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Women's health trigger > Trigger - menstrual/uterine > Flashcards

Trigger - menstrual/uterine Flashcards

1
Q

What is sheehan’s syndrome

A

postpartum pituitary necrosis 2/2 hypovolemia!!!

leads to HPO axis dysfunction & amenorrhea

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1
Q
A
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2
Q

congenital absence of the uterus and upper 2/3rd of the vagina is called

A

mullereian dysgenesis

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3
Q

when do you use chasteberry

A

PMS/PMDD supplement

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4
Q

when do you use Hormonal contraceptives containing drospirenone

A

second line tx for severe PMS/PMDD

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5
Q

what needs to be performed with a full bladder

A

transabdominal ulstrasound

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6
Q

when is hysteroscopy the gold standard

A

evaluation of dysfunctional uterine bleeding

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7
Q

if you have abnormal prolactin levels in the investigation of secondary amenorrhea what should you order

A

pituitary imaging

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8
Q

The MCC of a lower GU tract postmenopausal bleed is…

A

vaginal atrophy

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9
Q

This type of endometrial ablation therapy is NOT able to reach intracaitary lesions but it does have a shorter operatig time and less perforation risk than other 1st gen options

A

rollerball ablation

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10
Q

This endometrial ablation technique uses a rectoscope with electrical currents to excise strips of endometrium. it has higher rates of perforation than its other 1st gen counterparts

A

endometrial resection

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11
Q

this endometrial ablation therapy uses uncontained saline solution that is heated and recirculated in the uterus for 10 minutes at a low pressure. it allows direct observation of the endometrium, but has a higher burn risk than other 2nd gen methods

A

Hysteroscopic thermal

CAN USE W ABNORMAL UTERUS!!!

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12
Q

Which endometrial ablation methods can you use with an anatomically abnormal uterus

A
  • hysteroscopic theramel
  • water vapor thermal ablation
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13
Q

which endometrial ablation method MUST have normal uterine anatomy to be effective

A
  • thermal balloon ablation

im assuming most of them! but this one specified that it must be normal!

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14
Q

This endometrial ablation method uses a fan-shaped mesh device that contours to the shape of the endometrial cavity, uses suction to get good contact, and then uses radiofrequency waves through the mesh to desiccate the endometrium

A

radiofrequency thermal ablation

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15
Q

which endometrial ablation method has been used in patients with small submucosal leiomyomas and polyps

A

radiofrequency thermal ablation

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16
Q

which endometrial ablation method requires NO endometrial prep

A
  • radiofrequency thermal ablation (novasure)
  • thermal + RF thermal ablation (Minerva)
  • water vapor thermal ablation (Mara)
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17
Q

this endometrial ablation method uses a silicone device to fill the endometrial cavity with RF-heated argon gas and hot liquid thermal ablation.

A

Thermal + RF thermal ablation (Minerva)

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18
Q

nodules in the posterior vaginal fornix or uteralsacral ligaments and pain w uterine motion tenderness is suggestive of what

A

endometriosis

19
Q

what is the imaging of choice to assess for rectum or rectovaginal septa in endometriosis

A

TVUS

20
Q

what is used for treating neuropathic pain in moderate to severe endometriosis

A

gabapentin
pregablin
TCAs

21
Q

what is used for mild and moderate/severe tx of endometriosis

two seperate categories

A

mild - NSAIDS and OCPs
mod/severe - GnRH agonists/antagonists, danazol, aromatase inhibitors

can also use gabapentin, pregablin, and TCAs in mod/severe

22
Q

cardinal symptom is lower abdominal pain

A

PID

Classic sign is cervical motion tenderness!

23
Q

what can specifically aid in reducing the rsk of deveoping PID

A

barrier contraception

24
Q

what is PID with associated perihepatitis

A

fitz-hugh-curtis syndrome

25
Q

chandeliers sign (cervical motion tenderness) is a classic sign of what

What other signs might you see ?

A

PID

also fever, BIL abd tenderness, inflamed skene/bartholian glands

26
Q

what labs and imaging do you order in a patient w lower abdominal pain, fever, and chandeliers sign

A

Pregnancy test
CBC
ESR/CRP
TVUS

this is PID

27
Q
A
28
Q

what would you see on TVUS that would indicate PID

A
  • thickened, fluid filled fallopian tubes
  • free pelvic fluid
  • tubo-ovarian complex
  • tubal hyperemia
29
Q

what is the criteria for diagnosing PID

A
  1. pelvic/lower abdomen pain with no other cause
  2. one of the following : cervical motion tenderness, uterine tenderness, adnexal tenderness.
30
Q

if a pateint has PID with assocaited tubo-ovarian abscess what do you do

A

ADMIT THEM!!!

rocephin, doxy, metro

31
Q

which patients with tubo-ovarian abscesses are we worried about malignancy in?

A

postmenopausal women

32
Q

just look at this idk

A

olkie dokje

33
Q

nearly 90% of cases of this diagnosis are found to be in parous women. 80% of cases are also 40-50yo

A

adenomyosis

34
Q

TVUS showing focal thickening and heterogenous texture.

A

adenomyosis

35
Q

MC benign neoplasm of the female genital tract

A

leiomyomas

36
Q

describe submucous, subserous and intramural leiomyomas

A

submucous - directly beneath endometrial lining
subserous - directly beneath serosal lining
intramural - completely within myometrium

37
Q

what diagnoses leiomyomas? what about tells where they are?

A

US - confirm presence, monitor growth
MRI - deliniates intramural from submucous
Hysterography/hysteroscopy - confirm cervical or submucous

38
Q

can treat surgiclaly with myomectomy, hysterectomy or uterine artery embolization

A

leiomyomas

39
Q

what happens to lieomyomas post menopause

A

regress spontaneously

40
Q

what is the prob w tamoxifen

A

abnormally high levels of estrogen that increases risk of endometrial cancer

41
Q

Which type of endometrial cancer is independent of estrogen

A

type 2

42
Q

which type of endometrial cancer is more favorable and occurs in younger patients. is this more or less common?

A

type 1. more common than type 2

43
Q

The MC cell type of endometrial cancer is…

A

Adenocarcinoma

I feel like everything else ive seen is SCC

44
Q
A
44
Q
A
44
Q
A

Women's health trigger (23 decks)

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