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40 Cards in this Set
- Front
- Back
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what happens to the placenta in preeclampsia?
what is preeclampsia |
toxemia of pregnancy usually occurs in the third tirmester of pregnancy (
CLINICAL FINDINGS: diastolic HTN, proteinuria, and pitting edema KEY: placental hypOferfusion results |
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Patient has preeclampsia and seizures, DX?
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Eclampsia
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Monochorionc twin placenta has to BE?
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idental twins (monozygotic), only on egg fertalized,
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This hormone directly correlates w/ placenta mass and insulin activity
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human placental lactogen
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Patient has HTN, proteinuria and pitting edema and they are in their fist trimester of pregnancy?
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Preeclampsia caused by a complete mole
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malignancy of trophoblastic tissue, DX?
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choriocarcinoma
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increased AFP during pregnancy means
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neural tube defect
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L:S ration>2 means
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suficient surfactant
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Where is estriol derived from during pregnancy?
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fetal adrenal
placenta maternal liver |
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which cancer arises from nipple
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pagets disease
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what is the most common cause of bloody nipple discharge in a womnen under 50?
where does it arise from |
intraductal papilloma
arises from the lacteriferous duct |
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most common breast mass in women under 50 is?
where does it arise from |
FIbrocystic change-arises from the major duct
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on breast examination it feels lumpy and bumpy, DX?
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FIbrocsytic change...cysts and fibrosis (no malignant potential)
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what is the most common breast tumor in womne under 35?
where does it arise from |
fibroadenoma
stroma |
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which cancer arises from the terminal duct?
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tubular carcinoma
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On histology the glands look squished, DX?
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Fibroadenoma
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what are the two main risk factors for developing breast cancer?
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prolonged estrogen use and genetically susceptible background
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this cancer is bilateral***and arises in teh lobules
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Lobular carcinoma
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lobular carcinoma is analgous to what cancer in the ovary
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serous cystadenoma/carcinoma
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most common cancer in the breast in women over 50
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infiltrating ductal carcinoma
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most cancers arise from what area of the breast?
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Major duct
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VHY***
Mass in a women that is 35, movable, and gets bigger during period? |
fibrocystic change
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glands lining the ducts of the breast are sensitive to what hormone
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estrogen-just like the glands of the endometrium are sensitive to it
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IF you see cysts on the histolgy, DX?
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fibroCYSTIC change - call like it is
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what is the first step in evaluation of a breast mass
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ASPIRATION
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most likley a mass in the breast that is movable is ?
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Fibroadenoma - arises in the stroma
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Fibroelastic tissue response occurs in?
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breast cancer - it ind
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painful and under 50
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inflammatory lesion
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painless and under 50
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cancer
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Upper outer quadrant is the most common location for cancer, why?
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where most breast tissue is, thats why it is most common
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FIRS STEP OF MANAGMENT IN A BREAST LESION
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fine niddle aspiration just like a cold nodule on the thyroid
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HERB2 is seen in what type of cacner?
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Comedocarcinoma
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indian file
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infiltratting ductal cancer
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VHY*****
older women has a rash on the nipple diagnosis? |
pagets - cancer of the duct underneath that has spread up the skin
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patient has dippled skined, why does it look like that?
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INflamatoryh carcinoma, CANCER OF THE LYMPHATICS, lymphatics are plugged w/ cancer and fluid has leaked out, but the CT is still their (pe de orange)
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VHY***
most common caner of the terminal lobules, famous for |
lobular carcinoma
bilaterallity |
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what is taken out in a modified breast masectomy
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breast and nipple, leave behind pec major but not pec. minor and do an axillary resection.
get winged s |
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what is taken out in a lumpectomy
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removes underlying tumor, w/ a good border of normal tissue and a few nodes of low axilla (For staging) and radiation
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How does tamoxifen work?
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blocks estrogen from getting into the receptor (its a weak estrogen)
risk of endometrial cancer...does prevent osteoporosis |
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women who are YOUNG VS OLD and their Estrogen and progesterone receptor essays
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younger women have a low number of receptors (they have high estrogen levels so the body down regulates)
older women have a higher number) |
