Dit is een samenvatting van de powerpoint van het stukje gynaecologie gegeven door dokter Persyn. Het bevat volgende onderwerpen: gynaecologische aandoeningen
1. Het gynaecologisch onderzoek
2. Cyclusstoornissen
3. Goedaardige aandoeningen vd baarmoede
4. Endometriumcarcinoom
5. Aandoeninge...
Uitstrijkje
- PAP smear
- Afwijkende cellen -> cervicaal & endometriaal
- Beoordeling
o Normaal
o ASCUS: atypical squameus cells of undertimed significance
o LSIL: Low grade squameus intra epithal lesion
o HSIL: High grade squameus intra epithal lesion
o Carcinoom-in situ
o Invasief carcinoom
- Normaal
o elke 3 jaar
- Afwijkend uitstrijkje
o HPV bepaling
o Follow up
o Coloscopie
- Coloscopie
o Microscopisch onderzoek vd cervix
o Azijnzuur en Lugo
o Groen filter: vaatafwijkingen
o Biopsie
- Resultaat biopsie
o Normaal
o CIN 1/2/3
o Behandeling: LLETZ conisatie
Endometrium
- Tijdstip cyclus
- Menopauze
- Vermoeden intracavitaire afwijking
- Meting:
o Drielijnig beeld
o Midsagittale vlak
o Beide lagen endometrium
o Dikste stuk
o Luminaal vocht
Timing
- Menarche = eerste menstruele bloeding
o Gemiddeld 13 jaar
o Minstens 48kg
- Menopauze = laatste menstruele bloeding
o Gemiddeld 51 jaar
o 1 jaar geen menses
o Perimenopauze/postmenopauze
- Cylcusduur
o 28 dagen
o 14 dagen folliculair en 14 dagen secretoir
o Daalt met leeftijd
- Duur vd menstruatie
o 4 dagen
o >7 dagen is abnormaal
Voorkomen
- Hoeveelheid bloedverlies
o 30-60ml bloed
o 3-4 bandjes per dag
- Klachten
o Zwaartegevoel/spanning onderbuik
o Mastodynie
o Irritabiliteit met stemmingwisselingen
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