Specific Diseases Flashcards
What is the cause of cervical cancer?
HPV - high risk is 16 and 18
What are the symptoms of cervical cancer?
- abnormal vaginal bleeding
- vaginal discharge
- vaginal discomfort
What are the symptoms of ovarian cancer?
- Adnexal mass
- Urinary frequency/urgency
- Bloating/distention
- Pelvic pain
What are the symptoms of endometrial cancer?
- Post menopausal bleeding (COMMON)
- Heavy menstrual bleeding
- Pelvic pain
What investigations should be used when suspecting endometrial cancer?
- Transvaginal ultrasound
- Abdominal ultrasound (to exclude mets)
- FBC
- Coags
What are the symptoms of endometriosis?
- Painful periods
- Pelvic pain
- Painful intercourse
- Pain on urination
- Pain opening bowels
- Infertility
What investigations should you do when suspecting endometriosis?
Gold standard is laparoscopy
What is the management for endometriosis?
- Supportive analgesia for pain
- Contraception ie Mirena
- Surgical
What are the symptoms of PCOS?
- Infrequent/no periods
- Abnormal amount of hair
- Acne
- Obesity
- Infertility
- Insulin resistance
What are the investigations for PCOS?
- Pelvic ultrasound
- Oestradiol, FHS, LH
- Testosterone
- Glucose screening
What is the treatment of PCOS?
- Improve insulin resistance
- COCP
- Physical activity, weight loss
- Fertility therapy
- IVF
What is the cause of pelvic inflammatory disease?
Often caused by STI
- Chlamydia
- Gonorrhoea
- Syphillis
What are the symptoms of PID?
- Pain in lower abdomen and pelvis
- Heavy vaginal discharge with unpleasant odour
- Abnormal uterine bleeding
- Pain or bleeding during intercourse
- Fever/chills
- Painful or difficult urination
What are the investigations for PID?
- FBC
- Urinalysis
- Vaginal discharge swabs - microscopy
- Ultrasound
- Laparoscopy
What is the treatment of PID?
Antibiotics - ceftriaxone + doxycycline
Prevent reinfection with STI