Genitourinary Flashcards
Cryptorchidism
1% at 1y
risk infertility, tubular atrophy and cancer
orchidopexy from 6m
Benign paratesticular tumor
adenomatoid
Malignant paratesticular tumors
kids - rhabdomyosarcoma
Adults - liposarcoma
Most common testicular tumour
germ cell (95%), seminomas most common of these - age 30y
>60y non hodgkins lymphoma
HSV gynae
by age 40 30% women HSV2 ABs
lesion 3-7d post transmission
DNA virus
Molluscum contagiosum
pox virus
pearly papules
incubation 6 weeks
Trichomonas vaginalis
flagellated ovoid protozoan
frothy yellow discharge with strawberry cervix
dysuria and dyspareunia
Gardnerella vaginallis
BV
thin grey fishy
coccobacilli
assoc premature labour
Vulval cancer
70% on BG lichen sclerosis and squamous cell hyperplasia
30% HPV
CIN/ SIL
CIN I - mild 60% self regress, 30% persisist
CIN II - mod dysplasia
CIN III - severe/ carcinoma in situ
low grade SIL I, high grade II and III
high - 60% persist, 30% regress, 10% cancer
Cervical Ca
45y
80% SCC, 15% adenocarcinoma
HPV at transformation zone
Endometrial carcinoma
most common invasive tumour female genital tract
T1 younger assoc obesity and diabetes
T2 old and skinny, TP53 assoc, worse outcome
% ectopics in extrauterine fallopian tube
90%
mainly in ampulla
Placenta previa and accreta
previa - too low, 3rd tri bleed
accreta - too stuck PPH
Hydatiform mole
complete - 46XX, egg that has lost its female chromosome, assoc trophoblastic disease and choriocarcinoma
partial 69XXX - 2 sperm 1 egg
