(transferred) Gynaecology Flashcards Preview

2015 - Current Deck > (transferred) Gynaecology > Flashcards

Flashcards in (transferred) Gynaecology Deck (19):
1

Neoplastic cause of abnormal vaginal bleeding

1) CA cervix

2) CA endometrium

2

PE in urinary incontinence

1) Cough test, ask patient to stress

2) Presence of uterine and adnexal pathology 

3) Neurological examination to assess S2-4 nerve roots 

3

Ix in urinary incontinence

1) Frequency flow chart & voiding diary

2) MSU
- microscopy & culture

3) Urodynamic study 
- do a cystometry (differentiate urodynamic stress incontinence or detrussor overactivity)

 

4

Treatment of urodynamic stress incontinence

1) Conservative
- behavioural therapy 
- pelvic floor exercise 

2) Surgery 
- to restore the bladder neck back to the intra-abdominal pressure zone 
- to increase outflow resistance 

5

Detrusor overactivity treatment

1) Conservative
- Behavioural therapy 
- pelvic floor exercise (deferment technique and bladder retraining)

2) Anti-muscarinics 
- oxybutynin, tolterodine, solifenacin 

3) Botox injection

4) Surgery (in refractory cases)
- Bladder augmentation

6