Flashcards in GYN Deck (23):
Distinguish appendicitis from adnexal or uterine pain.
==> If the point of maximal tenderness shifts medially with repositioning on the left lateral side ==> Etiology generally gynecologic.
Midface hypoplasia — hymeroradial synostosis — bowing of femora — fractures.
==> FGFR2 inactivating mutations. (Apert syndrome also FGFR2 mutations)
==> Occasionally a/w AMBIGUOUS GENITALIA.
==> May occur post-curettage of the uterus.
==> Presenting as amenorrhea.
Benign ovarian tumor composed of epithelial cells in CLUSTERS WITHIN A DEEP FIBROUS STOMA.
In GRANULOSA CELL TUMORS involving ovary ==>
Small follicles filled w/ eosinophilic secretion.
==> An important diagnostic feature.
Blue-red PASSIVE hyperemia of the cervix that may appear after 7th wk of pregnancy.
==> May also be seen in a/w TUMOR.
==> Results from congestion of mucosa and most visible in ANTERIOR VAGINAL WALL.
A faintly blue coloration, particularly of the umbilicus, as a result of retroperitoneal bleeding from any cause, but especially in RUPTURED ECTOPIC PREGNANCY.
(1-2% in acute pancreatitis).
==> Metabolizes the glycogen in glycogen rich cells which are exfoliated in the vagina pre-menopause to lactic acid, resulting in a decrease in pH to 3.5-5.
Erogenous area in anterior vaginal wall.
Round ligament of uterus.
Visible peristalsis of the ureter in response to squeezing or retraction.
==> Used to identify the ureter during surgery.
All features of Lynch I with early onset of carcinoma at other sites including:
Endometrium — ovaries — stomach — upper tract TCC.
ENCHONDROMATOSIS a/w soft tissue hemangiomas.
==> A/w ovarian carcinomas + brain gliomas.
***Essentially Ollier’s disease w/ hemangiomas.
Hydatids of Morgagni:
Fallopian tube cysts found near the fimbriated end or in the broad ligaments.
Low transverse abdominal incision w/ retraction of the rectus muscles laterally.
Used in ob/gyn procedures.
Artery found within and nourishes round ligament of uterus.
In endodermal sinus tumor (yolk sac tumor), tumor cells arranged around a capillary.
In aortic regurgitation, pulsation of the cervix.
Post-coital test, done 2-4hr after intercourse to assess number and motility of sperm that have entered the cervical canal.