reproductive 579-583 Flashcards
in 1’ hypogonadism what will be the testosterone, LH level?
low test, high LH
in testosterone secreting tumor, what will be the testosterone, LH lever?
high testosterone, low LH
in defective androgen receptor, what will be testostereon, LH lever?
high test, high LH
the order of the worst prognosis of ob n gy tumors
ovarian > cervical > endometrial
3 causes for oligohydromnios
placental insufficiency, bilateral renal agenesis, post urethral valves and its inability to urinate
most common location/size of the ectopic preg?
shows 10 mm embryo in oviduct at 7 wk gestation
level of hCG in ectopic preg?
lower than expected rise based on dates
5 risk factors for ectopic preg?
- hx of infertility
- saplingitis (PID)
- ruptured appendix
- prior tubal surgery
- endometriosis
dx?
painless vessel rupture, fetal bradycardia (less than 110/min), fetal vessels traveling to placenta unprotected by Wharton jelly
Vasa previa
path associated with defective decidual layer?
placenta Accreta (Attaches to myometrium w/o penetrating)
placenta Increta (placenta Into myometrium)
placenta Percreta (placenta Penetrates myometirum)
presentations of placenta accreta/increta/percreta?
often detected on ultrasound prior to delivery
no separation of placenta after delivery –> postpartum bleeding
complication of placenta accreta/increta/percreta?
Sheehan
dx?
no prostate, normal testosterone/estrogen, internal genitalia normal, but ambiguous external genitalia, 46 XY
5 alpha reductase def
in 5 alpha reductase def, why do you see ambiguous external genitalia and no prostate?
b/c DHT made from testosterone by 5 alpha reductase converts genital tubercle, urogenital sinus into male external genitalia, prostate
2 conditions associated with female pseudo hermaphrodite?
congenital adrenal hyperplasia, exogenous administration of androgens during pregnancy
dx?
masculinized female infant (46, XX), inc serum testosterone
when the mother was preg, she had hirsutism
aromatase def
dx?
honeycombed uterus, hyperemesis, hyperthyroidism, pre-eclampsia
complete mole
2 diagnosis criteria for gestational hypertension?
BP>140/90 after 20th wk of gestation
diagnosis criteria for preeclampsia
new onset of HTN with either proteinuria or end organ dysfunction after 20th wk of gestation
pathophysio of preeclampsia?
abnormal placental spiral arteries –> endothelial dysfunction –> vasoconstriction, ichemia
6 complications of preeclampsia?
placental abruption coagulopathy renal failure uteroplacental insufficiency eclampsia
definition of eclampsia?
preeclampsia + maternal seizures
what is the manifestation of severe preeclampsia?
HELLP syndrome
what is the complication of HELLP?
hepatic subcapsular hematomas –> rupture –> severe hypotension
