uterine/cervical clinical Flashcards Preview

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Flashcards in uterine/cervical clinical Deck (58)
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1

increased risk for fibroids?

early menarche

increasedBMI

Nulliparous

Heredity

2

decreased risk

postmenopausal

cigarette smoking

pregnancy

3

types of firboids

subserous

submucous

interstitial of the inter

4

which type of fibroid would present with heavy periods/dysmenorrhea?

submucosal pedunculated

5

which type of fibroid would have little symptoms?

pedunculated subserous (pressure)

6

what would happen is the pedunculated subserous gains blood supply and separates?

parasitic fibroid

7

most common clinical symptom?

bleeding and consequent anemia

8

heavier bleeding due to

venous lakes

9

other symptoms?

pelvic discomfort
hydronephrosis
dyspareunia
INFERTILITY: submucosal

10

pregnancy complications re: placenta?

placenta previa

also preterm

fetal malposition

higher C-section rate

neonatal morbidity

11

on exam?

enlarged, non-tender uterus

12

Diagnosis?

pelvic exam
Transvaginal US

13

management

routine pelvic if asymptomatic

Asymptomatic:
-progestins oral contraceptives
-GnRH agonists rapidly shrink them (bone loss though, end stage)
-aromatase inhibitors

14

treatment by interventional radiologst?

uterine artery embolization

magnetic resonance guided focus ultrasound removal

15

surgical mgmt

hysterectomy most common (subtotal just the uterus, complete=uterus and cervix)

myomectomy (removal of the fibroids)

16

what's it called when fibroid blocks menstrual blood?

Hematometra
cylcic, midline pain, sometimes amenorrhea

17

menarche, mild menstrual cramps, more painful periods or heavier regular periods

Adenomyosis

18

gold standard for adenomyosis?

MRI

but you can use US

19

tx for adenomyosis

NSAIDS, combined contraceptives

20

3rd most common reason for hysterectomy?

Uterine Prolapse

21

Pelvic floor trauma can cause?

Uterine Prolapse

22

Procidentia?

most severe stage of uterine prolapse

23

tx Uterine prolapse for mild symptoms?

Kegel exercises to strengthen the pubococcygeus and levator ani

24

elderly tx for uterine prolapse

Pessary

25

surgical tx for pelvic organ prolapse?

Obliterative

Vaginal Hysterectomy

26

abnormal bleeding is outside what range?

3-7 days

27

menorrhagia

greater than 7 days

28

metrorrhagia

intermenstrual (breakthrough) bleeding

29

Menometrorrhagia

prolonged uterine bleeding occurring at irregular intervals

30

Hypomenorrhea

less than 3 days