Describe three types of fibroids. List five types of fibroids. Outline the definitive management of a patient with fibroids in the hospital.

Three types of fibroids include:

1. Subserosal fibroids: These fibroids grow on the outer surface of the uterus and can sometimes protrude into the abdominal cavity.

2. Intramural fibroids: These fibroids grow within the muscular wall of the uterus and can cause the uterus to become enlarged.

3. Submucosal fibroids: These fibroids grow just underneath the inner lining of the uterus and can protrude into the uterine cavity.

Five types of fibroids include:

1. Intramural fibroids
2. Subserosal fibroids
3. Submucosal fibroids
4. Pedunculated fibroids
5. Cervical fibroids

The definitive management of a patient with fibroids in the hospital typically involves a combination of medical and surgical interventions. This may include:

1. Medications such as hormonal therapy to help shrink the fibroids or manage symptoms like heavy bleeding or pain.
2. Surgical procedures such as myomectomy (removal of the fibroids while preserving the uterus) or hysterectomy (removal of the uterus).
3. Minimally invasive procedures such as uterine artery embolization or focused ultrasound surgery to shrink or destroy the fibroids.
4. In some cases, a combination of treatments may be used to provide the best outcome for the patient.

Types of Fibroids:

- Intramural fibroids: Grow within the muscular wall of the uterus.
- Subserosal fibroids: Grow on the outer surface of the uterus and protrude into the abdominal cavity.
- Submucosal fibroids: Grow within the lining of the uterus and protrude into the uterine cavity.

Five Types of Fibroids:

1. Intramural fibroids (see above)
2. Subserosal fibroids (see above)
3. Submucosal fibroids (see above)
4. Pedunculated fibroids: Subserosal fibroids that attach to the uterus by a narrow stalk.
5. Parasitic fibroids: Subserosal fibroids that develop in other parts of the body, such as the abdominal cavity or legs.

Definitive Management of Fibroids in the Hospital:

1. Hysterectomy: Surgical removal of the uterus.
2. Myomectomy: Surgical removal of fibroids while preserving the uterus.
3. Uterine artery embolization (UAE): Injection of particles into the uterine arteries to block blood flow to the fibroids.
4. Focused ultrasound surgery (FUS): Use of high-intensity ultrasound waves to destroy fibroids.
5. Magnetic resonance-guided focused ultrasound (MRgFUS): Precision-guided FUS that allows for more accurate targeting of fibroids.