II Lecture Chapter 15 Short Answer/Discussion pp 339
what is the most common symptom of uterine cancer
abnormal vaginal bleeding
what is amenorrhea
absence of menstruation
define leiomyoma
benign lesion of the uterus
what is a pedunculated lesion
-small cervical polyp that became infected; a base of the lesion attached by a stalk or stem
what are the symptoms of endometriosis
Dysmenorrhea (heavy periods) Pain with intercourse Dyschezia (difficult or painful defecation) or Urination Excessive bleeding Infertility N/V/D (nausea, vomiting and diarrhea) Bloating Abdominal pain
what solutions are commonly used to distend the uterus during a hysteroscopy
hysteroscopic pump or insufflator for distension media with carbon dioxide, sorbitol or glycine, or dextran solution
in what position will the patient be placed to accomplish a dilation and curettage (D&C) with hysteroscopy? in addition to the basic position, which position may be used to enhance the surgeon's view of the anatomy?
lithotomy; trendelenburg
during diagnostic laparoscopy, explain the usefulness of the Trendelenburg position during pelvic surgery
moves abdominal organs out of the way to enhance visualization
what is the purpose of the following medications used during D&C or biopsy procedures
to identify the abnormal tissue or lesion: A: Acetic acid (vinegar) - with a cotton-tip swab applied to the outer portion of the cervix to stain the abnormal tissue white B: Lugol's solution - for Schiller's test use the brown-colored Lugol's solution that is a mixture of iodine and potassium iodine. when applied to the cervical tissue, the tissue that remains brown in color is normal and the tissue that did not take up the stain and does not stain is the abnormal tissue
during the diagnostic laparoscopy, why is the uterine manipulator covered with a sterile drape (fold-down-cover) or a sterile glove after placement in the vagina
to keep the abdominal field separate from the lower vaginal field so that it can be handled by the surgeon later