Vaginal Path I Flashcards
find white plaques on vulva what is ddx
LSC
Ls&A
VIN VaIN
SCC
find red plaques on vulva
ddx?
deramtitides
extramammary paget
find brown lesions on vulva
ddx?
melanoma
masses in vagina
ddx?
bartholin cycst, hidradenoma, condyloma,
SCC, clear cell CA, embryonal rhabdomyosarcoma
find discahrge and complaints of pruritis of vagina
ddx?
thrichomonas
gonorrhea
chlamydia
candida
what type of germ cell forms ovary
endodermal cells that migrate to urogenital ride(mesodermal)
lined with coelemic epithelium
what forms tubes, uterus and upper vagina
paired mullerian ducts
paramesonpehric ducts
what impairs growth of female genitalia
mullerian inhibitory factor
what ducts regress but may still be present as rests
the wolffian
“mesonephric”
what are gartner duct cysts
remnants of the mesonephric ducts
what is a bicornuate vagina
2 uterus, 1 vaginas
what can occur with imperforate hymen
build up after first menses, bad
what is unicornate
one uterus but only connects to one fallopian tube
what is didelphys
2 vaginas
2 uterus
what are complications with abnormal uterus
mid late term spontaneous abortions more likely
where does fertilization usually occur
ampulla
where is the infundibulum
the most distal part of fallopian tube after fimbrae
where is the isthmus
the proximal part of the fallopian tube
what type of epithelium covers external os
squamous
what type of epithelium is in internal os
glandular
STD with donovan bodies
klebsiella granulomatous
STD with clue cells
gardnerella vaginalis
spirochete STD
syphilis
STD with koilocytosis
HPV
what are the main high risk strains HPV
16 18
what are the main low risk strains HPV
6 11
where will you see ulcers from genital herpes
vulva, vagina, cervix
where will you see HPV manifestations
vulva, vagina and cervix
where and how does chlamydia tachomatis present
follicular cervicitis
endometriosis
salpingo-oophoritis
cervix, corpus and adnexa
how does gonorrhea present in uterus
acute endometritis and salpingitis
how does candida trichomonas present
vulvovaginitis and cervicovaginitis
can HSV be Dx on pap smear
yes but if negative does not rule it out
lesion on ectocervix and in vagina, could be what infeciton?
trich
candida
HPV
cervical sample with direct testing of liquid for DNA can be used to Dx what infections
HPB, Gonorrhea, chlamydia, trich, candida, garnerella
pap smear is used to Dx what infections
HPV trich candida gardnerella HSV
type of virus is HSV
DNA virus
how do you differentiate HSV1 and HSV2
IgG
what are the clinical Sx of HSV-2
pain, dysuria, vesicular– ulcer eruptions last 1-3 weeks
systemic Sx
2/3 or more have recurrences
sequelae of HSV-2 infections
neonatal infections
spontaneous abortions
most significant complication for genital herpes
transmission to neonate at birth
Tzanck test
herpes
what will herpes look like histo
multinucleated cells with intra-nuclear, “ground glass” viral inclusions
mother delivering baby has HSV-2 but no current ulcers, can she transmit it
yes
50%
When do you see Sx from herpes in neonate
2-12 days post delivery
disseminated herpes in neonate has what prognosis
85% mortality
what is recommended for pregnant HSV + mother with active infection
C section delivery
