100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Summary Gynaecology summaries CA$15.56   Add to cart
Quickly navigate to
Preview
  2.  
  3. The University Of Edinburgh (ED)

Summary

Summary Gynaecology summaries

 6 views  0 purchase
  • Course
  • Institution
  • The University Of Edinburgh (ED)
  • Book
  • Zero to Finals Medicine

Overview of gynaecological conditions as covered for medical school finals. Contains information about clinical features of each condition, as well as relevant diagnostic tests and investigations, risk factors, causes and management guidelines. Everything has been cross referenced with passmedici...

[Show more]

Preview 4 out of 32  pages

Document information

  • No
  • Gynaecology
  • November 20, 2023
  • 32
  • 2022/2023
  • Summary

Subjects

  • gynaecology
  • obstetrics
  • obs gynae
  • clinical medicine
  • medicine

Connected book

book image

Book Title:

Author(s):

  • Edition:
  • ISBN:
  • Edition:

More summaries for

  • Neonatal medicine summary
  • Paediatric Summaries
  • Obstetric summaries
All for this textbook (5)

Written for

  • The University of Edinburgh (ED)
  • Unknown
  • Unknown

Seller

avatar-seller
saskiahogan

Content preview

GYNAECOLOGY




Microsoft Office User
[COMPANY NAME] [Company address]

,Contents
- Amenorrhoea
o Primary
o Secondary

,ADENOMYOSIS



PRESENTATION SUMMARY
- Dysmenorrhoea Endometrial tissue inside the myometrium
- Menorrhagia More common in later reproductive years and those
- Dyspareunia who are multiparous
May also present with infertility or pregnancy-related Occurs in 10% of women overall – can occur alone or
complications alongside endometriosis and fibroids
About 1/3 are asymptomatic Cause is not fully understood – multifactorial including
O/E sex hormones, trauma, and inflammation
- Enlarged and tender uterus Condition is hormone-dependent and symptoms tend
- Will feel more soft than uterus containing to resolve after menopause, similar to endometriosis
fibroids and fibroids
- ‘boggy’



DIAGNOSIS MANAGEMENT
ST
Transvaginal USS = 1 line Same as for menorrhagia
MRI + transabdominal USS if transvaginal USS No contraception
unsuitable - Tranexamic acid
Gold standard = histological exam of uterus after - Mefenamic acid (associated pain)
hysterectomy (although rarely suitable) Contraception
- Mirena coil
COMPLICATIONS - COCP
- Cyclical oral progestogens
- Infertility
- Miscarriage Other options
- Preterm birth - GnRH analogues
- Small for gestational age - Endometrial ablation
- PPROM - Uterine artery embolization
- Malpresentation - Hysterectomy
- Requirement for C-section
- PPH

, PRIMARY AMENORRHOEA



HYPOGONADOTROPIC HYPOGONADISM
SUMMARY
LH/FSH deficiency  oestrogen deficiency
Not starting menstruation by 13 when no other signs of
LH/FSH produced in the anterior pituitary in response pubertal development
to gonadotropic releasing hormone from the
Not starting menstruation by 15 when there are other
hypothalamus
signs of pubertal development
Causes
- Hypopituitarism
- Damage to hypothalamus/pituitary e.g. HYPERGONADOTROPIC HYPOGONADISM
radiotherapy, surgery
Gonads fail to respond to LH/FSH – no negative
- Significant chronic conditions – CF, IBD
feedback so pituitary produces increasing amounts of
- Excessive dieting or exercise
LH/FSH
- Constitutional delay in growth/development
- Endocrine disorders – GH deficiency, - Previous damage to gonads (torsion, cancer,
hypothyroidism, Cushing’s, infection)
hyperprolactinaemia - Congenital absence of ovaries
- Kallmann syndrome - Turner syndrome



OTHER STRUCTURAL PATHOLOGY
Congenital adrenal hyperplasia – autosomal Typical secondary sexual characteristics but no
recessive condition causing reduced cortisol and menstrual periods
overproduction of androgens. In milder cases females May be cyclical abdominal pain as menses build up
can present with:
- Imperforate hymen
Tall for age, facial hair, primary amenorrhoea, deep - Transverse vaginal septae
voice, early puberty - Vaginal agenesis
Androgen insensitivity syndrome – tissues unable to - Absent uterus
respond to androgen hormones  female phenotype - FGM
with absent uterus, upper vagina, fallopian tubes and
ovaries
MANAGEMENT
Establish and treat underlying cause
ASSESSMENT
Hypogonadotropic hypogonadism
- Hx and exam
- Underlying medical conditions - Treat with pulsatile GnRH which can be used to
o FBC, ferritin induce ovulation and menstruation
o U+Es, (CKD) o Has the potential to induce fertility
o Anti-TTG - Replacement sex hormones in the form of
- Hormone profile COCP can be used to induce regular
o FSH/LH menstruation and prevent symptoms of
o TFTs oestrogen deficiency if pregnancy not wanted
o IGF-1 (GH deficiency)
o PRL
o Testosterone
 Raised in PCOS, androgen
insensitivity syndrome and CAP
- Genetic testing with microarray (Turner
syndrome)
- Imaging
o XR of wrist (asses bone age,
constitutional delay)
o Pelvic USS – assess ovaries and pelvic
organs
o MRI brain (pituitary pathology)

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller saskiahogan. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$15.56. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78637 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$15.56
  • (0)
  Add to cart