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9 Cards in this Set

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  • Back
27. Follicular cysts?
a. Most common type of functional ovarian cyst.
28. What do Follicular cysts results from?
a. Unruptured follicles.
b. These are usually asymptomatic unless torsion occurs.
29. Tx of follicular cysts?
a. Management includes observation for 8-12 wks w/ or w/o oral contraceptives, followed by repeat pelvic U/S.
30. Corpus luteum cysts?
a. Common functional ovarian cysts that occur during the luteal phase of the menstrual cycle.
31. What do Corpus luteum cysts result from?
a. From an enlarged and/or haemorrhagic corpus luteum.
32. Symptoms of corpus luteum cysts?
a. May cause a missed period or dull lower quadrant pain.
b. When ruptured, these cysts can cause acute abdominal pain and intra-abdominal haemorrhage
33. Tx of corpus luteum cysts?
a. Should resolve spontaneously.
b. If not, they may be suppressed w/oral contraceptives if recurrent.
34. Differential dx of ovarian cysts?
a. Ectopic pregnancy
b. PID
c. Torsed adnexa
d. Tubo-ovarian abscess
e. Endometriosis
f. Fibroids
g. Ovarian neoplasms.
35. Tx of cysts that do not resolve spontaneously in 60-90 days or are larger than 8cm?
a. Cysts that are larger than 8cm or persist for longer than 60 days or are solid or complex on U/S probably do not have a functional cyst.
b. These require further eval and tx w/cystectomy or oophorectomy (rarely) via laparoscopy or laparotomy.