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22 Cards in this Set

  • Front
  • Back

Diagnosis of Endometritis

Ultrasound


Swab for culture

Treatment of Endometritis

Acute - Antibiotics, remover IUCD


Chronic - Dilate cervix (give misoprostol)


Drain pus


Hysterectomy, bilateral salphingo-oophorectomy

Acute Endometritis causes

Septic abortion


Puerperal Sepsis


Acute gonorrhoea

Chronic Endometritis causes

Cervix stenosis (carcinoma, radiation)


TB


Amputation of cervix

Acute Cervicitis cause

STD


Septic abortion


Puerperal Sepsis

Chronic Cervicitis cause

Genital tract Trauma (childbirth and D&C)


STD

Erosion of cervix types

Congenital


Associated with chronic Cervicitis


Papillary/Hormonal

Erosion of cervix Dx

Colposcopy


Speculum (red, swollen)

Erosion of cervix Tx

Diathermy cauterization


Cryosurgery


Laser therapy


Conization Operation


Policresulen (topical hemostatic)

Precocious Puberty causes

Complete - Genetic, CNS lesion, McCune Albright syndrome


Incomplete - premature menarche, adrenarche, thelarche


Pseudo - Adrenal hyperplasia, hypothyroidism, feminizing ovarian tumor, iatrogenic estrogen


Skull disease - Rickets, infection, tumors

Precocious Puberty Symptoms

Early growth spurt


Early epiphysis fusion


Cystic bone lesions


café-au-lait spots at birth

Precious puberty diagnosis

Bone age


Thyroid test


CT/MRI of skull and EEG


GnRH test


FSH,LH, estrogen levels

Precious puberty Treatment

Inject Depot medroxyprogesterone acetate


Cyproterone acetate (antiandrogenic)


GnRH agonists

Sweyer syndrome

46 XY


Underdeveloped testis which can't secrete testosterone


Hypo estrogen


Sweyer syndrome

Sx - primary amenorrhea


Secondary character absent


Poor breast



TX - cyclic estrogen and progesterone


Gonadectomy

Turner Syndrome (ovarian dysgenesis)

Female 45 XO


Streak Gonads and no estrogen


High FSH



Tx- estrogen and progesterone therapy (osteoporosis prevent)


Growth hormone for height




Testicular feminizing syndrome

Androgen insensitivity


(Low or no testosterone receptor causes high testosterone which is converted to estrogen, hence female genotype)


Breast are developed!!


High LH and Normal FSH

Testicular feminizing syndrome

TX - gonadectomy


Estrogen therapy


Vaginoplasty

Klinefelter syndrome

47, XXY


Male, small penis and testis


Sterility, gynecomastia, tall, high pitch sound


Klinefelter syndrome

Hyaline degeneration of seminiferous tubules and Leydig cell overgrowth.



Testosterone may help


Breast excision


Hormone therapy for osteoporosis

Koliocytes

Seen in HPV


Perinuclear Halo in cytoplasm


Disappear with advanced Dysplasia

Tadpole cells

Seen in Invasive cervical cancer