Download PDF by Lawrence Impey; Tim Child: Obstetrics & gynaecology

By Lawrence Impey; Tim Child

This textbook suits the alterations to scientific schooling by way of together with appropriate simple technological know-how, constitution and serve as, and via stressing administration. The emphasis on sufferer prognosis and administration implies that either scientific scholars and postgraduate applicants locate invaluable info during this book.

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Sample text

The uterus is tender and pelvic and systemic infection may be evident. A pyometra is when pus accumulates and is unable to escape. 131] are required. Intrauterine polyps These are small, usually benign tumours that grow into the uterine cavity. Most are endometrial in origin (Fig. 7), but some are derived from submucous fibroids. They are common in women aged 40–50 years and when oestrogen levels are high. In the postmenopausal woman, they are often found in patients on tamoxifen for breast carcinoma.

Now, however, if follow-up smears show normal cells and the absence of high-risk HPV, then they can be entered back into the routine call and recall system. The use of combined cytological and HPV testing therefore reduces the number of repeat tests, colposcopy treatments and patient anxiety. Occasionally, abnormal columnar cells are visible (cervical glandular intraepithelial neoplasia [CGIN]). 36]. Hysteroscopy is used if the cause of the abnormal cells is still unclear. Colposcopy The cervix is inspected via a speculum using an oper­ ating microscope with magnification 10- to 20-fold.

The effects on fertility are unclear. 77] The endometrium appears to grow into the myo­ metrium to form adenomyosis. g. surgical 26 Chapter 3 Intracavity polyp Polyp that has prolapsed through the cervix Normal Arcuate Subseptate Septate Bicornuate (unicollis) Bicornuate (bicollis) Unicornate Hypoplastic Fig. 7 Endometrial polyps. 103] and retained products of conception. Infection in the post­ menopausal uterus is commonly due to malignancy. The uterus is tender and pelvic and systemic infection may be evident.

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