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