Uro/ Gyn Surgery Flashcards

1
Q

Abn uterine bleeding- Eti

A
  • Determine if
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2
Q

Abn uterine bleeding- Sx

A
  • Determine flow is regular and heavy or irregular

- Menorrhagia or metorrahagia

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3
Q

Abn uterine bleeding- Tx

A
  • Oral progesterone followed by
  • Dilation and curettage to dx and tx
  • IUD or NSAIDs
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4
Q

Abn uterine bleeding- Dx

A
  • Biopsy
  • Transvaginal US
  • Hysteroscopy
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5
Q

Urinary stone disease- Eti

A
  • Males

- Calcium stones most common

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6
Q

Urinary stone disease- Sx

A
  • Flank pain
  • Hematuria
  • Pyelonephritis
  • CVA tenderness
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7
Q

Urinary stone disease- Dx

A
  • Visual stone on urography, US or CT
  • Leukocytosis
  • Abn UA
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8
Q

Urinary stone disease- Tx

A
  • Laser lithotripsy or extracorporeal shock wave lithotripsy

- Percutaneous stone removal

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9
Q

Ectopic pregnancy- Eti

A
  • 95% in fallopian tube

- 2% pregnancies

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10
Q

Ectopic pregnancy- Sx

A
  • Amenorrhea
  • Severe abd pain, referred to shoulder
  • Uterus enlarged larger than expected
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11
Q

Ectopic pregnancy- Dx

A
  • Absence of intrauterine pregnancy with positive hCG

- Transvaginal US

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12
Q

Ectopic pregnancy- Tx

A
  • Methotrexate
  • Laparoscopy
  • Ensure hCG falls
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13
Q

Leiomyoma of uterus- Eti

A
  • Most common benign neoplasm
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14
Q

Leiomyoma of uterus- Sx

A
  • Round, firm smooth tumor of CT
  • Asymptomatic
  • Pelvic pain or pressure
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15
Q

Leiomyoma of uterus- Dx

A

Ultrasound

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16
Q

Leiomyoma of uterus- Tx

A
  • Myomectomy to preserve fertility

- Recurrence is common

17
Q

Endometrial carcinoma- Eti

A
  • Most common US malignancy
  • Prolonged estrogen exposure
  • DM, early menarche and late menopause
18
Q

Endometrial carcinoma- Sx

A
  • Postmenopausal bleeding in 90%

- Cervical stenosis with pyometrium

19
Q

Endometrial carcinoma- Dx

A
  • Endometrial biopsy

- Dilatation and curettage

20
Q

Endometrial carcinoma- Tx

A
  • Laparotomy or laparoscopy
  • Total hysterectomy, salping oopherectomy
  • Pelvic radiation
21
Q

Cervical carcinoma- Eti

A
  • Persistent infection with HPV

- Increased risk with HIV, smokers

22
Q

Cervical carcinoma- Sx

A
  • Metrorrhagia
  • Post-coital spotting
  • Cervical ulceration
23
Q

Cervical carcinoma- Dx

A
  • Postitive pap

- Cervical biopsy and curettage or conization

24
Q

Cervical carcinoma- Tx

A
  • Total hysterectomy if done with children

- Conization or laser ablation

25
Q

Testicular carcinoma- Eti

A
  • Most common neoplams in men 20-35

- More common on right

26
Q

Testicular carcinoma- Sx

A
  • Painless enlargement in testis
  • Sensation of heaviness
  • Acute testicular pain from hemorrhage
  • Signs of METs
27
Q

Testicular carcinoma- Dx

A

Orchiectomy

- Scrotal US

28
Q

Testicular carcinoma- Tx

A
  • Radical orchiectomy by inguinal exploration
29
Q

Testicular torsion- Eti

A
  • Young men

-

30
Q

Testicular torsion- Sx

A
  • Hx of scrotal pain
  • Abrupt, severe unilateral scrotal pain
  • May progress to hypoxia
  • Elevated, horizontal testicle
31
Q

Testicular torsion- Dx

A

Doppler US- diminished blood flow

32
Q

Testicular torsion- Tx

A
  • Manual detorsion within 6 hours

- Surgical detorsion and fixing

33
Q

Torsion of testicular appendage- Eti

A
  • Appendix testis most common
34
Q

Torsion of testicular appendage- Sx

A
  • Blue dot sign- firm nodule
  • Sudden onset of severe pain and nausea
  • Normal and minimally tender scrotal skin
35
Q

Torsion of testicular appendage- Dx

A

RO testicular torsion with Doppler US

36
Q

Torsion of testicular appendage- Tx

A
  • Bed rest
  • Scrotal elevation
  • Pain control
  • Surgical excision if pain control inadequate