Tube/Adnexal Pathology Flashcards Preview

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Flashcards in Tube/Adnexal Pathology Deck (45)
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1

This is infection within the myometrium of the uterus.

myometritis

2

This is infection within the uterine serosa and broad ligament.

parametritis

3

The normal fallopian tube is an undulating __ structure of approximately __ mm in width, running __from the uterus to lie within the cul-de-sac near the ovary.

echogenic, 8-10, posterolaterally

4

The mucous membrane lining the cavity of the tube is how many layers thick?

one

5

The mucous membrane lining the cavity of the tube is called...

the ciliar epithelium.

6

T/F? Development abnormalities of the tube are rare.

true

7

Three things that cause tube abnormalities...

1. pregnancy
2. infection
3. neoplasm

8

This is a generic term referring to the inflammation/infection of the pelvic and adrenal structures with pus and fluid.

pelvic inflammatory disease (PID)

9

PID is usually caused by __ which ascend through the cervix and endometrial cavity into the pelvis through the __.

STDs, mucosa

10

T/F? PID inflammation may be diffuse but is generally localized.

FALSE, the opposite

11

Long term consequences of PID include..

1. infertility
2. tubal scarring
3. ectopic pregnancy
4. chronic pelvic pain

12

PID is usually __lateral.

bi-

13

Unilateral PID is caused by __ of an adjacent inflammatory process.

direct extension

14

Clinically, PID patients present with...

leukocytosis**
also pain, fever, dysparunia, vaginal bleeding &/or discharge, pelvic tenderness...

15

Sonographically, PID is seen as...

a large complex mass with indistinct walls within one or both adnexa with flow

16

Early in the disease, the clinical presentation of PID may mimic...

functional bowel disease (IBS)

17

PID is treated with...

antibiotics and exploration & removal of the abscess

18

This is a condition in which bacteria spread through the abdomen and cause inflammation of the tissue surrounding the liver.

Fitz-Hugh-Curtis syndrome

19

This occurs in 15-30% of women with PID (but can also occur without PID and in men).

Fitz-Hugh-Curtis syndrome

20

The best way to confirm Fitz-Hugh-Curtis syndrome is..

laparoscopy.

21

How do physicians describe the liver adhesions in Fitz-Hugh-Curtis syndrome?

'violin-string' adhesions

22

This is a collection of fluid within a scarred fallopian tube.

hydrosalpinx

23

This is a collection of pus within a scarred fallopian tube with a wall thickness of greater than 5 mm.

pyosalpinx

24

Pyosalpinx has a wall thickness greater than...

5 mm.

25

Sonographically, hydro/pyosalpinx is seen as...

a tubular or elliptical cystic mass in the adnexa.

26

This is the inflammatory process of a tube that incorporates the ovary.

tubo-ovarian abscess (TOA)

27

Fusion of the inflamed dilated tube and ovary is called..

TOA complex.

28

Sonographically, TOA is seen as...

a complex low-level echoes within the tube and ovary, complex fluid in the posterior cul-de-sac

29

What's the 'beak' sign?

Compressed ovarian tissue forming a rim around an ovarian abscess

30

T/F? Endometriosis implants may be small and undetectable or large and palpable.

true