Exam 3 Flashcards
Cysts that are filled with fluid and can be caused by a transient condition in which the dominant follicle fails to rupture or one or more of the nondominant follicles fail to regress.
Follicular cysts
Cyst may normally form by the granulosa cells left behind after ovulation. This cyst is highly vascularized but usually limited in size, and with the normal menstrual cycle it spontaneously regresses.
Corpus luteum cyst
Ovarian teratomas that contain elements of all three germ layers; they are common ovarian neoplasms. These growths may contain mature tissue including skin, hair, sebaceous and sweat glands, muscle fibers, cartilage, and bone–are usually asymptomatic and are found incidentally on pelvic examination. Have malignant potential and need careful evaluation for removal.
Dermoid cysts
A problem with hormones that affects women during their childbearing years–affects a woman’s ovaries, the reproductive organs that produce estrogen and progesterone — hormones that regulate the menstrual cycle. The ovaries also produce a small amount of male hormones called androgens.
It involves cysts in the ovaries, high levels of male hormones, and irregular periods.
Polycystic ovary syndrome (PCOS)
Types of Incontinence
Urge incontinence, Stress incontinence, Overflow incontinence, Mixed incontinence, Functional incontinence
Involuntary loss of urine associated with abrupt and strong desire to void (urgency); often associated with involuntary contractions of detrusor; when associated with neurologic disorder, this is called detrusor hyperreflexia; when no neurologic disorder exists, this is called detrusor instability; may be associated with decreased bladder wall compliance
Urge incontinence
Involuntary loss of urine during coughing, sneezing, laughing, or other physical activity associated with increased abdominal pressure
Stress incontinence
Involuntary loss of urine with overdistention of bladder; associated with neurologic lesions below S1, polyneuropathies, and urethral obstruction (e.g., enlarged prostate)
Overflow incontinence
Combination of both stress and urge incontinence
Mixed incontinence
Involuntary loss of urine attributable to dementia or immobility
Functional incontinence
a group of abnormalities in which the testis fails to descend completely
Cryptorchidism
International criteria for the diagnosis require at least two of these conditions: irregular ovulation, elevated levels of androgens (e.g., testosterone), and appearance of polycystic ovaries on ultrasound.
PCOS
related to a genetic predisposition and an obesity-prone lifestyle related to insulin resistance and an excess of insulin and androgens. A hyperandrogenic state is a cardinal feature in the pathogenesis
PCOS
S/S of PCOS
- Insulin resistance and the resultant compensatory hyperinsulinemia
- overstimulate androgen secretion by the ovarian stroma
- reduce hepatic secretion of serum sex hormone–binding globulin (SHBG).
- The net effect is an increase in free testosterone levels. Excessive androgens affect follicular growth, and insulin affects follicular decline by suppressing apoptosis and enabling the survival of follicles that would normally disintegrate
Clinical manifestations of PCOS
Obesity (41%)
Menstrual disturbance (70% [e.g., dysfunctional uterine bleeding])
Oligomenorrhea (47%)
Amenorrhea (19%)
Regular menstruation (48%)
Hyperandrogenism (69%-74%)
Infertility (73% of anovulatory infertility)
Asymptomatic (20% of those with polycystic ovary syndrome [PCOS])
an acquired narrowing and distal obstruction of the pylorus and a common cause of postprandial (after a meal) vomiting. It is the most common cause of intestinal obstruction in infancy.
Infantile Hypertrophic Pyloric Stenosis
Pathophysiology of Infantile Hypertrophic Pyloric Stenosis
Individual muscle fibers of the longitudinal and circular muscles thicken, so the entire pyloric sphincter becomes enlarged and inflexible. The mucosal lining of the pyloric opening is folded and narrowed by the encroaching muscle. Because of the extra peristaltic effort necessary to force the gastric contents through the narrow opening, the muscle layers of the stomach may become hypertrophied as well.
Upper abdominal distention, visible peristaltic waves, a decrease in the size and frequency of meconium stools, progressive weight loss, persistent vomiting, and dehydration. Congenital obstruction of the duodenum is rare and can be caused by intrinsic malformations, such as atresia (complete blockage), stenosis (partial obstruction or narrowing), or external pressure.
Duodenal obstruction
the most common congenital anomaly of the small intestine.
Intestinal malrotation
a rare congenital malformation characterized by the absence or obstruction of extrahepatic bile ducts resulting in neonatal cholestasis.
biliary atresia
Clinical manifestation of biliary atresia
Jaundice is the primary clinical manifestation of BA, along with hepatomegaly and acholic (clay-colored) stools. Fat absorption is impaired because of the lack of bile salts. Abdominal distention caused by hepatomegaly and ascites may cause anorexia and faltering growth. Fat-soluble vitamin deficiencies (A, D, E, K) require supplementation.
the telescoping of a proximal segment of intestine into a distal segment, causing an obstruction. It is rare but the most common cause of small bowel obstruction in children in the United States.
Intussusception