Obgyn Ch 43

Front 1

_______ & _______ are diffuse disease processes of the female pelvic cavity.

Back 1

PID and Endometriosis

Front 2

What are the common causes for PID?

Back 2

Sexually transmitted diseases including gonorrhea and chlamydia.

Front 3

what are the uncommon cases for PID?

Back 3

1. ruptured appendix

2. peritonitis

3. diverticulitis

4. pelvic abscess

5. IUD string

6. post-abortion

7. post-delivery infection

Front 4

PID risk factors include:

Back 4

1. early sexual activity

2. multiple sex partners

3. history of STD

4. history of PID

5. IUD

Front 5

_____, ______, & ______ are a few clinical findings for PID.

Back 5

Intense pelvic pain, tenderness, constant vaginal discharge

Front 6

PID affects ______ women each year.

Back 6

750,000

Front 7

High _____ is likely to be associated with PID.

Back 7

white blood cell count

Front 8

______ & ______ are sonographic findings of PID.

Back 8

Free fluid in the cup-de-sac & large palpable bilateral complex mass(es).

Front 9

Thickening or fluid in the endometrium is known as _______.

Back 9

Endometritis

Front 10

Enlarged ovaries with multiple cysts, indistinct margins indicate _______ inflammation.

Back 10

Periovarian

Front 11

Fluid-filled, irregular fallopian tube with or without echoes is known as ______.

Back 11

Pyosalpinx or Hydrosalpinx

Front 12

Endometriosis, Salpingitis, Hydrosalpinx, Pyosalpinx, Periovarian inflammation, Tubo-Ovarian Complex & Tubo-Ovarian abscess are all synonyms for _______.

Back 12

Pelvic Inflammatory Disease

Front 13

Infection usually occurs bilaterally and may be found in: ______, ______, ______, ______, ______.

Back 13

1. Endometrium

2. Myometrium

3. Uterine Serosa & Broad ligament

4. Ovary

5. Oviducts

Front 14

Where is the most common location for salpingitis to implant?

Back 14

Oviducts

Front 15

Right flank pain may be associated with _________.

Back 15

Perihepatic Inflammation

Front 16

Perihepatic inflammation pain may mimic _____, _____, or _____ pain.

Back 16

Liver, GB or Right Kidney

Front 17

Liver capsule inflammation is known as ______.

Back 17

Adhesions

Front 18

What am I describing?

- Perihepatic inflammation and adhesions

- develop in 1% to 10% of acute PID

Back 18

Fitz-Hugh-Curtis Syndrome

Front 19

What is the medical term for fallopian tube?

Back 19

Salpingitis

Front 20

What am I describing?

- Inflammation of the fallopian tube

- Tortuous, dilated tube

Back 20

Salpingitis

Front 21

_____ & _____ are clinical findings for salpingitis.

Back 21

1. Asymptomatic to pelvic fullness or discomfort

2. Low grade fever

Front 22

What am I describing?

- Walls become thin

- Appearance of multi cystic mass

- Bilateral

- Ampullary portion is more dilated than interstitial part of the tube.

Back 22

Hydrosalpinx

Front 23

What is this image demonstrating?

Back 23

Salpingitis

Front 24

What is this sonographic image showing?

Back 24

Salpingitis

Front 25

What is this an image of?

Back 25

Pelvic Inflammatory Disease of the Fallopian Tube

Front 26

This image is showing ________.

Back 26

Hydrosalpinx

Front 27

Is hydrosalpinx (unilateral or bilateral)?

Back 27

Bilateral

Front 28

In hydrosalpinx, are the walls thick or thin?

Back 28

Thin

Front 29

Free fluid in the cul-de-sac is a sonographic finding for ______.

Back 29

Pelvic Inflammatory Disease

Front 30

Previous history of an STD is a risk factor for ______.

Back 30

Pelvic inflammatory disease

Front 31

TOA is the abbreviation for what?

Back 31

Tubo-Ovarian Abscess

Front 32

As tubo-ovarian abscesses become worse, _____ may form.

Back 32

Periovarian adhesions

Front 33

______, ______ & _____ are sonographic findings for tube-ovarian abscess.

Back 33

Irregular margins, scattered internal echoes & variable septations

Front 34

_____ usually responds well to antibiotic treatment without the need for surgical drainage.

Back 34

Tubo-ovarian abscess

Front 35

Inflammation of the peritoneum is known as:

Back 35

Peritonitis

Front 36

_______ can spread to the bladder, ureters, bowel, and adnexal area

Back 36

Peritonitis

Front 37

Once peritonitis spreads to the bladder, bowel and adnexal areas; it is known as _____ _____.

Back 37

Pelvic Peritonitis

Front 38

Peritonitis is caused by infectious organisms that gain access by was of ______ of the viscera or associated structures through the female genital tract or abdominal wall.

Back 38

rupture

Front 39

_____ & _____ are sonographic findings for peritonitis.

Back 39

Gas bubbles & loculated fluid in the pelvis

Front 40

Endometriosis is know as _____ cyst.

Back 40

Chocolate

Front 41

Infection of the endometrium is known as _____.

Back 41

Endometritis

Front 42

Endometriosis can be found _______.

Back 42

Almost anywhere in the pelvis.

Front 43

List the places endometriosis is commonly found:

Back 43

Bladder, broad ligament, cul-de-sac, fallopian tubes, ovary, peritoneum, uterus

Front 44

______ can be divided into obstetric and non obstetric cases.

Back 44

Endometritis

Front 45

What are the clinical findings for endometriosis?

Back 45

1. severe dysmenorrhea

2. chronic pelvic pain

3. bleeding

4. dyspareunia

Front 46

What are the sonographic findings for endometriosis?

Back 46

1. endometrium may appear thick, contain fluid, clots, or appear normal.

2. Measurements of >20 mm should raise suspicion.

Front 47

In ________, the uterus may appear bulbous and the boarder between endometrium and myometrium become indistinct.

Back 47

Adenomyosis

Front 48

"blurred boarder" appearance is associated with ______ in the posterior aspect of the uterus.

Back 48

Adenomyosis

Front 49

______ ultrasound is helpful in obtaining biopsies for benign and malignant solid pelvic masses.

Back 49

Interventional

Front 50

This is an image of?

Back 50

Adenomyosis

Front 51

This is an image of?

Back 51

Peritonitis

Front 52

This is an image of?

Back 52

Tubo-Ovarian Abscess

Front 53

This is an image of?

Back 53

Tubo-Ovarian Abscess

Front 54

This is an image of?

Back 54

Tubo-Ovarian Abscess

Front 55

This is an image of?

Back 55

Tubo-Ovarian Abscess