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 GY2 Gynecology
Acronyms
Toronto Notes 2019
 Acronyms
β-hCG beta-human chorionic gonadotropin ACEI angiotensin converting enzyme
inhibitors
AFP alpha-fetoprotein
AIS androgen insensitivity syndrome ARB angiotensin II receptor blockers ASCUS atypical squamous cells of
undetermined significance AUB abnormal uterine bleeding
BMI body mass index
BSO bilateral salpingo-oophorectomy
BV bacterial vaginosis
CAH congenital adrenal hyperplasia
CMV cytomegalovirus
D&C dilatation and curettage
DES diethylstilbestrol
DHEA dihydroepiandrosterone
DMPA depot medroxyprogesterone acetate
or Depo-Provera®
DUB dysfunctional uterine bleeding
DVT deep venous thrombosis
EPC emergency postcoital contraception FSH follicle stimulating hormone
GA gestational age
GIFT gamete intrafallopian transfer JRA GnRH gonadotropin-releasing hormone LDH GTD gestational trophoblastic disease LEEP GTN gestational trophoblastic neoplasia LH HERS heart and estrogen/progestin LHRH
replacement study LMP HMG human menopausal gonadotropin LN HPO hypothalamic-pituitary-ovarian LNMP HPV human papillomavirus LSIL HRT hormone replacement therapy LVSI HSG hysterosalpingography MRKH HSIL high grade squamous intraepithelial lesion NK HSV herpes simplex virus OCP IBD inflammatory bowel disease OGTT ICSI intracytoplasmic sperm injection PCOS ITP immune thrombocytopenic purpura PCR IUD intrauterine device PG
IUI intrauterine insemination PID IVDU intravenous drug use PMDD IVF in vitro fertilization PMN IVM in vitro maturation PMS
juvenile rheumatoid arthritis
lactate dehydrogenase
loop electrosurgical excision procedure luteinizing hormone
luteinizing hormone releasing hormone last menstrual period
lymph node
last normal menstrual period
low grade squamous intraepithelial lesion lymphovascular space involvement Mayer-Rokitansky-Küster-Hauser
natural killer
oral contraceptive pill
oral glucose tolerance test
polycystic ovarian syndrome
polymerase chain reaction
prostaglandin
pelvic inflammatory disease premenstrual dysphoric disorder polymorphonuclear neutrophils premenstrual syndrome
RPR rapid plasma reagin
SCC squamous cell carcinoma
SERMs selective estrogen receptor modifiers SHBG sex hormone binding globulin
SHG sonohysterography
SSRI selective serotonin reuptake inhibitors STI sexually transmitted infections
TAH total abdominal hysterectomy
TET tubal embryo transfer
TH total hysterectomy
TOT tension-free obturator tape
TSH thyroid stimulating hormone
TVT tension-free vaginal tape
TZ transformation zone
VDRL venereal disease research laboratory VIN vulvar intraepithelial neoplasia
VTE venous thromboembolism
vWD von Willebrand’s disease
W/D withdrawal
WHI Women’s Health Initiative
ZIFT zygote intrafallopian transfer
Ischiocavernosus muscle Bulbospongiosus muscle
Superficial transverse perineal muscle
Levator ani muscle External anal sphincter Anus
© Marina Chang 2013
 Basic Anatomy Review
     Prepuce
Labium majus
Paraurethral duct orifice
Labium minus
Greater vestibular Glands of Bartholin
Anus
Figure 1. Vulva and perineum
A . EXTERNAL GENITALIA
Anterior commissure
Clitoris
External urinary meatus
Vestibule Vaginal orifice
Posterior fourchette (frenulum of labia)
               • referredtocollectivelyasthevulva
• bloodsupply:internalpudendalartery • sensoryinnervation:pudendalnerve
• lymphaticdrainage:inguinalnodes
B . VAGINA
• muscularcanalextendingfromcervixtovulva,anteriortorectumandposteriortobladder
• linedbyrugated,stratified-squamousepithelium
• uppervaginaseparatedbycervixintoanterior,posterior,andlateralfornices
• bloodsupply:vaginalbranchofinternalpudendalarterywithanastamosesfromuterine,inferior
vesical, and middle rectal arteries
C . UTERUS
• thickwalled,muscularorganbetweenbladderandrectum,consistingoftwomajorparts: ■ uterine corpus
◆ blood supply: uterine artery (branch of the internal iliac artery, anterior division) ■ cervix
◆ blood supply: cervical branch of uterine artery
• supportedbythepelvicdiaphragm,thepelvicorgans,and4pairedsetsofligaments
■ round ligaments: travel from anterior surface of uterus, through broad ligaments, and inguinal canals then terminate in the labia majora
◆ function: anteversion
◆ blood supply: Sampson’s artery (branch of uterine artery running through round ligament)
■ uterosacral ligaments: arise from sacral fascia and insert into posterior inferior uterus
◆ function: mechanical support for uterus, prevent prolapse and contain autonomic nerve fibres
■ cardinal ligaments: extend from lateral pelvic walls and insert into lateral cervix and vagina
◆ function: mechanical support, prevent prolapse
■ broad ligaments: pass from lateral pelvic wall to sides of uterus; contain fallopian tube, round
ligament, ovarian ligament, nerves, vessels, and lymphatics
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