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21 Cards in this Set

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