Thursday - Vulvular and vag path - Witrak Flashcards
Major cause for abnormal vaginal bleeding
anovulation
- polycystic ovarian syndrome
Post monopausal vaginal bleeding
major cause?
cancer until proven otherwise
endometrial atrophy
adenexal masses
non-neoplastic
- PID
- ectopic gestation
- cyscts
- endometriosis
adenexal masses
neoplastic
epithelial - serous vs mucinous sex steroid - estrogen, test germ cell - dermoid cyst
2 most common STD’s
Dx
Chlamydia and Gonorrhea
PCR
feared complication of STD’s
Pelvic Inflammatory Disease
Fitz-Hugh-Curtis syndrome
infection of liver from PID causing adhesions
Sx of PID
lower abdominal pain, discharge, fever
- many cases are sub-clinical
- first sign can be infertility
Bacterial Vaginosis due to
disturbed vaginal flora –> less lactobacilli –> higher pH
- gardnerella vaginalis
Trichomonas
can be painful, similar to chlamidia
- identify by picture. little red hairs
candida albicans
not usually STD
usually 20-40 y/o
curd-like plaque
Herpes
usually HSV-2
many time sub-clinical
primary infection - ulcers and vessicles, inguinal adenopathy
- recurrent bc is stays in DRG like zoster
transmitted even when asymptomatic
washed out nuclei on smear
no cure
smear to test for hepes
tzanck test. looking for multinucleated giant cells
syphilis
usually painless
solitary lesion
HPV
low risk types
high risk types
usually unaware of infection - leads to cancer.
6, 11 –> warts
16,18 –> carcinoma
