Uro/ Gyn Surgery Flashcards Preview

EMS 2 > Uro/ Gyn Surgery > Flashcards

Flashcards in Uro/ Gyn Surgery Deck (36):
1

Abn uterine bleeding- Eti

- Determine if

2

Abn uterine bleeding- Sx

- Determine flow is regular and heavy or irregular
- Menorrhagia or metorrahagia

3

Abn uterine bleeding- Tx

- Oral progesterone followed by
- Dilation and curettage to dx and tx
- IUD or NSAIDs

4

Abn uterine bleeding- Dx

- Biopsy
- Transvaginal US
- Hysteroscopy

5

Urinary stone disease- Eti

- Males
- Calcium stones most common

6

Urinary stone disease- Sx

- Flank pain
- Hematuria
- Pyelonephritis
- CVA tenderness

7

Urinary stone disease- Dx

- Visual stone on urography, US or CT
- Leukocytosis
- Abn UA

8

Urinary stone disease- Tx

- Laser lithotripsy or extracorporeal shock wave lithotripsy
- Percutaneous stone removal

9

Ectopic pregnancy- Eti

- 95% in fallopian tube
- 2% pregnancies

10

Ectopic pregnancy- Sx

- Amenorrhea
- Severe abd pain, referred to shoulder
- Uterus enlarged larger than expected

11

Ectopic pregnancy- Dx

- Absence of intrauterine pregnancy with positive hCG
- Transvaginal US

12

Ectopic pregnancy- Tx

- Methotrexate
- Laparoscopy
- Ensure hCG falls

13

Leiomyoma of uterus- Eti

- Most common benign neoplasm

14

Leiomyoma of uterus- Sx

- Round, firm smooth tumor of CT
- Asymptomatic
- Pelvic pain or pressure

15

Leiomyoma of uterus- Dx

Ultrasound

16

Leiomyoma of uterus- Tx

- Myomectomy to preserve fertility
- Recurrence is common

17

Endometrial carcinoma- Eti

- Most common US malignancy
- Prolonged estrogen exposure
- DM, early menarche and late menopause

18

Endometrial carcinoma- Sx

- Postmenopausal bleeding in 90%
- Cervical stenosis with pyometrium

19

Endometrial carcinoma- Dx

- Endometrial biopsy
- Dilatation and curettage

20

Endometrial carcinoma- Tx

- Laparotomy or laparoscopy
- Total hysterectomy, salping oopherectomy
- Pelvic radiation

21

Cervical carcinoma- Eti

- Persistent infection with HPV
- Increased risk with HIV, smokers

22

Cervical carcinoma- Sx

- Metrorrhagia
- Post-coital spotting
- Cervical ulceration

23

Cervical carcinoma- Dx

- Postitive pap
- Cervical biopsy and curettage or conization

24

Cervical carcinoma- Tx

- Total hysterectomy if done with children
- Conization or laser ablation

25

Testicular carcinoma- Eti

- Most common neoplams in men 20-35
- More common on right

26

Testicular carcinoma- Sx

- Painless enlargement in testis
- Sensation of heaviness
- Acute testicular pain from hemorrhage
- Signs of METs

27

Testicular carcinoma- Dx

Orchiectomy
- Scrotal US

28

Testicular carcinoma- Tx

- Radical orchiectomy by inguinal exploration

29

Testicular torsion- Eti

- Young men
-

30

Testicular torsion- Sx

- Hx of scrotal pain
- Abrupt, severe unilateral scrotal pain
- May progress to hypoxia
- Elevated, horizontal testicle

31

Testicular torsion- Dx

Doppler US- diminished blood flow

32

Testicular torsion- Tx

- Manual detorsion within 6 hours
- Surgical detorsion and fixing

33

Torsion of testicular appendage- Eti

- Appendix testis most common

34

Torsion of testicular appendage- Sx

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

35

Torsion of testicular appendage- Dx

RO testicular torsion with Doppler US

36

Torsion of testicular appendage- Tx

- Bed rest
- Scrotal elevation
- Pain control
- Surgical excision if pain control inadequate