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Flashcards in Uterine Disorders Deck (33)
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1

What mullerian disorder of the uterus is most commonly seen with pregnancy loss?

Uterine Septum

2

What uterine anatomical change is frequently associated with mid-trimester loss of pregnancy of pre-term birth?

Bicornuate or Unicornuate Uterus

3

How do vaginal septums occur?

Incomplete canalization of the mullerian tubercle

4

When to vaginal septums typically present?

Typically around puberty due to pelvic mass or amenorrhea

5

What imaging study is useful in diagnosing uterine and tubal disorders?

Hysterosalpingogram

6

__________ Syndrome results commonly from intrauterine synechiae (adhesions) usually due to recurrent curettage

Asherman's Syndrome

7

T/F: Patients requiring recurrent curettage due to miscarriage or elective pregnancy termination are more at risk for Asherman's Syndrome

True

8

_____ _________ is inflammation of the endometrial lining that typically occurs from an ascending infection (Gc/Chl) from the lower genital tract

Benign Endometritis

9

T/F: In non-pregnant population, endometritis is most commonly associated with Pelvic Inflammatory Disease

True

10

Are endometrial polyps typically benign or malignant?

Benign

11

How are benign endometrial polyps diagnosed?

Treated:

Dx: Sonohysterogram

Tx: Hysteroscopic Resection

12

_____ ______ is described as the presence of ectopic endometrial glands and stroma in the myometrium which typically presents in parous women between the ages of 35-50 y.o.

Benign Adenomyosis

13

How may a uterus feel/appear on physical examination in a patient with Adenomyosis?

Diffusely enlarged, globular, tender uterus

14

How is adenomyosis diagnosed?

Clinical Suspicion
US or MRI

15

How is adenomyosis managed?

1. r/o co-esistent pathology
2. NSAIDs +/- Hormones
3. Hysterectomy

16

What is the most common solid pelvic tumor in women?

Leiomyoma Uteri

17

What is a Leiomyoma Uteri?

Benign tumors of smooth muscle origin

18

T/F: The majority of Leiomyoma Uteri are symptomatic

False

The majority are asymptomatic

19

Although Leiomyoma Uteri is asymptomatic.....

What would the most common symptom be at presentation?

Bleeding Abnormalities

20

What imaging modality is commonly used to work up Leiomyoma Uteri?

US

(MRI is occassionally used)

21

How is asymptomatic Leiomyoma Uteri managed?

No treatment required

22

What is the goal of management for symptomatic Leiomyoma Uteri?

Control Hormonal Regulation and minimize unopposed estrogen

23

Will OCPs shrink uterine fibroids?

No

24

What medication class have shown to reduc uterine bulk from Leiomyoma Uteri?

GnRH Agonists

25

What is the only viable management option for Leiomyoma Uteri in women who wish to preserve fertility?

Myomectomy

26

What is the most DEFINITIVE management for Leiomyoma Uteri?

Hysterectomy

27

A 49 y/o female patient presents for routine gyne exam. She reports that for the last 6 months her menses have been getting longer and heavier. She also says she has been experiencing urinary frequency and constipation. Her abdominal exam is unremarkable. On pelvic exam, you feel a slightly enlarged irregular uterus and a left adnexal mass that moves with the uterine fundus. No other clinical findings. What is the most likely diagnosis?

Leiomyoma Uteri

28

What is the most common etiology of endometrial hyperplasia?

Unopposed Estrogen

29

What is the biggest risk factor for endometrial hyperplasia?

Obesity

30

What breast CA medication places a patient at higher risk for developing endometrial hyperplasia?

Tamoxifen