoma become smaller?

A

Post-menopausal

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15
Q

What happens to leiomyoma after menopause?

A

Become smaller

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16
Q

Leiomyoma is colloquially known as…

A

myomas or fibroids

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17
Q

Leiomyomas are composed as well-defined masses of ___

A

smooth muscle

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18
Q

What are the three major types of leiomyoma?

A
  1. Submucous
  2. Intramural
  3. Subserous
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19
Q

What are the symptoms of leiomyoma?

A
  • Dysmenorrhea
  • Pain
  • Impaired fertility
  • Miscarriage
  • Preterm delivery

(vary with size and location)

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20
Q

Which leiomyomas arise under the perimetrium (outside the uterus)?

A

Subserosal leiomyoma

21
Q

Which leiomyomas are found within the walls of the uterus?

A

Intramural leiomyoma

22
Q

Which leiomyomas can be found beneath the endometrium?

A

Submucosal leiomyomas

23
Q

Where are subserosal leiomyomas found?

A

Under perimetrium (outside the uterus)

24
Q

Where are intramural leiomyomas found?

A

Within uterine walls

25
Q

Where are submucosal leiomyomas found?

A

Beneath the endometrium

26
Q

What is endometrial hyperplasia?

A

Thickened endometrial layer

27
Q

What is the etiology of endometrial hyperplasia?

A

Estrogenic stimulation

28
Q

Endometrial hyperplasia increases risk for ___

A

adenocarcinoma

29
Q

What may present with endometrial hyperplasia if there is a sudden drop in estrogen or administration of progestin?

A

Heavy menses

30
Q

What is the fourth most frequent cancer in American women and the most common gynecologic cancer?

A

Endometrial adenocarcinoma

31
Q

75% of those with endometrial adenocarcinoma are ___

A

post-menopausal

32
Q

Survival of endometrial adenocarcinoma depends on ___

A

stage of cancer

33
Q

What is correlated with endometrial adenocarcinoma?

A
  • Nulliparity (never given birth)
  • Obesity
  • Fewer children
  • Longer reproductive lifespan
  • Familial history
  • HTN
34
Q

What is endometriosis?

A

Presence of ectopic endometrium

35
Q

What is the term for the presence of ectopic endometrium?

A

Endometriosis

36
Q

What are some locations where endometriosis may present?

A
  • Salpinx
  • Ovary
  • Bladder
  • Rectum
37
Q

What is the term for inflammation of the uterine tubes?

A

Salpingitis

38
Q

What is salpingitis?

A

Inflammation of the uterine tubes

39
Q

What are the most common causative organisms of salpingitis?

A
  • N. gonorrheae
  • Escherichia coli
  • Chlamydia
  • Mycoplasma
40
Q

Salpingitis is typically due to…

A

infections ascending from the lower genital tract

41
Q

In later stages of salpingitis, the tubes may ___

A

stenose

42
Q

In a late stage of salpingitis, there is serous accumulation distal to stenosis
What is the term for this?

A

Hydrosalpinx

43
Q

In a late stage of salpingitis, there is purulent exudate distal to stenosis
What is the term for this?

A

Pyosalpinx

44
Q

In a late stage of salpingitis, what is the term for an abscess involving the distal tube and ovary?

A

Tubo-ovarian abscess

45
Q

What are three consequences of uterine tube stenosis due to salpingitis?

A
  • Hydrosalpinx
  • Pyosalpinx
  • Tubo-ovarian abscess
46
Q

Salpingitis may predispose and individual to ___

A

ectopic pregnancy

47
Q

salpingitis

Peritonitis progresses to…

A

perforation and shock/internal hemorrhage

48
Q

In pregnancy, a patient with salpingitis demonstrates increased levels of ___

A

HCG

49
Q

If a pregnant patient has increased levels of HCG accompanied with abdominopelvic pain, what two conditions are of concern?

A

Salpingitis and ectopic pregnancy