repro DIT Flashcards
cardinal ligament
cervix to the pelvic side wall
uterine vessels in here
(c and c for cardinal and cervix)
infundibulopelvic ligament
suspensory ligament of ovary ovary to pelvic side wall ovarian vessels (ovaries are fun but may get suspended)
ovarian ligament
ovary to the uterus
from gubernaculum
round ligament of the uterus
from gubernaculum
uterus through the inguinal cancal, to labia majora
broad ligament
covers uterus, fallop tubes, ovaries to pelvic wall
S2-4 pudendal nerve innervation to pelcis
sensation to perineum and genitals
motor to perineal muscles
muscle base ofpenis, external anal sphincter, external uretral sphincter
lesion to pudendal nerve
gential numb and pain
fecal incontinence
urinary incont
ED
what can get injured during prostectetomy
inferior hypogastric plexus–>prostatic plexus–>cavernous nerves (parasyp to penis for erection)
ED
varocelole is dilation of what
panpiniform plexus
lymphatic drainage of ovaries and testes
para arotic LNs
external and internal iliac nodes (hypogastric) drain what
upper 2/3 vagina
uterus
cervix
prostate
UPUC is ILL
superficial inguinal nodes drain what
lower 1/3 vagina, vulva, scrotum
indirect inguinal hernia is failure of
closre of procesus vaginalis
can lead to hydrocele
direct inguinal hernia
weakening of ab wall in hesslebachs triangle
medial to epigastrifc vessels and out of superficial ring
external meatus on ventral side of penis
hypospadias
opening of meatus on dorsal penis and associated with extropshy of bladder
epispadias
homologs
corpus spongiosum and corpus cavernosum
vestibular bulbs (thing vestibular bulge)
homologs
bulbourethral glands
greater vestibular (bartholin) glands in female
homologs
prostate
urethral and paraurtehral glands
ventral shaft of penis homolog
labia minor
homolog
scrotum
labia majora
flutamide
nonsteroidal competitive inhibitor
clomifphene
treats infertility due to anovulation
binds estrogen receptors in hypothalamus and prevents endogenous estrogens from binding
blocks negative feedback and increases FSH and LH
testicular tumors
most common
age 15-30
fired egg epeparance with large cells with watery cytoplasm
good prognosis
seminoma
test tumors: malignant, glandular with pappilary morphology
AFP normal
HcG may be elevated
painful tumor
embryonal carcinoma (doing EC can be painful sometimes)
testicular tumors
common in kids under 3
appear yellow
schiller duval bodies
increased AFP
yolk sac tumor
test tumors
malignant
increased hCg
hematogenous metast
syncytiotrophoblast
choriocarcinoma
teratoma
mature ones in males means
malignant
what would be increased in teratoma in males
hcg and AFP in 50% of cases
TEST tumors
lipofusin pigment and rodlike crystal shaped structures
androgen and sometimes estrogen producing
endocrine symptoms
golden brown color tumor
leydig cell tumor
reinke crystals
testicular tumor with virulization or feminizing symptoms
leydig cell tumor
test tumor
secretes estrogen (gynecomastia), assocaited with peutz jeghers and carney syndrome
sertoli cell tumor
tadalafil can be used for what besides ED
BPH
tada my prostate is all better
grey solitary crusty plaque in 5th decasde of life, occasionally progreses to SCC
bowen diseas
think color of bruce bowen ( he kinda grey/ashy/crusty)
bowenoid disease
younger, papular lesions
peyronie disese
angulation of penis, painful erections
inflamation and fibrous tunica albugeina
inflammation of glans penis
balanitis
what is the graafian follicle
dominant follicle
releases oocyte
corpus luteum
rest of ruptured graafian follicle
secretes progesterone
if preg occurs HcG keeps it alive so continued progesterone secretion
estrogen and hdl and ldl
increases HDL
decreases LDL
what inhibits milk secretion
estrogen and progesterone
pagets disease of vulva
intraepithelial cancer
red, looks like eczema, cancer cells within skin
DES
columnar epihtelium on ectocervix
endometritis
acute cause
chronic cause
diagnostic
inflammation of endometrium
acute: postpartum
chronic: PID, reatined foreign bodies
plasma cell in endometrium diagnostic
treatment of endometritis
gentamycin and clindamycin
treatment of endometriosis
leuprolide
nsaids, ocps, progesstins
danazol
danazol
synthetic androgen
partial agonist at androgen receptors which inhibits rlease of FSH and LH
AE: acne, hirtuism, deep voice, weight gain, low HDL, hot flashes
endometrial tissue in the myometrium
adenomusosis
PCOS elevated ratio
LH to FSH over 2:1
pcos endocrine levels
lh to FSH over 2:1
elevated insulin bc of insulin resistance
increased estrone (prevents ovulartory cycle)
increased androgens
decresed SHBG = more free hormaones floating around
PCOS has increased risk for what
endometrial hyperplasia
3 symptoms for PCOS 2 to diagnose
oligo ovulation or anovulation
hyperandrgoenism (acne, hirsutism) no virulization
polycistic string or pear sign on US
