Gynecology at Zagazig University | Flashcards & Summaries

Lernmaterialien für gynecology an der Zagazig University

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TESTE DEIN WISSEN
Ttt of genital prolapse 
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1-vaginal
-Cystocele/rectocele/cysto_rectocele
-enterocele:vaginal repair&abd.repair
2-uterine prolapse
A- nullipara?
B-around and after menopause



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TESTE DEIN WISSEN
Prevelance?
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TESTE DEIN WISSEN
Commenest
10-60%
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TESTE DEIN WISSEN
Causes of recurrent prolapse
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Before operation
1- congenital weakness of cervcal ligaments
2-cervix &vagina➡️ ulceration, infection
3- No correction of ⬆️ I.A.P
4-bad general condition & anemia 

During ooperation
1-missing hernia of Douglas pouch
2-bad choice of operation
     Poor surgical techniques
      Early absorbable sutures
3-elongated cervix 
   Short vaginal wall

After operation
1- early ambulation
   Early subsequent pregnancy 
    No episiotomy in next labor
    Repeated deliveries
2- infection & atrophic changes



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TESTE DEIN WISSEN
Complications of ovarian tumors
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(8)
1- tortion.             5-incareration in Douglas pouch
2-rupture             6-intestional obstruction
3-hge.                    7- malignant change
4-infection.           8-with pregnancy, labor.
                                      Puerperium


T H R 3I    PoM
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TESTE DEIN WISSEN
Recurrent prolapse
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TESTE DEIN WISSEN
Def/
Causes/
C/p
Ttt
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TESTE DEIN WISSEN
Def
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⬆️ iAP
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TESTE DEIN WISSEN
Degrees?
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TESTE DEIN WISSEN
3 degrees
Straining
Rapid walking
Standing
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TESTE DEIN WISSEN
Types?
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TESTE DEIN WISSEN
Genuine SI/detruser instability/ mixed
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TESTE DEIN WISSEN
Diagnosis? 
History/ tests/investigations
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TESTE DEIN WISSEN
A/History ➡️ detect the cause
                     Identify the type

B/Tests:
1- stress test
2-qutton swab test
if prolapse➡️
1-bonney test
2-youssef test: in hidden incontinence

C/ investigations.                  Urodynamic studies
1/ urine analysis,c/s.                1- cystometry
2/cysto-urethrography.              Urethrometry
3/cysto-urethroscopy.                Uroflowmetry
4/urodynamic studies            2-urethral length:< 1
                                                              3- U/S                                                                                                 funneling of b. Neck
                                                       3D U/S :int.sphincter


Lösung ausblenden
TESTE DEIN WISSEN
Surgery ttt
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TESTE DEIN WISSEN
Vaginal➡️ kelly operation, kinnedy operation
                      If SI +prolapse 
Abdominal ➡️
1-Marshall operation
2-Burch colposuspention
                          If  -SI + cystocele
                            - of choice
                            -by lalaparoscope

Combined➡️ 1-Sling operations
                                2-Needle bladder neck         suspension

✨ Recent ttt/ ♦️TVT
                            ♦️ TOT
.                           ♦️ Artificial bladder sphincter


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TESTE DEIN WISSEN
Metastastic ovarian tumor
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TESTE DEIN WISSEN
Commen why?
Prevelance
Primary tumors?
How reach ovary?
Types? Typical& atypical
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Atypical" Krukenberg tumor"
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TESTE DEIN WISSEN
Primary tumor➡️ stomach,colon,breast
Mode of spread➡️retrograde llymphatic
MAC➡️ bilateral,large,solid,lobulated
                 smooth surface, intact cacapsule
🔸Cut section: waxy consistency, greyish in color
MIC➡️ singet cell appearance
               Strauma: fibromyxomatous



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  • 22 Karteikarten
  • 75 Studierende
  • 0 Lernmaterialien

Beispielhafte Karteikarten für deinen gynecology Kurs an der Zagazig University - von Kommilitonen auf StudySmarter erstellt!

Q:
Ttt of genital prolapse 
A:

1-vaginal
-Cystocele/rectocele/cysto_rectocele
-enterocele:vaginal repair&abd.repair
2-uterine prolapse
A- nullipara?
B-around and after menopause



Q:
Prevelance?
A:
Commenest
10-60%
Q:
Causes of recurrent prolapse
A:
Before operation
1- congenital weakness of cervcal ligaments
2-cervix &vagina➡️ ulceration, infection
3- No correction of ⬆️ I.A.P
4-bad general condition & anemia 

During ooperation
1-missing hernia of Douglas pouch
2-bad choice of operation
     Poor surgical techniques
      Early absorbable sutures
3-elongated cervix 
   Short vaginal wall

After operation
1- early ambulation
   Early subsequent pregnancy 
    No episiotomy in next labor
    Repeated deliveries
2- infection & atrophic changes



Q:
Complications of ovarian tumors
A:
(8)
1- tortion.             5-incareration in Douglas pouch
2-rupture             6-intestional obstruction
3-hge.                    7- malignant change
4-infection.           8-with pregnancy, labor.
                                      Puerperium


T H R 3I    PoM
انت بتهري بوووم
Q:
Recurrent prolapse
A:
Def/
Causes/
C/p
Ttt
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Q:
Def
A:
⬆️ iAP
Q:
Degrees?
A:
3 degrees
Straining
Rapid walking
Standing
Q:
Types?
A:
Genuine SI/detruser instability/ mixed
Q:
Diagnosis? 
History/ tests/investigations
A:
A/History ➡️ detect the cause
                     Identify the type

B/Tests:
1- stress test
2-qutton swab test
if prolapse➡️
1-bonney test
2-youssef test: in hidden incontinence

C/ investigations.                  Urodynamic studies
1/ urine analysis,c/s.                1- cystometry
2/cysto-urethrography.              Urethrometry
3/cysto-urethroscopy.                Uroflowmetry
4/urodynamic studies            2-urethral length:< 1
                                                              3- U/S                                                                                                 funneling of b. Neck
                                                       3D U/S :int.sphincter


Q:
Surgery ttt
A:
Vaginal➡️ kelly operation, kinnedy operation
                      If SI +prolapse 
Abdominal ➡️
1-Marshall operation
2-Burch colposuspention
                          If  -SI + cystocele
                            - of choice
                            -by lalaparoscope

Combined➡️ 1-Sling operations
                                2-Needle bladder neck         suspension

✨ Recent ttt/ ♦️TVT
                            ♦️ TOT
.                           ♦️ Artificial bladder sphincter


Q:
Metastastic ovarian tumor
A:
Commen why?
Prevelance
Primary tumors?
How reach ovary?
Types? Typical& atypical
Q:
Atypical" Krukenberg tumor"
A:
Primary tumor➡️ stomach,colon,breast
Mode of spread➡️retrograde llymphatic
MAC➡️ bilateral,large,solid,lobulated
                 smooth surface, intact cacapsule
🔸Cut section: waxy consistency, greyish in color
MIC➡️ singet cell appearance
               Strauma: fibromyxomatous



gynecology

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