GYN anesthesia- AP III

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Author:
bgroll
ID:
227885
Filename:
GYN anesthesia- AP III
Updated:
2013-07-22 22:09:18
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emory aa
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Description:
katie's lecture 1
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  1. Name 4 preop considerations:
    • psychological impact of condition
    • mestrual cycle
    • potential for bleeding
    • positioning required
  2. what are the causes pelvic organ prolapse?
    • loss of support- birth, chronic intra abdominal pressure, collagen weakness, atrophy due to age or estrogen loss
    • genetic
  3. what are the medical therapies (nonsurgical) for pelvic relaxation/prolapse that can effect your anesthetic?
    • anticholinergics
    • beta agonists
    • dopamine agonists
    • antidepressants
  4. Three surgical repairs for pelvic relaxation/prolapse;
    • anterior vaginal wall repair
    • retropubic suspension
    • sling
  5. Endometriosis is most commonly seen in women who are __-__.  common locations include 60% in the _______, pouch of _______, ____ _______, f________ tubes, _______ colon.  __% of infertility is due to this.  Caused by _________ menstruation.
    • 20-30
    • ovaries
    • douglas
    • round ligament
    • fallopian tubes
    • sigmoid
    • 10%
    • retrograde
  6. clinical features of ENDOMETRIOSIS include:
    How is this diagnosed?
    • dysmenorrhea
    • dyspareunia
    • infertility
    • abnormal bleeding
    • pelvic pain

    direct visualization
  7. what are the medical and surgical tx's for ENDOMETRIOSIS?
    • med- oral contraceptives, progestin alone, DANZOL,  GRH-agonist
    • surgical- conservative= excision or ablation of lesions.  definitive= TAH
  8. LEIOMYOMA:  __% of women have these ______ tumors.  They are _________ responsive and growth is related to ________ production. new tx's involve GnRH analogs**
    • 30
    • benign
    • hormonally
    • estrogen
  9. What are the symptoms of LEIOMYOMAS?
    Pain, bleeding most common presenting symptom, pressure
  10. LEIOMYOMAS dx:
    • clinical exam- feel hard mass
    • imaging study- ultrasound (others not cost effective)
    • Hysteroscopy
  11. Cervical cancer has __ _________ presentation but symptoms can include _________.  What is the identifiable precursor?  Best method of early detection?  Other dx method?
    • NO clinical
    • bleeding
    • CIN- cervical intraepithelial neoplasia
    • direct biopsy
  12. Cervical cancer staging performed under __.  TX includes,  C__________, L___ _______ __, H____________, R_________ therapy.
    • GA
    • Cryotherapy
    • Loop electrosurgical excision procedure
    • hysterectomy (radical)
    • radiation
  13. Uterine Cancer (Lieomysarcoma)  dx by surgical excision, tx is _____________.  consider in what women?
    • hysterectomy
    • post-menopausal with uterine enlargement
  14. What is the 2nd most common GYN cancer? What is the tx?
    • Endometrial
    • TAH w/ BSOP
  15. Ovarian cancerare malignant postmenopausal __% of the time.  It is ____ __ _______, and has the highest _________ rate.
    • 25%
    • hard to detect
    • mortality
  16. what can be used to test for pregnancy?
    Who gets one?
    • HCG levels (more sensitive)
    • urine

    all women of child bearing age

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