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18 Cards in this Set
- Front
- Back
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Condyloma acuminatum
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Verrucous wartlike lesions on vulva, perineum, vagina and cervix associated with HPV serotypes 6 and 11
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Pelvic inflammatory disease
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Vaginal discharge (cervicitis), vaginal bleeding (endometritis), bilateral lower abdomainal and pelvic pain (salpingitis). Caused by n. gonorrhea and/or chlamydia. Complications: tubo-ovarian abscess, tubal scarring (granulomatous inflamation) with infertility and ectopic pregnancies
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Cervical cancer risk factors
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Early age of first intercourse, multiple sexual partners, multiple pregnancies, oral contraceptives, smokking
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Cervical cancer clinical features
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45 years old. Asymptomatic or postcoital bleeding, dyspareunia (painful intercourse), malodorous discharge. Caused by HPV types 16, 18, 31 and 33. Precursor lesion is cervical intraepithelial neoplasia
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Endometriosis
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Presence of endometrial glands and stroma outside the uterus in ovaries, ligaments and pouch of Douglas. Presents with chronic pelvic pain, dysmenorrhea, dyspareunia (painful intercourse), rectal pain, constipation, infertility
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Endometrial carcinoma risk factors
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Early menarche, late menapause, nulliparity, hypertension, diabetes, anovulation, estrogen-producing tumors, estrogen-replacement therapy, endometrial hyperplasia
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Endometrial carcinoma clinical features
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55 year old with postmenopausal vaginal bleeding
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Polycystic ovarian disease
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Females of reproductive age, oligomenorrhea, hirsutism, infertility. Lab: elevated LH, low FSH, high testosterone. Predisposes to endometrial cancer
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Ovarian cystadenocarcinoma
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65 year old with malignant bilateral ovarian enlargement. Risk factors: BRCA-1. Marker: CA125
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Metastatic tumors to the ovary primary sites
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Breast, colon, endometrial, gastric "signet-cell" Krukenberg tumor
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Hydatidiform mole
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Tumor of placental trophoblastic tissue/ Excessive uterine enlargement, vaginal bleeding, high B-HCG. Complete mole: fertilization of an ovum without chromosomes. Partial mole: fertilization by two sperms (one 23X, one 23Y)
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Choriocarcinoma
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Malignant germ cell tumor derived from the trophoblast
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Fibrocystic change presentation
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Bilateral painful mass in young woman with menstrual variation
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Fibroadenoma
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Movable mass that changes with mentrual cycles
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Breast carcinoma risk factors
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BRCA-1, BRCA-2, p53, prior breast cancer, old age, nulliparity, obesity
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Breast carcinoma clinical features
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Solitary painless mass in old woman with nipple retraction or skin dimpling or fixation to chest wall. Calcification on mamogram. MC variation is invasive ductal carcinoma
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Benign prostatic hyperplasia
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Decreased caliber and force of stream, urgency, frequency, nocturia, dysuria. PSA is elevated. Rx.: 5-alpha reductase inhibitor
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Prostate cancer
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Asymptomatic or lower back pain secondary to metastasis. High PSA. Metastasis to pelvic lymph nodes and lumbar spine with high alkaline phosphatase
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