Uterus path III Flashcards

1
Q

what can cause acute bacterial salpingitis that is suppurative

A

majoirty is gonorrhea

chlamydia too

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2
Q

what are complications of acute bacterial salpingitis

A

if the ends of tube scar shut then can get pyosalinx or hydrosalpinx
if inflammation continues to ovary can get tubo-ovarian abscess
adhesions, infertility and ectopic pregnancies

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3
Q

what are paratubal cysts

A

arise in mullerian remants at the fimbriated end of tube or in broad ligament

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4
Q

what do paratubal cysts look like

A

translucent, thin walled, unicameral

called hydatid cysts of morgagni

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5
Q

what can cause ectopic pregnancies

A

PID
adhesions
endometriosis

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6
Q

what can happen in ectopic pregnancy

A

tube ruptures by 12ths week of pregnancy leading to hemorrhage

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7
Q

in ecotpic pregnancy what will the biopsy of endometrium look like

A

decidual change
but not chorionic villi
sections of tube will have chorionic villi

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8
Q

how does hydrosalpinx present

A

adenexal mass

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9
Q

majoirty of ectopic pregnancies take place wehre

A

ampulla of fallopian tube

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10
Q

best way to Dx ectopic pregnancy

A

transvaginal US

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11
Q

how do Dx a ectopic pregnancy in hemodynamically unstable patient

A

presumed ruptured

immediate surgery

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12
Q

adenocarcinoma of fallopian tube is believed to be source of what

A

high grade serous carcinoma of the ovary and peritoneum

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