USMLE Forum Archives - USMLE Step 3 - gynaec 4
gynaec 4
conym5 - 07-15-09 19:38
As you are performing the external portion of a pelvic examination,
you palpate a warm, fluctuant mass that is unilateral in the
posterolateral portion of the labia majora. The patient states that palpation
is painful. The surrounding tissue is inflamed and edematous.
Which of the following is the most likely diagnosis?
conym5 - 07-15-09 19:38
As you are performing the external portion of a pelvic examination,
you palpate a warm, fluctuant mass that is unilateral in the
posterolateral portion of the labia majora. The patient states that palpation
is painful. The surrounding tissue is inflamed and edematous.
Which of the following is the most likely diagnosis?
The correct answer and explanation will be available after you answer.
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#6
Re: gynaec 4
conym5 - 07-16-09 09:28 Obstruction of the main
duct of Bartholin’s gland results in retention of secretions (cyst) and secondary
infection (abscess). Abscesses are generally painful to palpation,
hot to the touch, and fluctuant. A rectocele is a weakness in the fascia of
the posterior vaginal wall in which the rectum appears as a bulging mass.
A cystocele is a protrusion of the bladder into the anterior vaginal wall.
Asking the patient to bear down will enhance these protrusions and make
them more easily seen.
#14
Re: gynaec 4 babbu5508 - 08-30-10 00:07 My answer is: b.
inflammation of the bartholins glands forms an abscess in the
posterolateral portion of the labia majora...very painful and tender..
#16
Re: gynaec 4 babbu5508 - 09-30-10 01:13 Cysts may also be opened permanently, a method called marsupialization,in which an opening to the gland is formed with stitches which hold the secretion channel open.
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