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21 Cards in this Set
- Front
- Back
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derived from paramesonephric (mullerian) ducts
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vagina
cervix uterus fallopian tubes |
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incidence of uterine anomaly ?
has been increased by ('40 - '71) |
.02%
DES |
|
uterine septum causes
|
1st trimester fetal loss
|
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2 uteri (uses)
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uterus didelphys
- they didn't want to spell uteruses either ;) |
|
another name for fibroid
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leio-my-oma
"smooth" "muscle" "tumor" |
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incidence of hysterectomy secondary to fibroids
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1/3
- fibroids are MC indication for surgery in women in the US |
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fibroids respond to
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estrogen
|
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fibroid that attaches to the pelvic viscera, becomes pedunculated and then develops its own vascular supply
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parasitic leiomyoma
|
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incidence of fibroids (leiomyoma)
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20-30%
|
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incidence of fibroids in AA women
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40%
|
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MC presenting symptom in fibroids
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abnormal uterine bleeding
|
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medical tx for leiomyomas
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medroxyprogesterone (Provera)
danazol GnRH agonists (nafarelin, lupron) |
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how do we shrink leiomyomas ?
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decrease circulating estrogens
|
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what causes endometrial hyperplasia?
|
unopposed estrogen
(no progesterone) |
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% of atypical complex hyperplasia progressing to carcinoma
|
29%
|
|
what causes unopposed estrogen ? (AEGLNOP)
|
anovulation
E c/o P granulosa-theca tumors late menopause nulliparity obesity PCOS |
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how does endometrial hyperplasia present ?
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like fibroids - abnormal uterine bleeding
|
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TX for atypical complex hyperplasia ?
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D&C
|
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Medical tx for E. hyperplasia ?
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progestins
medroxyprogesterone (DP) oral progesterone - 3 months then repeat EB |
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Types of ovarian cysts.
|
follicular
corpus luteum theca lutein |
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differential for ovarian cysts (EEFOPTT)
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ectopic pregnancy
endometriosis fibroids ovarian neoplasms PID tubo-ovarian abscess torsed adnexa |
