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19 Cards in this Set

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  • Back

Herpes (HSV 2)



*painful ulcer with smooth edges, clean base

Herpes (HSV 2)



*"3M-nuclei" = Multi-nucleated, Molded, Marginated

Molluscum contagiosum



*Dome-shaped papule with central umbilicus


*Pox virus transmitted by fomites

Lymphogranuloma Venerum



*chlamydia spread to lymphatics


*Bubos, painless ulcer, fistulas

Condyloma accumulata (HPV 6 & 11)



*low risk strains

Vulva skin is paper-like

Vulva skin is paper-like

Lichen Sclerosis



*Thinning of epidermis w/ fibrosis of underlying dermis. Leukoplakia on gross exam

Pt has cottage cheese discharge on cervix

Pt has cottage cheese discharge on cervix

Candidia



*Hyphae shish-kabob cervical squamous cells

Pt has frothy green discharge on cervix with foul odor

Pt has frothy green discharge on cervix with foul odor

Trichimonis



*Strawberry cervix w/ increased vaginal pH

These motile critters were found on a wet mount sample

These motile critters were found on a wet mount sample

Trichimonis


Cervix



*Black = endocervix with simple columnar epithelium


*White = exocervix with stratified squamous epithelium


*HPV infects basal cells of transformation zone b/w endo- and exocervix

Normal Pap



*Squamous cells have small nuclei


*Neutrophils present but not pathologic

Mild Dysplasia of Cervical cells with Koilocytic change



*Enlarged, irregular nuclei w/ cytoplasmic clearing creating a halo


*Normal cell on far right

CIN I



*Basal proliferation ~1/3 of tissue w/ koilocytic change in squamous layer

CIN 2



*Basal proliferation ~2/3 of tissue w/ koilocytic change in squamous layer

Severe Dysplasia of Cervical cells w/ High N/C ratio and hyperchromatic nuclei (right is normal cell)

CIN 3



*Basal proliferation extend almost the entire length of tissue

Invasive Squamous Cell Carcinoma of Cervix

Invasive Squamous Cell Carcinoma of Cervix



*Left = "Tadpole cell" and Right = "Spindle Cell." Both are Pap findings characteristic of invasive cervical cancer

Taken from Vagina

Taken from Vagina

Clear Cell Adenocarcinoma



*Majority = vaginal tumors of daughters of mothers who took DES to prevent miscarriage, but rarely can occur in ovary


*Upper arrow points to "clear cell" and bottom points to "hobnail cell"