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Obstetrics and Gynaecology > Pelvic Pain > Flashcards

Pelvic Pain Flashcards

1
Q

What is the difference in symptoms between a Batholin’s cyst and a Bartholin’s abscess?

A 
Cyst = painless
Abscess = painful
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2
Q

What is the main treatment for a Bartholin’s abscess?

A

Broad spectrum ABX

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3
Q

Define Lichen Sclerosus

A

AI condition affecting post-menopausal women

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4
Q

Give 2 symptoms of Lichen Sclerosus

A

Pruritis

Excoriation

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5
Q

Give 2 signs of Lichen Sclerosus

A

Whitened vulva

Narrow entry to vagina

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6
Q

What is the treatment for Lichen Sclerosus ?

A

Potent topical steroid (Dermovate)

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7
Q

Which virus usually causes genital herpes?

A

HSV-2

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8
Q

What is the main treatment for genital herpes?

A

Oral acyclovir

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9
Q

What causes cervical ectropion?

A

Columnar cells from canal everted to cervix

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10
Q

Give 2 ways in which a symptomatic cervical ectropion may be treated

A

Cautery

Silver nitrate

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11
Q

Although usually asymptomatic, give 2 possible symptoms of cervical polyps

A

PCB

PMB

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12
Q

What is a uterine fibroid?

A

Benign tumours of myometrium which are oestrogen dependent

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13
Q

How is a uterine fibroid diagnosed and worked up?

A

Dx on clinical suspicion
Confirm on USS
MRI to plan management

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14
Q

Which 2 surgeries may be used to manage a uterine fibroid?

A

Myomectomy

Hysterectomy

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15
Q

What is UAE in the management of uterine fibroids?

A

Uterine Artery Embolization: minimally invasive, UAs occluded by bio-degradable particles

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16
Q

Define PID

A

Ascending infection from the cervix which can be caused by STIs

17
Q

Which STI commonly causes PID?

A

Chlamydia

18
Q

Give 4 tests used in the diagnosis of PID

A
  • FBC + CRP
  • MSSU (exclude UTI)
  • STI swabs
  • TVU (for tube-ovarian abscess)
19
Q

Which 2 antibiotics are used to treat PID?

A

Doxycycline and Metronidazole

20
Q

What is a potential management option in symptomatic hydrosalpinx?

A

Bilateral salpingectomy

21
Q

What are the 4 main types of benign ovarian cyst?

A

Functional
Dermoid
Epithelial
Endometrioma

22
Q

What are the general thresholds for ovarian cyst removal by surgery?

A

> 6cm and/or symptomatic

23
Q

What is the treatment of a dermoid cyst?

A

Cystectomy/oophrectomy

24
Q

What are the two subtypes of function cyst?

A

Follicular and luteal

25
Q

What are the two subtypes of epithelial cyst?

A

Serous

Mucinous cyst adenoma

26
Q

Define endometriosis

A

Prescence of endometrial tissue outside of the uterus

27
Q

What are chocolate cysts?

A

Endometriomas (cyst containing endometrial tissue) which bleeds cyclically causing pooling of brown coloured blood

28
Q

Why is endometriosis important in the investigation of women of reproductive age with pelvic pain?

A

This condition absolutely must be ruled out as a cause of chronic pelvic pain in women reproductive age

29
Q

Give 3 symptoms of endometriosis

A

Dysmenorrhoea
Dyspareunia
Pelvic pain

30
Q

What appearance may the uterus have in endometriosis?

A

Fixed tender retroverted uterus

31
Q

Which tumour marker is often increased in endometriosis?

A

Ca125

32
Q

What is the gold standard investigation for endometriosis?

A

Laparoscopy and biopsy

33
Q

Give 3 medical management options for endometriosis

A

NSAIDs
Progestogens
COCP

34
Q

Which medical treatment is given pre-operatively in endometriosis?

A

GnRH analogue

35
Q

Define vulvodynia

A

Sensation of vulval burning and soreness, no skin features or itching

36
Q

What is the medical treatment for vulvodynia?

A

Low dose Tricyclic antidepressants

37
Q

What is chronic pelvic pain syndrome?

A

Intermittent/constant lower abdo pain >6 months with no identifiable cause

Obstetrics and Gynaecology (10 decks)

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