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21 Cards in this Set

  • Front
  • Back
Describe the findings in endometriosis
Pain around menstuation and the pain can be involved with other organs.

Infertility accompanies the nodules in the parametrial structures and adnexal masses palpated.
Describe pain of ectopic pregnancy:
Severe, located in the lower quadrant of abdomen
Missed last period
What two out of three histo findings are needed to diagnose endometriosis?
Endometrial glands
Hemosiderin pigment
What is a differential diagnosis of vaginal bleeding between periods
Endometrial polyp
endometrial hyperplasia
endometiral ca
ectopic pregnancy
abnormal pregnancy
endocervical polyp
cervical CA
dyfunctional uterine bleeding
DDx of painful menstruation between periods
Ruptured ovarian cyst
twisted ovarian cyst
ectopic pregnancy
pelvic inflam diseasee
GI conditions (Crohn's)
Signs of a twisted ovarian cyst
acute onset
localized to one side
What are the five most common causes of abnormal uterine bleeding in post-meno women?
1. exogenous estrogens (30%)
2. atopic endometriosis/vaginitis (30%)
3. endometrial CA (15%)
4. endometrial polyps (10%)
5. endometrial hyperplasia (5%)
Risk factors for endometrial CA? (5)
1. late menopause
2. nulligravida
3. diabetes
4. obesity
5. hypertension
In salpingitis, what is the most likely organism?
Neisseria gonorrhase (chlamydia, mycoplasma, enterobacteriacea)
Four potential complications of salpingitis?
1. peritonitis
2. bacteremia
3. adhesions
4. infertility
DDx for lump in breast?
1. fibrocystic change
2. cancer
3. fibroadenoma
4. fat necrosis
5. acute mastitis
6. intraductal papilloma
7. phyllodes tumor
Most likely Dx:

Young women with unilateral, solitary, nonpainful mass. Moveable.

Fibrocystic changes

Appears: delicate stroma around compressed, distorted glandular spaces (very very light - very little stroma)
Most likely Dx:
Women with palpable mass of two months duration assoc with breast changes which occur during her period:

Fibrocystic change disease

Need: cysts, apocrine metaplasia, dense fibrosis and adenosis.

Pale alligator with three+ big eyes; lots of fibrosis and thin layer of cells lining enlarged glands
Desccribe a invasive ductal CA:
Postmeno women with hx of fibrocystic changes of breat with solitary, hard, nonpainful mass in upper outer that is fixed to chest wall. Skin is dimpled.

Histo: malignant cells arranged in cords, nests, and tubules invading stroma.

Really pale with darked area in center and three holes
Most likely Dx:

Women with increasingly distended abdomen and shifting dullness during abdomenal percussion:
Cystadenocarcinoma of ovary

Large reveals large and small cystic spaces filled with papillary tumor. Papillary structures are composed of connective tissue cores covered by neoplastic epit that appears to form cilia.

BRCA 1 and 2; increased risk in nulliparity
Describe cystadenocarcinoma of ovary slide
three big blobs; one on right looks like intestines.
Describe plactenal mole:
Fragments of tissue containing markedly swollen chorionic villi covered by neoplastic trophoblast. The villi are edematous and avascular. Trophoblastic cells are atypical.
Compare the karotypes of complete and partial mole and other characterisitics:
46, XX
all villi are edematous
diffuse trophoblast proliferation
atypia present
elevated HCG
2% chorioca

some vill are edematous
focal, slight trophoblast proliferation
absent atypia
less elevated HCG
rare chorioCA
Findings of iron deficiency anemia:
Cells: RBC are smaller than nL and have more variation of shape. Central pallor. "Pencil cells" may be seen.

Symptoms: pale skin, mucous membranes, and conjunctiva. fatigue, SOB, tachycardia
Findings in CML:
WBC are increased in number and mainly neutrophils. Basophils. Decreased RBC's and platelets appear decreased in number - so bruising is likely.
Desccribe a leiomyoma:
The perfect little circle with cartilage inside

Actually a whorled pattern of smooth muscle bundles.