1. Congenital Flashcards

(43 cards)

1
Q

The uterus in a neonate

A

cervix often larger than the fundus.

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2
Q

The uterus in prepuberty

A

tube-like, with the cervix and uterus the same size.

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3
Q

The uterus in puberty

A

(pear-like) - with the fundus larger than the cervix

visible endometrium

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4
Q

Turner syndrome

A

45 XO + CoA + Horseshoe Kidney +

+ Prepuberty uterus (cervix = uterus) + Streaky Ovaries

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5
Q

The mullerian ducts make up these parts

A

Uterus + Upper 2/3 of the vagina

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6
Q

What grows up to meet the mullerian duct and make the bottom 1/3 of the vagina?

A

Urogenital sinus

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7
Q

This ducts regress completely in girls

A

Wolffian

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8
Q

Mullerian ducts

A

Uterus
Fallopian Tubes
Upper 2/3 of the vagina

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9
Q

Wolffian Ducts

A

Vas Deferens
Seminal Vesicles
Epididymis

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10
Q

Urogenital sinus

A

Prostate
Bottom 1/3 of the vagina

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11
Q

3 ways the whole process of embryology gets screwed up

A
  1. Failure to form
  2. Fail to fuse
  3. Fail to cleave
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12
Q

Explain the concept of embryology?

A
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13
Q

Failure to form conditions:

A
  1. Mullerian agenesis
  2. Unicornuate Uterus
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14
Q

Failure to Fuse

A

Uteru Didelphys
Bicronuate uterus
T-shaped uterus

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15
Q

Failure to cleave conditions

A

Septate
Arcuate Uterus

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16
Q

Mullerian Agenesis ahs three features:

A
  1. Vaginal atresia
  2. Absent or rudimentary uterus (unicornuate or bicronuate
  3. Normal ovaries

Kidneys have isssues in 50% of cases

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17
Q

Cornus =
Collis =

A

Cornus = uterus
Collis = cervical

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18
Q

Mullerian agenesis AKA

A

Mayer-Rokitansky-Kuster-Hauser syndrome

19
Q

4 variants of Unicronuate uterus

20
Q

Most common unicronate uterus subtype

A

ISolated unicronuate

21
Q

If you see a unicomuate utems the classic teaching is to

A

Look for a rudimentary horn

Rudimentary horns have endometrium - phantom female belly pain = risk of miscarriege

22
Q

Risk of non-communicating unicornuate subtype?

A

Rudimentary horn rupture (life threatening bleeding

23
Q

Most common abdnormality in unicronute uterus

A

Ipsilateral renal agenesis contralateral to main uterin horn (Ipsilateral to rudimentary horn)

24
Q

This is a complete uterine duplication (two cervices, two uteri, and two upper 1/3 vagina).

A

Uterus Didelphys

25
Bicornuate comes in 2 flavors"
Unicollis - 1 cervix Bicollis - 2 cervix
26
what separates the uterus in bicornuate?
Myometrial cleft
27
The Diethylstilbestrol related anoaly
T-shaped DES was a synthetic estrogen given to prevent miscarriage in the 1940s.
28
This one has two endometrial canals separated by a fibrous (or muscular) septum.
Septate
29
This is the most common Mullerian duct anomaly associated with miscarriage.
Septate This is improved with resection of the septum.
30
Mild smooth concavity of the uterine fundus (instead of normal straight or convex)
Arcuate Uterus
31
Arcuate Uterus "NORMAL VARIANT"
32
NOT associated with infertility or obstetric complications.
Arcuate Uterus
33
* “Heart Shaped” - Fundal contour is less than 5 mm above the tubal ostia * No significant infertility issues * Resection of the “septum" results in poor outcomes
Bicornuate
34
* Fundal contour is Normal; more than 5 mm above the tubal ostia * Legit infertility issues - implantation fails on the septum (it’s a blood supply thing) * Resection of the septum can help
Septate
35
T shaped uterus
36
Hysterosalpingogram (HSG) indications
1. VIsualized noraml uterine cavity 2. Make sure tubes are patent
37
Evaluation of uterine bleeding should be done with
Ultrasound MRI
38
When shoud Hysterosalpingogram (HSG) be done?
Proliferative phase (D7-12) - endometrium is the thinnest (pregnancy least likley)
39
Contraindication of Hysterosalpingogram (HSG)
1. Pregnancy 2. ACtive Pelvic Infection 3. Active bleeding 4. Contrast Allergy
40
Hysterosalpingogram (HSG) Irregular filling defect = Most common cause?
Synechia/Scarring/Intrauterine adhesion trauma from prior curretage Infection
41
Hysterosalpingogram (HSG) Scars/adhesions + clinical infertility =
Asherman's syndrome
42
Hysterosalpingogram (HSG) Round/Oval Filling defects
Endometrial polyps of Fibroids
43
Hysterosalpingogram (HSG) Tubal Occlusions
Infection/PID A. Abrupt Cut off B. Dilated tube