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55 Cards in this Set

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  • Back

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

PID and Endometriosis

What are the common causes for PID?

Sexually transmitted diseases including gonorrhea and chlamydia.

what are the uncommon cases for PID?

1. ruptured appendix


2. peritonitis


3. diverticulitis


4. pelvic abscess


5. IUD string


6. post-abortion


7. post-delivery infection

PID risk factors include:

1. early sexual activity


2. multiple sex partners


3. history of STD


4. history of PID


5. IUD

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

Intense pelvic pain, tenderness, constant vaginal discharge

PID affects ______ women each year.

750,000

High _____ is likely to be associated with PID.

white blood cell count

______ & ______ are sonographic findings of PID.

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

Thickening or fluid in the endometrium is known as _______.

Endometritis

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

Periovarian

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

Pyosalpinx or Hydrosalpinx

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

Pelvic Inflammatory Disease

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

1. Endometrium


2. Myometrium


3. Uterine Serosa & Broad ligament


4. Ovary


5. Oviducts

Where is the most common location for salpingitis to implant?

Oviducts

Right flank pain may be associated with _________.

Perihepatic Inflammation

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

Liver, GB or Right Kidney

Liver capsule inflammation is known as ______.

Adhesions

What am I describing?


- Perihepatic inflammation and adhesions


- develop in 1% to 10% of acute PID



Fitz-Hugh-Curtis Syndrome

What is the medical term for fallopian tube?

Salpingitis

What am I describing?


- Inflammation of the fallopian tube


- Tortuous, dilated tube

Salpingitis

_____ & _____ are clinical findings for salpingitis.

1. Asymptomatic to pelvic fullness or discomfort


2. Low grade fever

What am I describing?


- Walls become thin


- Appearance of multi cystic mass


- Bilateral


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

Hydrosalpinx

What is this image demonstrating?

What is this image demonstrating?

Salpingitis

What is this sonographic image showing?

What is this sonographic image showing?

Salpingitis

What is this an image of?

What is this an image of?

Pelvic Inflammatory Disease of the Fallopian Tube

This image is showing ________.

This image is showing ________.

Hydrosalpinx

Is hydrosalpinx (unilateral or bilateral)?

Bilateral

In hydrosalpinx, are the walls thick or thin?

Thin

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

Pelvic Inflammatory Disease

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

Pelvic inflammatory disease

TOA is the abbreviation for what?

Tubo-Ovarian Abscess

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

Periovarian adhesions

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

Irregular margins, scattered internal echoes & variable septations

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

Tubo-ovarian abscess

Inflammation of the peritoneum is known as:

Peritonitis

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

Peritonitis

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

Pelvic Peritonitis

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.

rupture

_____ & _____ are sonographic findings for peritonitis.

Gas bubbles & loculated fluid in the pelvis

Endometriosis is know as _____ cyst.

Chocolate

Infection of the endometrium is known as _____.

Endometritis


Endometriosis can be found _______.

Almost anywhere in the pelvis.

List the places endometriosis is commonly found:

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

______ can be divided into obstetric and non obstetric cases.

Endometritis

What are the clinical findings for endometriosis?

1. severe dysmenorrhea


2. chronic pelvic pain


3. bleeding


4. dyspareunia

What are the sonographic findings for endometriosis?

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


2. Measurements of >20 mm should raise suspicion.

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

Adenomyosis

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

Adenomyosis

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

Interventional

This is an image of?

This is an image of?

Adenomyosis

This is an image of?

This is an image of?

Peritonitis

This is an image of?

This is an image of?

Tubo-Ovarian Abscess

This is an image of?

This is an image of?

Tubo-Ovarian Abscess

This is an image of?

This is an image of?

Tubo-Ovarian Abscess

This is an image of?

This is an image of?

Tubo-Ovarian Abscess