Uterus Flashcards
How do fibroids present?
Menorrhagia
Pelvic pain
Sub fertile
Bladder and bowel dysfunction
Bulky uterus
Management of fibroid
1) Myomectomy
2) hysterectomy
What is red degeneration of a fibroid?
Pregnant related complicated which usually occurs in 3rd trimester.
Due to thrombosis of vessels that supply fibroid.
Abdo pain and localised peritoneal tenderness. Associated n+v
Rx = bed rest and analgesia.
Symptoms of endometriosis ?
Cyclical deep pelvic pain
Deep dysparenuina
Menorrhagia
Subfertility
Investigation of endometruiosis’/
1) Pelvic USS
2) Diagnostic test is an explorative laparoscopy
Management of endometriosis?
Curative is a hysterectomy with bilateral oophorectomy but this should only be carried out in women who do not wish to get pregnant.
IUS is helpful, as is COCP.
Mefanamic acid for pain.
Management of atypical endometrial hyperplasia?
Total hysterecomy with bilateral scalping-oophrectomy
Management of endometrial hyperplasia without atypia?
1) Monitor and IUS
2) Oral progesterone.
What thickness of endometrium is suspicious for A POST menopausal woman?
> 5mm.
A pipelle can be carrier out during TVUS.
Dilatation and curretage requires GA and hysteroscopuy.
What is the investigation to stage pelvic disease in endometrial disease?
MRI.
Stage 1 - 4 of endometrial cancer?
1) confined to uterus
2) invasions of cervical stroke.
3) local and regional spread e.g. adnexa / para aortic nodes.
4) Invasion of the bladder, bowel or distant mets.
What is used to post op to prevent recurrence in endometrial cancer?
Vaginal bracherapy.
Note::
Radiotherapy is used more often than chemotherapy in endometrial cance.r
Meigs syndrome usually occurs on what side/
RHS
Fibroma + pleural effusion + aspires.
