Reproductive Flashcards
What do the mullerian ducts form
uterus, fallopian tubes, upper 2/3 of vagina
what do the wolffian ducts form?
vas deferens, seminal veiscles, epididymis
what does the urogenital sinus form?
prostate lower 1/3 of vagina
what is uterus didelphys
complete uterine duplication
what is a bicornuate uterus
uterus separated by deep myometrial cleft
what is a septate uterus
two endometrial canals separated by a fibrous septum
what is an arcuate uterus
mild smooth concavity of the uterine fundus
what part of the tube does salpingitis isthmica nodosa involve
proximal 2/3
what are the four types of fibroid degeneration
hyaline, red, myxoid, cystic
what doeshyaline degeneration look like on MRI
t2 dark without enhancement
when does red degeneration occr?
during pregnancy
what does red degeneration look lik
peripheral rim of t1 high signal
what does myxoid degeneration look like on mri
t1 dark t2 bright with minimal gradual enhancement
adenomyosis on mri
junctional zone thicekening over 12 mm
what is stage IIa cervical cancer
spread beyond cervix without parametrial invasion
what is stage II b cervical cancer
parametrial involvement without extension to the pelvic side wall
theca lutein cysts seen in what three things
multifetal pregnancy, gestational trophoblastic disease, ovarian hyperstimulation syndrome
RI in ectopic pregnancy?
below 0.4 or above 0.7
what do endometriomas degenerate into
clear cell carcinoma
endomterioma on mri
t1 bright, t2 dark with shading sign
dermoid turns into what cancer?
squamous
serous ovarian neoplasm on ct
large unilocular few septations
mucinous ovarian cystadenocarcinoma
multi loculated
ovarian mass + endometrial thicekning ddx
primary endometrial cancer with ovarian met
granulosa theca cell tumor-> enodmetrial thicekning
what is meigs syndrome
ascites pleural effusion beign ovarian tumor-fibroma
black garland sign=
fibromatosis
what does a breenner tumor look like?
ifbrous t2 dark, calcifications
brenner tumor aka?
ovarian transitiional cell carcinoma
what does struma ovarii look like
multiolucalar cystic mass with intensely enhancing solid component
first tremester hydatidiform mole on us
snowstorm
second trimester hydatidiform mole
bunch of grapes
hcg level increase 8-10 weeks after evacuation of molar pregnancy
choriocarcinoma
stage II prostate carcinoma
confined by capsule
stage III prostate carcinoma
bulging of capsule or frank extension through it
what testicular cancermets via blood
choriocarcinoma
homogeneous hypoechoic round tesitcular mass
seminoma
heterogeneous testicular mass with macrocalcification
non seminomatous germ cell tumor
multiple hpoechoic masses of the tesicle=
testicular lymphoma
testicular mets to pelvc nodes?
m1 disease
tesciular mets to para aortic nodes?
n1=n3
gynecomastia seen in what type of testicular tumor
sertoli leydig
what testicular tumor is seen in petuz jeghers
sertoli
elevated beta hcg in what two tesitcular tumors
seminoma and choriocarcinoma
elevated afp in what two testicular tumors
mixed germ cell
yolk sac
what is zinner syndrome
renal agenesis
ipsilateral seminal vesicle cyst
amniotic band syndrome
if amnion disrupted prior to 10 weeks
crown rump length of what with no heartbeat is diagnostic of failure
7mm
mean sac diameter of over what mm and no embryo is diagnostic of failed pregnancy
25mm
BPD is recorded where
at the level of the thalamus
IUGR fetal weight
below 10th percentile
IUGR femur length/abdominal circumference
> 23.5
IUGR umbilical artery systolic/diastolic ratio
> 4
asymmetric IUGR
head sparing, seen in third trimester
causes of asymmetric IUGR
high BP, severe malnutrition, ehler danlos
syymmetric IUGR
seen throughout pregnancy, does not spare head
causes of symmetric IUGR
FAS, TORCH, anemia
normal AFI?
5-20
cisterna magna sie
2-11mm
cystic rhombencephalon seen when
6-8 weks
physiologic midugt herniation seen when
9-11 weeks
normal placental suze
1-4cm
what is placenta acfreta
attached to myotreium
what is placenta increta
invades myometrium
what is placenta percreta
invades myometrium beyond serosa, can invade bowel or bladder
omphalomesneteric UC syst
peripheral
allatnoic cyst where
central, if seen in 2 o r3rd tri then a/w trisomy 18 and 13
nuchal lucency measured when and what size
between 9-12 weeks, less than 3mm
head ventricular atrium enlargement size
over 10mm
