Section 1 Test Review Flashcards
Doppler RI if maligant
RI of
Most dangerous ectopic pregnancy
interstitial ectopic, leads to hysterectomy
% of ovarian pregnancies
2-3% of pregnances
cervical Stenosis
an acquired cervical pathology
Physio status pre-puberty
premenarche
Ligaments that contain blood and nerves
Broad ligaments
A Ligament between another ligament
Normal menarche usterus
uterus measurment 8-4 cm
Post menopausal usterus measurement
uterus measurement 6-4 cm
structure above the round ligament
fallopian tubes
Blood supply to the vagina
internal ililac arteries give rise to the vaginal arteries to supply this organ
Blood drains from the vagina
Uterine veins/iliac veins drain this organ
Right ovarian veins drains
drains to the IVC
Left ovarian vein drains
drains to the Left renal vein
Post menopausal endometrium measurment
endometerial measurement < 5 mm
mature follicle
graffian follicle
phase for 3 line sign
endometrium in proliferative phase
PI ratio
(A-B/mean), A=peak systolic, B=end diastolic
Pourcelot Resistive Index RI
(A-B/A) A=peak systolic, B=end diastolic
S/D Ratio
(A/B) A=peak systolic, B=end diastolic
Sonographic use for the bladder
Window for viewing the uterus
Common site for fibroids
intramural, contained in the myometrium
Fibroids
liomyomas
Fibroids
myomas
Hydrometrocolpos
expanded fluid filled vaginal cavity with associated distention of the uterus
Fibroid with heavy bleeding
Submucosal fibroid symptom
sonographic appearance of a degenerative fibroid
fibroid with complex appearance
uterine AVM
a vascular plexus of arteries and veins without an intervening capillary network,
rare and usually involve the myometrium or the endometrium
proper endometrium measurement
measured outer to outer, not the halo region
adenexal mass during pregnacy
mucinous cystadenocarcinomoa
most prequent in women 40-70 yrs old,
accounts for 5-10% of all primary maligant ovarian neoplasms.
15-20% are bilateral when malignant
mucinous cystadenoma
epithelial tumor that is lined by the mucinous elements of the endocervix and bowel,
20-25% of all benign ovarian neoplasms
metastatic disease organs
ovaries more than any other pelvic organ,
post menopausal cyst measurement
measurement of
PCOS
includes Stan Leventhal syndrome,
endochrine disorder with chronic anovulation
Stages of ovarian cancer
Stages I-IV
Stage I ovarian cancer
limited to ovary,
a=one ovary,
b= two ovaries,
c=positive peritoneal levage (ascites)
Stage II ovarian cancer
limited to pelvis,
a=involvement of uterus/fallopian tubes
B=extension to other pelvic tissues.
C=positive peritoneal levage (ascites)
Stage III ovarian cancer
limited to the abdomen,
intraabdominal extension outside pelvis/retroperitoneal nodes/extension to small bowel/omentum
Stage IV ovarian cancer
Hematogenous disease (liver paranchyma)/spread beyond abdomen
common benign ovarian tumor
Dermoid cyst of the ovary
endometriosis mass
endometrioma or chocolate cyst
PID risk factors
early sexual contact, multiple sexual partners, history of STD’s, previous history of PID, use of IUCD and douching
PID
inclusive term for all pelvic infections
Krukenberg tumor
metastases drops to ovaries from GI tract, primarily stomach but also billary tract, gallbladder and pancreas
Sonographic appearance of an pelvic abcess
pelvic appearance usually a complex mass in the cul-de-sac that distorts pelvic anatomy
Sonographic appearance of a tubal ovarian abcess
appears as a complex multiloculated mass with variable septations, irregular margins and scattered internal echoes
couples infertile per year
1 in 3 couples
enlarged ovaries with multiple cysts and abd ascites
Ovarian Hyperstimulation syndrome symptoms
IVF complication
multiple gestations
risk increase with assisted reproduction
multiple gestatoins,
ectopic pregnancies,
heterotopic pregnancies
