gyn path- female Flashcards
what type of HSV typically involves genital mucosa and skin?
hsv 2
during acute infection of HSV virus migrates to
regional nerve ganglia to establish lastent infection
is candidiasis an STD
no
symptoms of candidiasis
severe itching, erythema, swelling and curdlike thick, white discharge
in HSV what can trigger reactivation of virus and recurrence of lesions
any decrease in immune system
symptomatic candidiasis is typically a result of what?
disturbance in the patients vaginal microbial ecosystem
coloscopic appearance of trichomonas vaginalis
strawberry cervix
what are the symptoms of trichomoniasis?
STD - pts may be asymptomatic or present with yellow frothy vaginal discharge, discomfort, dysuria, and painful intercourse
main cause of bacterial vaginosis is
gardnerella vaginalis
is gardnerella vaginalis an STD
no
symptom of gardnerella vaginalis
Thin, green-gray, malodorous (fishy) vaginal discharge
PID is
an infection that begins in the vulva or vagina and spreads upward
infections after abortions and deliveries spread ___ and are inflammation of ___
upward from uterus through lymphatics or veins
deeper layers
what cell do you see microscopically in a gardnerella vaginalis infection?
clear cell
what types of infections can cause PID?
gonorrhoeae
chlamydia
infections after abortions and deliveries
chronic complications of PID
Chronic salpingitis with scarring of the tubal lumen and fimbria Infertility Ectopic pregnancy Pelvic pain Intestinal obstruction due to adhesions
acute complications of PID
Bacteremia
Acute peritonitis
Endocarditis, meningitis, arthritis
bartholin cyst result from
obstruction of duct by inflammatory process
can be up to 5 cm
what is leukoplakia?
opaque, white plaque like epithelial lesions
itching and scaling
lichen sclerosis is most commonly seen in what population?
post-menopausal patients
what is lichen sclerosis?
gross: smooth white plaques resembling porcelain or parchment
micro: marked thinning of epidermis, degeneration of basal cells, hyperkeratosis, sclerotic changes of superficial dermis, bandlike lymphocytic infiltrate in underlying dermis
lichen sclerosis is slight increased risk of developing
squamous cell carcinoma
what is squamous cell hyperplasia?
nonspecific condition resulting from rubbing or scratching of the skin
micro: acanthosis thickening of epidermis and hyperkeratosis
**not considered premalignant
HPV types associated with benign genital warts (low risk)
6 and 11
most common