Questions Covering Obstetrics And Gynecology
Topics Such As Prenatal Care, Labor And Delivery,
Postpartum Assessment, Reproductive Health,
Menstrual Disorders, Contraception, Gynecologic
Procedures, And Maternal Fetal-Complication.
sonographic findings of endometrial polyps
1. Focal thickening of the endometrium
2. Diffuse thickening of the endometrium
CA-125
are often elevated in women who have some forms of cancer
What is tamoxifen?
A breast cancer drug that inhibits the effects of estrogen on the breast,
slowing the growth of malignant breast cells.
What is one use of tamoxifen besides treating breast cancer?
It can be used in the treatment of female infertility.
What conditions has tamoxifen been linked with?
Endometrial hyperplasia, endometrial polyps, and endometrial
carcinoma.
asherman syndrome
,a syndrome characterized by endometrial adhesions that typically occur
as a result of scar formation after some types of uterine surgery like a
D&C
clinical findings of asherman syndrome
1. History of D&C, trauma, uterine surgery
2. Recurrent pregnancy loss
3. Amenorrhea or Hypomenorrhea
sonographic findings of asherman syndrome
1. Bright areas within the endometrium
2. Sonohysterography findings include bright bands of tissue traversing
the uterine cavity
asherman syndrome is the presence of
intrauterine adhesions or synechiae within the uterine cavity
pelvic inflammatory disease (PID)
is an infection of the upper genital tract, can affect not only the uterus
but also both fallopian tubes and ovaries
- may also lead to death
what is a common cause of PID
STDs like chlamydia and gonorrhea
risk factors for PID
IUD
postabortion
post childbirth
douching
,multiple sex partners
early sexual contact
clinical findings of acute pelvic inflammatory disease
fever
chills
pelvic pain/ and or tenderness
vaginal discharge
vaginal bleeding or itchiness
dyspareunia
leukocytosis
Leukocytosis
increase in the number of white blood cells
sonographic findings of acute pelvic inflammatory disease
thickened, irregular endometrium (endometritis)
ill defined uterine borders
cul-de-sac fluid
chronic PID
can lead to continual pelvic, or abdominal pain, infertility , irregular
menses
sonographic findings of chronic pelvic inflammatory disease
dilated fallopian tubes
multiicystic and solid complex adnexal mass
what is the evolution of PID
, vaginitis -> cervicitis -> endometritis -> salpingitis -> tubo-ovarian
complex -> tubo-ovarian abscess
vaginitis
can lead to excessive vaginal discharge
- patients may present foul- smelling discharge
cervicitis
infection into the cervix
endometritis
inflammation of the endometrium
clinical findings of endometritis
1. HX of Abortion, Postpartum, D&C, PID,
Surgery, and IUD
2. Pelvic Tenderness
3. Fever
4. Leukocytosis
sonographic findings of endometritis
1. Thickened echogenic or irregular-appearing endometrium
2. Endometrial fluid
3. Ring-down artifact from gas or air within the endometrium
pyosalpinx
pus in the fallopian tube
hydrosalpinx
water in the fallopian tube