Female Genital Pathology II Flashcards Preview

REPRO II Exam 1 > Female Genital Pathology II > Flashcards

Flashcards in Female Genital Pathology II Deck (54):
1

leukorrhea curd like in vagina
pruritis
erythema

candida albicans

2

flagella protozoan

trichomonas vaginalis

3

strawberry cervix

trichomonas vaginalis

4

trichomonas vaginalis

STD - 4 days to 4 weeks

5

yellow frothy discharge, pruritis, dysuria, dyspareunia, red vaginal/cervical mucosa

trichomonas vaginalis

6

clue cells

gardnerella vaginalis

7

fishy vagina smell

gardnerella vaginalis

gray-green discharge

8

culture of gardnerella

chocolate agar

9

vaginitis

candida albicans
trichomonas vaginalis
mycoplasma
gardnerella

10

diagnosis of candida

KOH prep
pap smear

11

KOH yeast pseudohyphae

candida

12

flagellated protozoa on wet mount

trichomoniasis

13

vaginal atrophy

atrophic vaginalis

tx - topical estrogen

14

gram negative, intracellular, diplococci

gonococcus

15

skin lesion with umbilication
-can be itchy

molluscum contagiosum
-central pit - not blister

adults sex transmission
kids share towels

pox virus - type 2 is STD

16

PID organisms

neisseria gonorrhea
chlamydia

most common

17

PID

infection between uterine corpus

most infections - polymicrobial

typically due to endometrial infections

18

cervical motion tenderness

PID

19

complication of PID

rupture of tuboovarian abscess
infertility - scarring of tubes
ectopic pregnancy
intestinal obstruction

20

sex

can introduce organisms to PID

21

all patients diagnosed with acute PID

should be tested for HIV infection

22

salpingitis

inflammation of fallopian tubes

23

acute salpingitis

neutrophils

24

chronic salpingitis

plasma cells

25

skene ducts

paraurethal ducts

26

squamous atrophy

lichen sclerosis et atrophicus

27

squamous hyperplasia - with itching and scratching

lichen simplex chronicus

28

condyloma acuminatum

HPV

29

infibulation

sew labia to cover lumen of vagina

30

bartholin gland cyst

4 and 8 oclock of vagina

obstruction of duct
-common all ages

can become infected > abscess

31

tx bartholin gland cyst

incise and drain - high recurrence

word catheter - induces fistula formation
marsupialization - purse - cyst sewn inside out

32

planar, pruritic, purple, papular

4 Ps of lichen planus

inflammatory dermatoses of the vulva

33

lichen planus

squamous epithelium normal thickness
-chronic inflammation at derm/epiderm junction

34

increased risk of cancer development of vulva

lichen sclerosus

35

lichen sclerosus et atrophicus

elderly and post-menopausal women

atrophic changes

white/tense skin** - parchment like areas

tx - corticosteroids

36

hyalinzation in vulva lesion

lichen sclerosis - collagen

37

lichen simplex chronicus

squamous hyperplasia

pink lesion**

layer of keratin with thick epidermis
NO atypia

38

chronic scratching

lichen simplex chronicus

39

veneral warts

condyloma acuminatum

HPV 6 and 11 - low risk - 90%

high risk 10% - can go to VIN 2-3 and carcinoma

see koilocytosis

40

high risk HPV

16, 18, 33

41

tx of veneral warts

cryo
chemical
laser
excise

frequently regress

42

biopsy of condyloma acuminatum

hyperkeratosis

43

bowenoid papulosis

condylomata

44

nuclear enlargement

high grade HPV

viral DNA incorporated into host

45

koilocytosis

nuclei in a clear space

raisinoid nuclei

low grade HPV infection

46

VIN

vulvar intraepithelial neoplasm
-pre-malignant

progression from dysplasia to invasive SCC

47

VIN 1

low risk HPV 6, 11
mild dysplasia
see condyloma acuminatum

48

VIN 2

moderate dysplasia
HPV 16,18

49

VIN 3

severe dysplasia/CIS
HPV 16,18 - high risk

warty and basaloid

50

bowenoid papulosis

multi discrete warty papules that coalesce into plaques
-reflects early HPV infection and may spontaneously resolve

51

bowen disease

VIN 3 - CIS

-requires surgery

52

risk of invasive SCC

age, extent of vulvar growth, smoking, immunocompromised, LS and A

53

height of nuclear enlargement and VIN

full - high grade - VIN 3
half - moderate - VIN 2
low - low grade - VIN 1

54

tx of VIN 1 and 2

conservative removal
-goal is negative margins