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6. REPRODUCTIVE > 6. RANDOM OVARIAN PATH > Flashcards

6. RANDOM OVARIAN PATH Flashcards

1
Q

The most constant finding in ovarian torsion

A

Large ovary

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2
Q

Features of Ovarian Torsion

A

Unilateral enlarged ovary (> 4 cm)
Mass on the ovary
Peripheral cysts +/- fluid-debris level
Free fluid
Lack of arterial/venous flow

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3
Q

How does the ovary differ from the testicle?

A

OVary = dual blood supply

Just because you have flow, does NOT mean there isn’t a torsion.

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4
Q

Big ovary + pain =

A

Torsion

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5
Q
A

Hydrosalpinx

“string sign” - inclomplete septae

Thin (or thick in chronic states) elongated tubular structure in the pelvis.

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6
Q
A

Hydrosalpinx

“Cogwheel appearance”

normal longitudinal folds of a fallopian tube becoming thickened

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7
Q

this is suppose to help differentiate hydrosalpinx from an ovarian mass

A

“Waist sign”

“tubular mass with indentations of its opposing walls “

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8
Q

Causes of hydrosalpinx

A

skank, infidel, or free spirit = PID

Endometriosis, tubal cancer, post hysterectomy (without salpingectomy / oophorectomy), and tubal ligation.

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9
Q

Infection or inflammation of the upper female genital tract.

A

Pelvic Inflammator Disease

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10
Q
A

Pelvic Inflammator Disease

“Indefinite uterus”

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11
Q

This is a congenital remnant that arises from the Wolffian duct.

A

PAraovarian cyst

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12
Q
A

PAraovarian cyst

Round ovarian cyst that “do NOT distort the adjacent ovary”

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13
Q
A

OVarian vein thrombosis

a tubular structure with an enhancing wall and low-attenuation thrombus (arrow) in the expected location of the ovarian vein.

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14
Q

Ovarian Vein Thrombophlebitis are commonly seen in what population?

A

Postpartum women

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15
Q

Acute pelvic pain + fever + 10 days post delivery

A

Ovarian Vein Thrombophlebitis

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16
Q

Where is Ovarian Vein Thrombophlebitis usually located?

A

80% of the time it’s on the right.

17
Q

Dreaded sequela of Ovarian Vein Thrombophlebitis

A

Pulmonary embolus

Tx - anticoagulation,

18
Q

Peritoneal Inclusion Cyst occurs when?

A

Adhesions envelop an ovary

19
Q
A

Peritoneal Inclusion Cyst

“Adhesions around an Ovary”

“Passive shape” that conforms to and is defined by surrounding structures.

20
Q

A woman of reproductive age + Hx endometriosis + Pelvic surgery and PID

+ fluid filled mass = surrounds ovary + conforms to the shape of the pelvis

A

Peritoneal inclusion cyst

21
Q

Most common form of Gestational Trophoblastic Disease

A

Hydatidiform Mole

22
Q

Two subtypes of Hydatidiform Mole

A
  1. Complete (70%)
  2. Partial
23
Q

This type of H-Mole involves the entire placenta.

A

Complete

24
Q
A

Complete Hydatidiform Mole

“snowstorm” appearance in the first trimester

uterus to be filled with an echogenic, solid, highly vascular mass,

25
Q
A

Complete Hydatidiform Mole

“bunch of grapes” appearance in the 2nd trimester

uterus to be filled with an echogenic, solid, highly vascular mass,

26
Q

H-mole + portion of the placenta + jacked up fetus (triploid in karyotype)

= lethat to the fetus

A

Partial H-mole

27
Q

fertilizationofanovumbytwo sperm (69XXY)

A

Partial H-mole

28
Q
A

Parial Hydatidiform mole

29
Q

What cysts are seen in molar pregnancies?

A

Theca lutein cysts

Most commonly bilateral in the 2nd trimetster

30
Q

When can you see an invasive mole?

A

After treatment of H-mole (10%)

31
Q
A

Invasive mole

focal myometrial masses, dilated vessels, and areas of hemorrhage and necrosis.

32
Q

This is a very aggressive malignancy that forms only trophoblasts (no villous structure).

A

Choriocarcinoma

33
Q

How does Choriocarcinoma spread?

A

locally

into myometrium + parametrium = spread hematogeneous to ANY site

34
Q

Evacuation of molar pregnancy + Inc B-HCG in 8-10 weeks

A

Choriocarcinoma

35
Q
A

Choriocarcinoma

a highly echogenic solid mass.

Tx = methotrexate

6. REPRODUCTIVE (17 decks)

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