ob

Card Set Information

Author:
rbeacr
ID:
120465
Filename:
ob
Updated:
2011-12-03 16:33:21
Tags:
43
Folders:

Description:
Pathology of the adnexa
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user rbeacr on FreezingBlue Flashcards. What would you like to do?


  1. diffuse disease of female pelvis
    • pid and endometriosis
    • both mimic functional bowel disease in early stages
  2. PID causes
    • stds
    • 20-24 yrs
    • many partners
    • uncommonly ruptured appx/ peritonistis
    • previous pid
    • IUCD
    • douching
    • surgical instrumentation
  3. PID pelvic infections
    • endometristis
    • salpingitis
    • hydro/pyo salpinx
    • periovarian inflammation
    • tubo-ovarian inflammation
    • tubo-ovarian abcess
  4. Where PID found
    • endometrium- endomertritis
    • uterine wall- myometritis
    • serosa/broad lig- parametritis
    • ovary- oophoritis
    • (most common) oviducts- salpingitis
  5. Endometriosis types
    • 1. adenomysis (uterus)
    • 2. endometriosis of adnexa

    • not detected by sonography
    • seen as adnexal mass
  6. PID
    • bilateral collection of fluid
    • inflammatory process spreads to pelvis
    • large palpable masses
    • fluid in cul-de-sac
    • increased vascularity/ diastolic flow
    • associated with infertility and endometritis
  7. PID from gonorrhea
    • infection up rt. flank causing perihepatic inflammation
    • mimic liver, gb, right renal pain
  8. Fits-Hughes Curtis Syndrome
    perihepatic inflammation from pid mimics gb, liver, rt renal pain
  9. sonographic finding in PID
    • endometritis- thickened or fluid in endomet
    • periovarian inflammation- enlarged ovaries with cysts
    • salpingitis- nodular thickening, irreg tube
    • pyo/hydrosalpinx- fluid filled fallop tubes
    • tubo ovarian abcess- complex mass, septations, irreg boreder,usually in culdesac
  10. PID symptoms
    • intense pelvic pain
    • tenderness(dull aching)
    • fever
    • pain ruq
    • dysparunia
    • irregular bleeding
    • increased WBC
    • palpable mass
  11. Stage I PID
    • 50-80% asymptomatic
    • Gonociccus culture still positive
    • hx: veneral disease, IUD, pelvic surgery

    • Pelvic tenderness
    • vaginal discharge
    • urethral burning
  12. Stage II PID
    • Salpingitis (w or wout pyosalpinx resol. to hydrosalpinx)
    • Fever, chills, acute abd pain, abn vag bleed
    • swollen tubes- adnexal mass
    • pointed beak- tapered end of prox. tube
    • disteneded end of distal fimbrated end
    • free fluid that moves when decub pt
  13. Stage III PID
    • tubo-ovarian abcess or pelvic peritonitis w/out abcess
    • fever w/ shaking chills
    • acuute abd pain
    • significant increase in wbc
    • fitz-hughes curtis syndrome- liver
    • pyosalpinx (anechoic when reabsorption)
    • sausage shape structure with borders and enhanced through transmission
    • ampulla seg expanded portion of cyst
    • collections fusing ovaries fallopian tubes and uterus
  14. Repeated PID
    • increase risk of ectopic preg.
    • scarred tubes
  15. Endometritis
    • sometimes after delivering baby
    • thick endometrium, free fluid/ gas in endometrium
  16. Endometriosis/Endometrioma
    • Seen better with CT
    • caused by procedures (hysterosalpinogram)
    • causes pain, infertility- becoming pregnant relieves symptoms
  17. adenomyomatosis
    endometriosis in the myometrium of uterus
  18. Salpingitis
    • inflammation of fallopian tubes
    • dilated tube
    • tubes may surrond ovariea and fill culdesac and should not be confused with ureters or prominent vessel
  19. Hydrosalpinx
    obstructed fallopian tube filled with serous secretions

    • -endometriosis
    • -pid
    • -surgical adhesions

    look for "beak"
  20. Pyosalpinx
    • infected fallopian tubes filled with pus
    • appear as complex mass
  21. tubo-ovarian Abcess (TOA)
    • Ovary cannot be separated from inflammed distal tube, loculation of puss
    • bilateral
    • unilateral if iucd involved
    • may be fluid-debris or gas
  22. Peritonitis
    • inflammation of peritoneum (serous membrane lining abd cavity)
    • caused by infectious organismsgain accesss in abd wall (surgery)
    • spreads to bladder, ureter, bowel, adnexa
    • gas forming bubbles
    • inspect morrisons pouch?
    • lt kidney and spleen?
    • loculated fluid in pelvis?
  23. Endometritis
    • infection of the endometrium
    • 1. non ob
    • pid or gyn instrumentation
    • 2. ob
    • postpartum (first 10 days), fever, adnexal tenderness, bleeding, prolonged labor, retained products of conception, rupture membranes

    endometruium- thick, fluid, air, clot, endo > 20mm
  24. Endometriosis
    • Presense of functional ectopic endo glands and stroma outside uterine cavity
    • 30-40s
    • dysmenorrhea, pelvic pain, heavy bleeding, dysparunia
    • internal(blurred border of endo/myo) and external
    • retrograde flow of menstral fluid, or embryonic
    • diffuse more common
  25. Endometrioma
    • localized focal endometriosis, chocolate cyst
    • asymptomatic
    • may rupture- surgical emergency
    • may cause ovary to twist
    • less common than diffuse
    • may have calcifications

What would you like to do?

Home > Flashcards > Print Preview