Repro Flashcards
Non infectious chronic cervicitis
chemical irritant
foreign bodies
IUD
Acute Cervicitis
- -post partum = staph or strep
- -gonococcal inf
Acute Endometritis
- -near time delivery or miscarriage
- -due to retained products of conception (POC)
- -infection by strep or staph
Acute Prostatitis
sudden onset
systemic and localized Sx
most commonly d/t E. coli
Acute prostatitis Histo
microabscesses
gland destruction
elevated PSA –> need to distinguish from BPH
Acute Salpingitis
inflammation of fallopian tubes
d/t bacteria from uterine cavity or via uterine lymphatics
#1 = gonococcus
can also be E.coli / bactericides / strep / chlamydia
–pus in lumen w/ distention –> drains out fimbriated end into pelvis –> exudate on serosa
AdenoCa (AIS)
–only affects glands
Prostatic AdenoCa
freq inc with age
higher in AA
elevated PSA = >20ng/ml
classified by Gleason pattern 1-5 (add most pref to second most)
very slow doubling time
Tx: surgery / X-ray / adrongen abilation therapy
Adroblastoma/Arrhenoblastoma (Ovary)
Sertoli-Leydig cell tumor 25yo virilizing tumor resembles immature testis 15% are malignant
Albinism
metabolic block
dec of end product
AR
Alkaptonuria (Ochronosis)
lack of homogentisic oxidase (homogentisic acid accumulation)
black urine upon standing
blue/black tissue discoloration
degenerative arthropathy –> brittle, fibrillated cartilage
alpha-1-antitrypsin def
failure to inactivate tissue-damaging substrates
AR
Amnion bands
disruption of normal fetal development
Amnion nodosum
aggregates of squares and hair in placental membrane
Angiosarcoma (Breast) *
look in notes
Most common cause of dysf(x) uterine bleeding
anovulary bleeding
Anovulary bleeding
most common cause of dysf(x) of uterine bleeding
excess estrogen stimulation w/o progesterone
variable and erratic bleeding
ASC-US (cervical)
atypical squamous cells of unspecified significance
Tx: cervical cytology at 6 or 12mo
colposcopy if more severe at follow-up
perform high-risk HPV testing
Asherman’s Syndrome
adhesions crossing the lining of the uterus
Autoimmune orchitis
idk why it happens
unilateral painless enlargement
oligospermia
non-caseating granulomas around spermatic tubules
Differential Dx list for autoimmune orchitis
TB syphilis brucellosis leprosy sarcoidosis fungal inf rickettsia and parasites
Balanitis Xerotica Obliterans
atrophy of glans (sim to lichen sclerosis in women)
see phimosis or distal urethral stricture
Histo: atrophy / absent rete pegs / pale upper dermal tissue bands
Benign Cystosarcoma Phyllodes (breast)
similar to fibroadenoma
stroma is more cellular
10% recurrence rate
Bethesda HGSIL
CIN II
CIN III
CIS
Bethesda LGSIL
CIN I
HPV
Bicornuate uterus
incomplete uniting of the uterus
Bowen’s disease (vulva)
CIS of the vulva
BPH
extreme of normal aging process inc growth of xsitional zone detection my rectal examination Risk: testost source and advanced age Histo: stromal and glandular hyperplasia largest nodules in the periurethral zone
Most common malignant tumor in women
breast cancer
Breast cancer
most common malignant tumor in women upper outer quadrant ductal or lobular in origin intraductal Ca = CIS = ductal CIS can progress to invasive Ca
Breast infarct
infarct of papillary lesion
Mondor’s disease
Breast inflammation
abscesses
duct ectasia
fat necrosis
granulomatous mastitis
Brenner Tumor
transitional cells neoplasm most are benign solid and firm fibrous stroma scattered groups of xsitional cells
