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Fibroid Notes

Gynaecology Prep ladder

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Divakar Divakarr
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251 views4 pages

Fibroid Notes

Gynaecology Prep ladder

Uploaded by

Divakar Divakarr
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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PrepLadder Dr. Prassan Vij Subject: Gynaecology Unit: Gynaecology Topic: Fibroid Get free handwritten notes + Rs.15,000 off. PreBook PrepLadder 2019 pack now: 2019.prepladder.com FIBROIDS > monoclonal tumors 7 Pseudo capsule may be present > always Startz in ‘infomural areg > Poshes Fibroid either Submucosal or Subserozol ETLOLOGY > ineidence > 30% of Wore + ysOyrTs > Rov. v aBtimeg oF more Chance tf female relative hon one > ae chromozomal abnormabty C407] — 12 - ty Tronslocak® 7 JQ Trigomy 7 F deletion Obege women red meat eotr nullparovs women Estrogens & progezterons Growth Factors — Transforming qrototh factor p — Plokelek derived qrowwrh factor — Epithelial qrowth factor Yeu CLINICAL FEATURES SYMPTOMS > PAIN — dit contraction compre ssion Compatkion degeneration > BLEEDING — dit T endometrial recruit man poor contractility » vasodilator Prostaglandins > INFERTILITY — die Cornprescion FR ockion > BOWEL & BLADDER SYMPTOMS 7 Frequaney Cenc] retent) oF urine also present DIAGNOSES ee OSG > algo ured for mapping > Metz (Best) Rx OF FIBROLDS > Sma [<5em] t No pain /bleeding /infertility > NOR required 7% smatt [ OR given > large C>I00m] > OR given > Lerge (> town] t No pain /bleeding /infertility > RR qiven > Leger Du fibroid « DEGENERATIVE CHANGES — Hyolint dagenerak? — Red degenerakh Th pregnancy. in aed trimester Mostly Conkenatkive Ry never operal — Lipoid degenerat? — coleific dagenerat? > womB STONE — Sorcomakous degensrat” [<0.57., rarest] MEDICAL MANAGEMENT > ®®OOO®8® 4+ Bleeding + Sine NSAIDs GnRH Analogues by Depot form => Dovon regulalin pituitary GNRH Antagoniste [CETROTIDE) MIFEPRISTONE — ontiprogesting > 4 Sire PROGESTERDNE [EUCD Levonorgestoi] + 4 Bleeding UTERINE ARTERY EMBOLLZATION — wgez Poly vinyl Alcohol particles — Opto 807 reduck? & pain & bleeding HIGH FREQUENCY USG — HiFO + High Frequinyy fouussed OSG MRGFUS > MR Guided focugzed osg MYOMECTOMY SURGICAL MANAGEMENT PRE REQULSITES > Hb > > loqms 7% arrange blood > minimize frig? on uterus anoid posterior Wall incision [sic > Retroversion) + Technique to L blood loss torniquat osaqe Vasopressin usage + 4 handling of fallopian tube + Semin Ainabysis % FCGROLD IN PREGNANCY > Ry is CONSERVATIVE im younger Women +> MYomectomy 7 tH older women > HYSTERECTOMY + FIQD CLASSLFLCATLON Leiomyoma subclassification cou Stem edunculated intracavitary -<50% intramural 250% intramural 3. Contacts endometrium 100% intramural 4 Intramural 5. Subserosal 250% intramural 5 Subserosal (50% intramural 7. Subserosal pedunculated 8 Other (specty eg, cervical parasitic) > & a fibroid ig Impinging on @ Locations ar once, ten the mucogal relat? should mention Grst

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