Gynaecology

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Author:
grignoter
ID:
207642
Filename:
Gynaecology
Updated:
2013-03-16 12:13:40
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gynaecology
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Description:
gynaecology
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  1. Semen Analysis - Normal Results 
    (WHO)
    • Volume > 2ml
    • pH > 7.2
    • concentration >20million per ml
    • total > 40 million per ejaculate
    • motility >50% a or b
    • morphology > 30% normal forms
  2. PCOS
    - Rotterdam Criteria (2003)
    2 out of 3 of:

    1. oligo or anovulation

    2. clinical or biochemical increased androgens

    3. USS polycystic ovaries: 12+ follicles of 2 - 9mm each OR >10cm cubed overall volume

    • AND
    • r/o Congenital Adrenal Hyperplasia, androgen-secreting tumour, Cushing's
  3. Fibroids
    • Presentation: menorrhagia, subfertility
    •     if large: peripheral oedema (obstructed venous return), urinary incontinence (compression)

    Risk Factors: Afro-Carribean, overweight, forties, fertile
  4. Presentation of Endometriosis
    • - menorrhagia
    • - dysmennorhoea
    • - dyspareunia
    • - chronic pelvic pain (adhesions)
    • - nulliparity (infertility or abstinence due to pain)
    • - cyclical haematuria
    • - haemoptysis
    • - painful, cyclical expanding masses in a pelvic scar
  5. Arias-Stella phenomenon/reaction
    benign change in endometrium associated with presence of chorionic tissue.

    Cells appear malignant but aren't. Characterised by nuclear enlargement, +/- irregular nuclear membrane, granular chromatin, centronuclear vacuolisation, pseudonuclear inclusions

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