reproductive path Flashcards
XXY
kleinfelter’s
signs of kleinfelter’s
testicular atrophy, eunichoid body shape, tall, long extremities, female hair distribution - developmental delay
XO
turner’s syndrome
signs of turner’s
short, streak ovary, sheild chest, bicuspid aortic valve, webbing of neck,
heart defect in turner’s
infantile coarctation
causes menopause before menarche
turner’s
XYY signs
phenotyically normal, very tall with severe acne, possibly anti social or autistic
causes female pseudohermaphrodites
excessive and innapropriate esposure to andorgens during early gestation
causes male pseudohermaphrodites
androgen insensitivity syndrome
47, XXY
true hermaphrodism
signs of androgen insenstivity
female external genetalia with rudimentary vagina. No internal genetalia, streak testes (must be removed) high testosterone, estogen and LH
signs of 5a reductase deficiency
males - ambiguois genetalia at puberty, then testosterone casues masculizination normal internal genetalia
kallman syndrome
anosima, lack of 2ndary sexual chaeracteristics,
causes kallman
defective migration of GnRH cells, no GnRH in hypothalmis. all hormones, testosterone and sperm count are low
complete mole chromosomes
46 XX/XY
partial mole chromosomes
69 XXX/XXY/XYY
mole with very high HCG
complete
mole that can covert to choriocarcinoma
partial
mole with fetal parts
partial
high risk of cancer with this mole
complete
cluster of grapes
complete mole
snowstorm on sonogram mole
partial
tx for mole
D and C + methotrexate with monitoring of hGC
what makes preeclampsia into eclampsia
precense of seizures
preclampsia before 20 weeks may be
mole
HELLP syndrome
hemolysis, liver failure with eclampsia
risk factors for preeclampsia
hypertension, diabetes, chronic renal dx, autoimmune disorders
sx of preeclampsia
headache, blurred vision, edema of face and extremities, hyperreflexia
risks of placental abrubtion
smoking hypertension, cocaine use
signs of placental abruption
painful abrubt bleeding in 3rd trimester
placenta previa
attachment of pacenta to lower uterus and os
sx of placenta previa
painless bleeding at anytime
risk for ectopic
hx of infertility, PID, ruptured appendix, prior tubal surgery