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repro > Uterine Pathology > Flashcards

Uterine Pathology Flashcards

1
Q

In the secretory phase, endometrium has a coiled corkscrew appearance. secretes glycogen. More tortuous (turns and twists)

A

ycauses

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2
Q

causes of bleeding in adolescence/early reproductive life/

A

DPEB - DUB, pregnancy/ectopic, endometritis, bleeding disorder

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3
Q

reproductive perimenopause?

A

HYPERPLASIA, ENDOMETRITIS,LEIOMYOMA,POLYP,PREGNANCY,ADENOMYOSIS, EXOGENOUS HORMONES, DUB, BLEEDING DISORDERS, NEOPLASIA

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4
Q

post menopause?

A

bleeding disorder, exogenous hormones, endometritis, polyp, cancer

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5
Q

TVUS is an endometrial thickness of >4mm post menopausal and >16 pre menopausal. It is taken as an indication for?

A

biopsy

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6
Q

what is the most thorough sampling method for endometrium

A

dilation and curretage

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7
Q

which condition do you get at ends of reproductive life, corpus lute doesn’t form, and get continued growth of the functionalis layer?

A

DUB

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8
Q

in ovulatory, what is the problemm?

A

corpus lute doesn’t produce enough progesterone

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9
Q

glands and storm continue to grow. last mensrual period was 8 weeks ago

A

DUB

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10
Q

what protects the endometrium from ascending infection?

A

cervical mucus plug

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11
Q

what makes the endometrium relatively resistant to infection?

A

constant shedding

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12
Q

causes of endometritis?

A

either microorganisms or inflammation

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13
Q

which micro organisms cause endometritis?

A

neisseria, chlamydia, TB, CMV, actinomyces, HSV

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14
Q

what sort of inflammation?

A

IUCD, post curettage, post partum/abortal, chronic endometritis, granulomatous,

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15
Q

chronic plasmacytic endometritis is ________until proven otherwise

A

infective

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16
Q

common around menopause, usually asymptomatic, may present with bleeding or discharge

A

polyp

17
Q

polyps are almost always benign

A

y

18
Q

trophoblastic disease which grows as a mass characterised by SWOLLEN chorionic villi?

A

molar pregnancy

19
Q

how can they be divided?

A

partial or complete

20
Q

how do these come about?

A

sperm combine with an egg which has no DNA

21
Q

only paternal DNA is present in a complete mole

A

y

22
Q

in a partial mole, 1 egg is fertilised by?

A

2 sperm

23
Q

which moles are at higher risk of developing in to a choriocarcinoma?

A

complete

24
Q

what is adenomyosis?

A

endometrial glands and storm within the myometrium

25
Q

when would you get this?

A

perimenopausal (only one with a)

26
Q

causes bleeding, menorrhagia and dysmenorrhoea

A

y

27
Q

leiomyoma. pain, pressure symtoms, tenderness, smooth echogenic mass on US, can be single or multiple, commonest cause of pelvic mass. what are they dependant on for growth

A

oestrogen

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