Chapter 17- The Uterus and Vagina
Precocious puberty is defined as the development of pubic hair, breasts, and the genitals before the age of
8 years old
The uterine position in which the uterine tilts forward and comes in contact with the cervix
Anteflexion
The Normal position of the Uterus
Anteverted
The Outer layer of the Endometrium
Basal Layer
The Area of attachment of the Fallopian tubes to the uterus is the
Cornua
The Largest Part of the Uterus
Corpus/Body
Sonographic Findings consistent with Adenomyosis
Diffuse, Enlarged Uterus Myometrial Cysts Hypoechoic areas adjacent to the endometrium
Typical Clinical Complaints of Women Suffering from Adenomyosis
Dysmenorrhea, dyspareunia, and menometrorrhagia
The Inner Mucosal lining of the uterus is the
Endometrium
The Inferior portion of the Cervix closest to the Vagina is the
External OS
The Recesses of the Vagina are the
Fornices
The most Superior and Widest portion of the Uterus
Fundus
A 13 year old girl presents to the sonography department with a history of cyclical pain, abdominal swelling, and amenorrhea. Sonographically, you visualize an enlarged uterus and a distended vagina that contains anechoic fluid with debris. The most likely diagnosis
Hematocolpos
A simple fluid accumulation in the vagina secondary to an imperforate hymen is
Hydrocolpos
Anechoic fluid noted distending the uterus and vagina within a Pediatric Patient is termed
Hydrometrocolpos
Clinical Findings associated with leiomyomas
Infertility, Palpable pelvic mass, and menorrhagia
The Superior portion of the Cervix
Internal OS
The location of a Fibroid within the Myometrium
Intramural
Section of the Uterus that is also referred to as the Lower Uterine Segment
Isthmus
The paired Embryonic ducts that develop into the female urogenital tract
Mullerian Ducts
The Surgical Removal of a Fibroid
Myomectomy
A patient presents to the sonography department for a pelvic sonogram with a history of adenomyosis that was diagnosed following an MRI of the pelvis. The most likely sonographic findings are
Myometrial cysts with enlargement of the posterior uterine wall
A 38 year old female patient presents to the sonography department for a pelvic sonogram with an indication of pelvic pain. Upon sonography interrogation, the sonographer notes an anechoic mass within the cervix. This mass is most likely
Nabothian Cyst (vs Gartner Duct)
Psuedoprecocious puberty may be Associated with
Ovarian tumor, Adrenal tumor, and Liver tumor
Leiomyoma location with an Increased risk to Undergo Torsion
Pedunculated
Leiomyomas that project from the stalk
Pedunculated
Congenital malformation of the Uterus that is common and has a clear association with an increased risk for Spontaneous Abortion
Septate Uterus
Considered the more Common Uterine Anomaly
Septate Uterus
Which Fibroid location would most likely result in abnormal uterine bleeding because of it's relationship to the Endometrium
Submucosal
Upon sonographic evaluation of a patient complaining of abnormal distention, you visualize a large, hypoechoic mass distorting the anterior border of the uterus. The most likely location of the mass is
Subserosal
Congenital Malformation of the Uterus that results in complete duplication of the genital tract
Uterus Didelphys
A 24 Year old female patient presents to the sonography department for a pelvic sonogram with an indication of pelvic pain. Upon sonographic interrogation, the sonographer notes an anechoic mass within the vagina. This is most likely
a Gartner Duct Cyst
Rapid growth is the most Indicative of
a Leiomyosarcoma
Menometrorrhagia
abnormally and prolonged menstrual flow between periods
Amenorrhea
absence of a menstruation
Dyspareunia
difficult or painful intercourse
The Layer of the Endometrium that is significantly altered as a result of Hormonal Stimulation during the Menstrual cycle
is the Functional Layer (stratum functionalis)
The Rigid region of the Uterus located between the Vagina and the Isthmus
the Cervix
Adenomyosis
the invasion of Endometrial tissue into the Myometrium of the uterus
Leiomyosarcoma of the Uterus
the malignant counterpart of a fibroid
